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Home My WebLink About1885 BIENVENIDA CIR; ; CB122168; Permit10-22-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB122168 Building Inspection Request Line (760) 602-2725 Job Address 1885 BIENVENIDA CR CBAD PermitType PME Status ISSUED Parcel No 2072504600 Lot # 0 Applied 10/22/2012 Entered By RMA Reference # Plan Approved 10/22/2012 PC# Issued 10/22/2012 Project Title GEORGI RES- REPLACE EXISTING Inspect Area 100 AMP PANEL W/ NEW 100 AMP PANEL - SAME LOCATION Applicant SUZANNE GEORGI 1875 BIENVENIDA CR CARLSBAD CA 92008 760 729-2318 Owner MURPHY STEPHANIE&DANIEL REVOCABLE TRUST 10-01-10 1875 BIENVENIDA CIR CARLSBADCA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0 00 $154 00 $0 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due. $0.00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications reservations, or other exactions hereafter collectively refen'ed to as fees/exactions" You have 90 days from the date this perniit was issued to protest imposition of these fees/exaclions If you protest them, you must follow the protest procedures set forth m Government Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacrty changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project NOR DOES IT APPLY to any tees/exactions of which you have previouslv been given a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired THEFOLLOWmGAPPROVALSREQUIREDPRIORTOPERMITlSSUANCE npLANNING DENGINEERING • BUILDING DnRE nHSALTH •HAZMAI/APCO ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buld[lng@carlsbadca gov www carlsbadca gov Plan Check No Est. Value Plan Ck. Deposit iOB ADDRESS T I I m B I PUL.'^F U I It DF IIMT.< PHASE « I # OF UNITS 1 # BEDRfiOMS SUITE«/SPACE*l/lIrjlT# CT/PROJECT O « BATHROOMS TENAMT BUSINESS NAME CONSTR TYPE OCt GROUP DESCRIPTION OF WORK Include Sguare Feet ofAffectea Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESn #_ NO • AIR CONOmONlNG YES • NO • FIRE SPRINKLERS YES • NOD APPLICANT NAME (Primary Contact) APPUCANT NAME (Secondary Contact) ADDRESS ADORESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS 1^ "7 ^ f^)r^^\re IO, ido^ Ci f cle. ADDRESS CITY STATE CA ZIP CITY STATE ZIP PHONE EMAIL FAX PHONE EMAIL FAX 'DEStCNER NAME^ ADDHE^sJ ; <^ Hah e>. AFCH/DE. CLASS CITY BUS LIC # (Sec 7031 5 Business and Proressions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure, prior to its issuance also requires the applicant for such permit 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 uiat he is exempt therefrom and the basis for tfie alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration I hereby afTm under pen^ty of perjury one of the totlowing dedarations d I have and will maintain a certificate of consent to self Insure lor workers compensaUon as provided by Seclion 3700 of the Labor Code forthe performanceofthe work for which Ihis permit is issued O I have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the perfomiance of the work for which this pennit is issued My workere compensation insurance carrier and policy numberare InsuranceCo Policy No Expiraton Date This section need not be completed rt the perniit is for one hundred ckillars ($100) or less n Certificate of Exemption Icertrfythalin the perfomiance of the work lor which this perniil is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers'compensation coverage Is unlawful, and shall subject an empioyerto cnminal penalties and civil fines up to one hundred thousand dollars (&iao,DOa), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees >ef CONTRACTOR SIGNATURE OAGENT DATE / hereby affirm that I am exempt from Contactor s tjcense Law lor l/ie fallowing reason O I as owner of the property or my em[dayees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Pmfessx)ns Code The Contractor s bcense Law does not appty lo an owner of prcperty who buikis or improves Ihereon, and vrtm does such work himseif or Ihrough his own employees, provided lhal such improvements are nol intended or offered for sale If, however, the building or improvemenl is sold within one year of completion, the owner builder will have lhe burden of proving tial he did not build or improve for the purpose of sale) ^JB^ I, as owner of the property, am exclusively conlracling wilh licensed conlractors to constnjcl the projecl (Sec 7044, Business and Prafessions Code The Contractor's License Law does not apply to an owner of praperty wfio builds or impraves Itiereon and contracts for such projects with contractorls) licensed pursuanl to the Contractor's License Law) • 1 am exempt under Section Busmess and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction ol the proposed property improvement • Yes H No 2 I fi^pi have not) signed an application for a building permit for the proposed work 3 I have contraaed with the following person (fimi) to provide the praposed constructton (include name address / phone / contractors license number) j< ^ i /ff dtt l C 4 I plan to provide portions of the work, bul I have hired the folbwing person to coordinate, supervise and pravide the m^qor work (include name / address / phone / contractors license number) 5 I will pravide some of the work, but I have contracled (hired) the following persons to provide the work indicated (include name / address / phone / type of work) PROPERTY OWNER SIGNATURE •AGENT DATE /O ^c9ip-«jLg>^tJL Is the applicant or fulure buiklmg occupant required ti} submit a business plan, acutely hazardous malenals registration torm or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Sutetance Accouni AcP n Yes • No is the applicant or fulure building occupant required to obtain a pemiil from the air pollution control distncl or air quality managemeni distncf • Yes • No Is ^e facility to be constnjcted within 1 000 feet of the outer boundary of a school site' • Yes 13 No IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EHERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affinn that there is a constmction lending agency for the perfonnance of the work Uiis permit is issued (Sec 3097 {i) Civil Code} Lender s Name Lender's Address Icertffythatl have read the application and state that theabove information is conectand thatthe information on the plans ts accurate. 1 agree to comply ntlh all Crty ortJInancesand Slate laws relabng to bi „ I hereby authonze representative of the City of C^arlsbad lo enter upon the above mentioned properly for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Cf THIS PERMIT OSHA. An OSHA permit is requied for excavations over 50 deep and dOTolilion or constnjction of structures over 3 stones in height EXPIRATION Every permit issued by the Building Offiaal under the provisions of this Code shall expire by limitation and become null and void if the building or vwrk authonzed by sudi permit is not commenced vwthm leOdaysfronthe date of such permit or if the txjSdixiorMxk aulhonzed l)y sudi permrtis suspended or aban^ after Ihe wwkB commenced fix a penod of 180 days (Sedion 106 4 4 Umlbcm Buiidng Code) >£f APPLICANT'S SIGNATURE DATE STOP' THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. CERTIFICATE lOF OCCUPANCY |CommercFaI Projects Only) Fax (760) 602-8560 Email www buildinqiSlcartsbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cadsbad, Califomia 92008 C0# tOfflcG Use Onty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CiTV STATE ZIP Carlsbad CA PHONE FAX OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) a MAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER • ASSOCIATED CB#-. • NOCHANGEINUSE/NOCONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit* CB122168 Type PME GEORGI RES-REPLACE EXISTING 100 AMP PANEL W/ NEW 100 AMP PANEL Date__ Inspection Item Inspector Act Comments 11/06/2012 33 Service Change/Upgrade PD AP 11/06/2012 39 Final Electncal PD AP Wednesday, March 13, 2013 Page 1 of 1