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Home My WebLink About1859 LOTUS CT; ; CB153892; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-10-2015 Permit No: CB153892 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1859 LOTUS CT CBAD PME Status: Parcel No: 2155501800 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: BLUESTEIN: MAIN WATER SERVICE REPAIR ARS OBA RESCUE ROOTER STEB 9895 OLSON DR SAN DIEGO CA 92121 858-457-6572 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: BLUESTEIN BARRY I 1859 LOTUS CT CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 11/10/2015 SLE 11/10/2015 11/10/2015 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL r.PROVAL Date: I,.; L · 10 Clearance: $0.00 NOTICE; Rease -NOTICE Iha~ a yo.r iJ'Cied indL<ils the "lrrpo,;ticri' a fees, declcalic:rs, reseivatia1s, a cthlr eo,;:licn; -ailedively refena:lto as 'feesle<a::lic:rs." You llM>OOcl¥frcrnthedaletns pemitv.as iss.ed to pretest irrpo,;tia, atresefeesle<a::licn; If )OJ prctest lh6rT\ )OJ nu;t fdloothe r,uest ~ set forth in G:Nelrmrt Caci, Sedia, 600,!J(a), a-d file the prctest a-d any cthlr rap red irtonraia, wth the Oty ~ fcr ~rg ina:woa-a,wth Ga1sba:l Msidpa Caci, Sedia, 3.3203:J. Failcretotirretyfdlootha r,oo,drewll Iler anySlill«µrt legal a:lionto attoo<, reAe.v, SEi asiOO, vdd, a a-ru th:ir irf1XStioo. You ,re hereby FlRTl-ER NOTIRED that yo.r rigt to prctest the sp>dfied feasle<a::lic:rs 0CES t-Of AA'l Y to w,l.,r ,rd,,,_ OCJ1nedion leas ,rd "'l'OCity ctmgas, na plmrg, zcrirg goorg a ctha' srrila' ,wicalion ~rg cr senAoe fees in OCJ1nedion wth tns iJ'Cied i'CR OCES IT APPLY to any f a ·1 tovJi ini ,<<~' ~ CITY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 271812719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT # Plan Check No. Est. Value Plan Ck. Deposit Date \l-10-IS SWPPP APN CT/PROJECT II # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINE NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) APPLICANT ADDRESS CITY PHONE FAX EMAIL ZIP 9'2..0ll FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# .. PATIOS (SF) DECKS (SF) FIREPLACE v,so AIR CONDITIONING No□ ves0No0 APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX FIRE SPRINKLERS v,s□NoO 0 {Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demohsh or repair anx structure, P:fior to Its issuance, also reciuires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicanffor a permit subJects the applicant to a CIVIi penalty of not more than five hundred dollars {$5001). I have and wlll maintain a certificate of consent to self-insure forw.:irkers' compensation as provided by Section 3700 of the Labor Code, for lhe performance Of the work for which this pennit is issued. I have and will maintain work-c._s' bpensation-f reQuired by Sectlon 3700 of lhe LaOOr Code, for the performance of the work f?rwhich this oermit is is~ued. ¼'workers' compensation in nee arrier ~licy aemb,c ,., lrn;,ranc, Co L \ ·€ ~¼ PoUcy No. l ( Oi2 l 5t::ff. le,?:,\ ()if 5' E,piralion Oat, --""""-+-1--1-1-•- ~section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertonnance of the work for which this permit is issued, \ shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000~ in addition to the costofcompensa~ges as provided for in Section 3706 of he La de, in stand a ' fees. JtS CONTRACTOR SIGNATURE U . C57 c....9.. I hereby afflrm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, Wlll do ttle work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sate. If, however, the building or improvement is sold Ymhin one year of completion, the owner-builder will have the burden of proving that he did not bu lid or improve for the purpose ol sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts lor such proiects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Seclion _____ ,Business and Professions Code for this reason: 1. ! personally plan kl provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted w1lh the lollowng person {!inn) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of Iha work, but I have hired the following person to coordinate, supervise and provide the major work {include name I address/ phone/ contractors' license number): 5. I wm provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): 85 PROPERTY OWNER SIGNATURE □AGENT DATE ls the apglicant or future building occupant required lo submit a business~, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505, 25533 or 25534 of \fie Presley-Tanner Hazardous Substance Account Act? D Yes LJ No Is the applicant orfuture building occupant required to obtain a permit from the air pollution controu;!§lricl or a\!..9!1ality management district? Oves D No Is the lacllity lo be constructed within 1,000 feet of the outer boundary of a sctlool site? LJYes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE A1R POLLUTION CONTROL DISTRICT. I certify that I haVe read the application and state that the above lnfonnation Is cooect and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsba:l to enter upon the atx>ve menooned propertylorinspecOOll purposes. I ALSO AGREE TO SAVE, INDEMNIPf AND KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA penm is required for excavalioos over 5'0' deep and denx:ililion or construction of structures over 3 stories in height. EXPJRA TION: Every pennit issued by the Bu'ilcling Official urder the proviskms of this Code shall expire by limrtalion and bocome null and void H the building or work authaized by such penri\ is not commenced within 180 days from the date of such pennil or Hthe building or work authorized by such pennit is suspended or abandooed at any ~me after the work is commenced for a period o 180 days (Sa::tion 106.4.4 Uniform Building Code). ,it$ APPLICANT'S SIGNATURE \ ·e-✓.J --h_,-DATE \( (C, Inspection List Pennit#: CB153892 Type: PME Date !nspect~11_ Item ____________ _ 11/12/2015 22 Sewer/Water Service 11/12/2015 29 Final Plumbing 11/12/2015 29 Final Plumbing Friday, November 13, 2015 Inspector Act PD AP RI PD AP BLUESTEIN: MAIN WATER SERVICE REPAIR Comments Page 1 of 1