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Home My WebLink About1968 EAST POINTE AVE; ; CB130731; Permit03-26-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB 130731 Buil(ding Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1968 EAST POINTE AV CBAD PME 2073832900 Lot # THOMPSON REPLACE SECTION OF DAMAGED GAS LINE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/26/2013 JMA 03/26/2013 03/26/2013 Applicant BENNETT PLUMBING 3031 VIA SABINAS CARLSBADCA 92010 760-458-1824 Owner THOMPSON SUSAN 1968 E POINTE AVE CARLSBAD CA 92008 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $154 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due: SO 00 Inspector FINAL APPROVAL Date 1-^2^/3 _ Clearance NOTICE Please fake NOTICE (fiat approvaJ of your praject includes the "Imposition" of fees, dedications, reservations, or otfier exactions hereafter collectivel)' referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the proiest and any other required infonnation with the City Manager for processing m 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/exadions of which vou have previousiy been given a NOTICE similar lo this, or as to which the statute of limitations has previously othenjvise expired ^ CITV OF Building Permit Application 1635 FaradayAve , Carlsbad, CA92008 Ph 760-602-2719 Fax 760-602-8558 email buldllng@carlsbadca gov www carlsbadca gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS 1 atsT ?tx/vrF -/h/^ SU1TE#/SPACE#/UNIT# CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TVPE OCC GROUP DESCRIPTION OF WDRK Include Square Feet of Affected Area(s) JZ^/t<^ S^c^p^ <^ 77?^ /h^^ O^^-*-^ ^>^\<&7 TW^ 3>^ ^AI\ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES •NOD FIRESPRINKLERS YES D NOD APPLICANT NAME fP^jjnary Contact^ _ APPUCANTNAME (Secondary Contact) ADDRESS ADDRESS CiTY STATE CITY STATE ZIP PHONE FAX PHONE FAX EMAiL EMAIL PROPERTY OWNER NAME^ . . CONTRACTOR BUS NAME ,^ , ADDRESS ADDRESS CiTY STATE CA ZIP CITY STATE ZIP 9totO PHONE FAX PHONE ic<D'ist'/szi FAX EMAiL EMAiL ARCH/DESIGNER NAME & ADDRESS CITY BUS UC« i41 (Sec 7031 5 Business and Professions Code Any City or County wtiich requires a permit to construct alter improve demolish or repair any structure, pnor to ife issuance, also requires the applicant for such permitto file a signed statement that he is iicensed pursuant to the provisions ofthe Contractors License Law (Chapter 9 commending with Section 7000 of Division 3 of ttie Business and Professions Code) or tnat he is exempt Uierefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more Wian five hundred dollars ($500)) Workers' Compensation Declaration / hereby affm under penalty of perjury one ofthe following declarations O I have and will mainUin a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Lalwr Code for the performance of the work for which this permit is issued G I have and wilt maintain woriters' compensation, as required by Section 3700 of ttie Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance camer and policy number are Insurance Co Policy No Expiration Oate ^ This section need not be completed ifthe permit is for one hundred dollars ($100) or less Certificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failureto secure woriters' compeiisatlon coverage is unlavrtui, and shall subject an empioyerto criminal penalbes and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as pro\aned for in Section 3706 ofthe Labor j^qe, interest and attomey's fees CONTEWCTOR SIGNATURE •AGENT DATE J-^^^-^f^ I hereby affirm that i am exempt from Contractor's License Law for the foltowing reason • I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors Ucense Law does not apply loan owner of property who builds or improves thereon and wtio does such work himself or thnaugh his own employees provided that such improvements are nol mtended or offered for sale If however the building or improvement issold witiiin oneyear of completion, the owner builder will have the burden of proving that he did not build or improve forthe purpose of sale) • I, as owner of the properly, am exclusii'Qly conlracting with Iicensed contractors to construct the project (Sec 7044 Business and Professions Code Ths Contractor's License Law does not apply to an owner ot properly who builds orimproves thereon, and contracts for such prajects with contractor(Bj ftcensed pursuant (o the Contractors License Law) • I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes • No 2 I [have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (fimi) to pravide the proposed constructon (include name address / phone / co nlractors' license number) 4 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majorwork (include name / address / phone / contractors' license number) 5 I will provide some of the work but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type ot work) ^PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or tuture building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 ofthe Presley Tanner Hazardous Substance Account Act7 D Yes • No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncf • Yes • No Is the facility to be constnjcted within 1 000 feet of the outer boundary of a school site'' O 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 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I cerb^that I have read the applicaton and state thatthe above infonnafaon is conedand thatthe mformabon on the plans IS accurate I agreetocomplywith all Cityordinances and State laws nslabng to building construction ! hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEIiflNIFY AND KEEP HARMLESS THE Crh' OF CARLSBAD AGAINST ALL LIABILfFIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permrt is required for excavations over 5'D deep and demolition or constmction of structures over 3 stones in height EXPIRATION Every permit issued by the Building Ofiicial under the prcwisions of this Code shall expire by limitaton and become nuB and void rf the building or work authonzed by such pemit is not commenced wihm 180 days from Die date of such pennit or if tfie buildmg or work authonzed by such pemirt is suspended or abandoned at any tme after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) 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 OF OCCUPANCY fCommercial Projects Only Fax (760) 602-8560, Email mm buildinq(5)carlsbadca gov or Mail the compleled form to City of Carlsbad, Building Division 1635 Faraday Avenue, Garisbad, California 92008 C0# (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAILTO • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL/FAX TO OTHER • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permits CB130731 Type PME THOMPSON REPLACE SECTION OF DAMAGED GAS LINE Date _ Inspection Item ___„^ Inspector Act Comments 03/26/2013 23 G a sAT est/Repairs PB AP Wednesday, Marcfi 27, 2013 Page 1 of 1