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Home My WebLink About1901 CASSIA RD; ; CB150523; Permit02-18-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB150523 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1901 CASSIA RD CBAD PME OOOOOOOOOO Lot #: TRADITIONS APT.: GAS REPAIR AT POOL HEATER LINE Status: ISSUED Applied: Entered By: Plan Approved: Issued: Inspect Area: 02/18/2015 JMA 02/18/2015 02/18/2015 Applicant: NORTH COUNTY PLUMBING Owner: POBOX 1758 VISTA CA 92085 760 735-4900 Plumbing Fees Electrical Fees Mectianical Fees Other PME Fees $160.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: 0-^/"^?//^ 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 pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City IVlanager 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. [THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING jZlENGINEERING DBUILDING DFIRE •HEALTH •HAZMAT/APCD Ccityof Carlsbad Buildmg Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ( S"<D^Z ^ Est. Value Plan Ck. peposijt ADM ^ SWPPP CT/PROJECT # TtoTi I PHASE # | # OF UNffS-l # BEDROOMS SUITE«/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Squara Feet ofAftected Areafs) EXISTINC USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPIJ^CE YESfn* N0| I AIR CONDITIONING YES I I NO I I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY ^ ^ . - » FAX CITY STATE ZIP PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUI ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL iTAJELICJtr— ..-^.^ CLASS ^ / CITY BUS. LIC.# (Sec. 7031.5 Business and Professions 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 applioantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe 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 applicant for a permit subjects the appiicantto a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Woiker ft ^ nil Wortters' Compensation Declaration: / hereby affinn under penalty ofpeijury one ofthe foltowing declarattons: J have and will inaintain a certificate of consent to self-insure for worl<e[s' compensalion as provided by Section 3700 of the Labor Code, for the performance of the wofV for which this permit is issued, lave and will maintain,wortters' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My woriterstjjompensation insurance carrier and pojjcy number are: Insurance Co. /N^Z) Cy^T'^^ Policy Np. 3 / ^ 1 Expiration Dale This section need not be completed if the permit is for one hundred dollars ($100) or less. ^*^CiA/C^ /a ^^^2-3 [~~| Certificate of Exemption: I certify that in the perfomiance of the work for which this permit is issued, I shall not employ any person in al^mimiflrs^ftd^cSne subject to tlje Workers' Compensation Laws of Califomia. WARNING: Failure to secure wortters' compensation coverage is unlawful, and shaii subject an employer to criminal penalties and civii fines up to one hundred thousand doiiars (&100,000), in addition to the cost of compensation, damages as provided fo^n Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE OtArNiR-BUil.DER DECLARATION • / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the stmcture 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 tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prafessions Code: The Contractors License Law does nol apply to an owner of praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Section Business and Prafessions Code for this reason: 1.1 personally plan to provide the major labor and materials for constmction of the proposed praperty improvement. QVes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed worit. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): /eTpROPERTY OWNER SIGNATURE VQ^ENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a pemiit fram the air pollution control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes No 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 AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a construction lending agency for the performance ofthe work this pemnit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appliiatlon and state that the above information is oonect and that the intbimation on the plans is accurate. I agiee to comply with all City ordinances and State lave lelating to building consbuction. 1 hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, IMDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXf^NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required tor excavations over 5'0' deep and demolitbn or constmction of stmctures over 3 stories in heighl EXPIFiATION: Every pemiit issued by the Buikiing Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or wortt authorized by such permit is not commenced within 180 days from the date of such permit or if the building or »ori< authorized by such permit is suspended or abandoned at any time after the wortt is commenced Ibr a period of 180 days (Section 106.4.4 Uniibmn BuikJing Code). vfiS*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. Fax (760) 602-8560, Email buil(Jinq(S).carlsbadca.qov or Mall the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADORESS BUILDINQ ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: MAIL / FAX TO OTHER: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jef APPLICANTS SIGNATURE DATE Inspection List Permit*: CB150523 Type: PME Date Inspection Item 02/20/2015 23 Gas/Test/Repairs 02/20/2015 23 Gas/Test/Repairs 02/20/2015 29 Final Plumbing Inspector MC MC Act Rl AP Fl TRADITIONS APT.: GAS REPAIR AT POOL HEATER LINE Comments AM PLEASE Friday, February 20, 2015 Page 1 of 1