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Home My WebLink About1959 MARCASITE PL; ; CB150404; Permit. -'" 02-06-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 150404 Building Inspection Request Line (760) 602-2725 1959 MARCASITE PL CBAD PME 2132912400 PUTNAM: GAS & ELEC. TO BBQ &WATERFALL Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/06/2015 JMA 02/06/2015 02/06/2015 ROCK AND ROSE LANDSCAPE PUTNAM 204 CAMINO CORTO VISTA CA 92083-4905 619 518-8829 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1959 MARCASITE PL CARLSBAD CA 92009 $160.00 $35.00 $0.00 $0.00 $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositi n" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pem,it 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 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 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/exacti n f hi h h v reviou I n iven a N TICE imilar t this which the stat t f limita ions has r viou I rwi ex ired. • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATJAPCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ISOtfO Est. Value Plan Ck. Deposit SUITEI/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) t;us or1d t:,.lcc.:l-,--1 CC< I p Cvf'l-1 r EXlSTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME CITY PHONE EMAIL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # STATE UC.# &1 FAX e. STATE FAX CLASS c-z ; SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ ZIP ZIP FIRE SPRINKLERS YES□No□ (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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_ndingw1th Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v101at1on of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Wot1<ers' Compensation Declaratlon: / hereby affirm under penalty of perjury one of the following declarations: B I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided Dy Section 3700 of the Labor Code, for the pertonnance of the work for which this permit is issued. I have and will maintain workers' compensation, as reQuired Dy Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No,-------------~ Expration Date _________ _ section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the pertonnance of the work for which this pennit 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 employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam es as provided for In Section 3706 of the Labor code, Interest and attorney's fees . .fl5 CONTRACTOR SIGNATURE □ □ I, as owner of the property or my employees with wages as their sole compensaijon, will do the 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 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 Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pt1rsuant to the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. l personally plan to 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. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number): 5. I will provkle some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): ./15 PROPERTY OWNER SIGNATURE □AGENT DATE • COMPL•TE'0 THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futura 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 buikling occupant required to obtain a permit from the air pollution control district or air Quality ma11agement district? Yes No Is the facility to be constructed 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION.I.EIIIDING AGEIIICY I hereby affirm that there 1s a construction lend mg agency for the perfonnance of the work this penn1t 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICA.NT CERTIFICA.TION I certify that I have 188d the application and state that the abow information Is oonectand that the lnfonnadon on the plans Is accurate. I agree 1D comply with all City ordinances and State laYI$ relating ID building oonstructlon. I hereby authorize representative of the City of Cartsbad lo enter up:m the a'oove menOOned property klr inspection puflX)ses. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT. OSHA An OSHA pennlt is required for excavations over 5'0' deep and demolioon or 001struction of structures over 3 stories in hei;Jht. EXPIRATION: Every permit issued by the Building Oflk:ial under the provisKms of this Cooe shall expire by li'nitaoon and berome null and voKl Wthe building orw:irk authorized by such permit is notoommenced within 180 days from the date of su::h permit Of if the buildfl WJrk authorized by such permit is suspended or abandoned at any time after the w:irk is commenced for a · of 180 days (Seciion 106.4.4 Unifonn Building Cooe). AS 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 buildinq@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg . .1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#·------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ' • r" • Inspection List Permit#: CB150404 Type: PME Date Inspection Item 03/03/2015 29 Final Plumbing 03/03/2015 29 Final Plumbing 03/03/2015 39 Final Electrical 03/03/2015 39 Final Electrical 02/11/2015 23 Gas/T esVRepairs 02/11/2015 31 Underground/Conduit-Wirin 02/11/2015 34 Rough Electric Tuesday, March 03, 2015 Inspector Act RI SP Fl RI SP Fl SP AP SP AP SP AP PUTNAM: GAS & ELEC. TO BBQ &WATERFALL Comments Page 1 of 1