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Home My WebLink About1983 MARCASITE PL; ; CB140908; Permit... .. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-23-2014 Permit No: CB140908 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1983 MARCASITE PL CBAD PME 2132911800 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: ALLEN RES-GAS TO Fl REP IT Applicant: Owner: ALLEN ADAM&EMIL Y ALLEN ADAM&EMIL Y 1983 MARCASITE PL CARLSBAD CA 92009 760 707-7026 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1983 MARCASITE PL CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 04/23/2014 RMA 04/23/2014 04/23/2014 $158.00 $0.00 $0.00 $0.00 $158,00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively 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 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 i n f h I E i ii i h f Ii i i THE FOLLOWING APPROV,1!.LS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING []BUILDING □FIRE □HEALTH 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. SUITEI/SPACEI/UNIT PHASE# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of All'ected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING YES[) NoCJ YES □No□ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAA PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS ZIP CITY STATE ZIP FAX PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. LIC.# []HAZMATIAPCD OCC. GROUP FIRE SPRINKLERS YES0N00 (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 Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or !hat 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 applicant to a civil penalty of not more than five hundred dollars [$500]). "" , ' '.. . , WORK£il$' CQMPENSAl"ION · . Worken' Compensation Declaration: I hereby afflnn under penalty of perjur; one of the following declarations: B I have and wlll maintain a certlflcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. I have and will maintain worken' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and po1icy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dohar.; ($100) or less. LJ 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 Calfomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000t, In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. _IS CONTRACTOR SIGNATURE □AGENT DATE " ~ '"""" ·: OWNER•BUILOliR DECLARATION , , · · ' .. . ... J hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of lhe 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himser or through his own employees, provided lhat such Improvements are not intended or offerad 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 lhe 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(sj licensed pursuant to the Contractor's 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. QYes 0No 2. I (have I have not) signed an application for a building permit for tl1e proposed work. 3. I have contracted with the following per.;on (firm) to provide the proposed construction (include name address I phone / contractors' license number): 4. t 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 I contractors· license number): 5. I will provide some ol 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): _KS PROPERTY OWNER SIGNATURE □AGENT DATE 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 permit from the air pollution control district or air Quality management district? Yes No Is the facility to be consbucted 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. I hereby affirm that there is a construction lending agency for the performance of the worx this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I haVll mad the application and state lhatlhe abovelnfonnadon Is oorrectand lhatthelnfonnationon the plans lsaocuratB. 1 agree ID (;()!Tlplywllh all City ordlnancesandSta111 law.; relating to bulldng construction, I hereby au1horize representative of the City-of Carlsbad to enter upon the above mentioned property-for insr:ecoon pulJX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrrY OF CARLSBAD AGAINST ALL U/IBlLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cm IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pelffltt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories r1 height. EXPIRATION: Every pel!TI~ issued by the Buik:ling Official under the provisons of1his Code shall expire by lmltalion and bemrne null and ...:ik:l ff the buik:ling oroorl< au1horized by such pellTiit is not commenced l'ii1hin 180 days from the dale ofsl.dl pel!TI~ or if 1he buik:lngorWJ!i< authorized by such perm~ s suspended or abanooned at any time after the w:lf1<: is commenced for a perioo of 100days (Sectoo 100.4.4 Uniform Building Code). ,I$ 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) 602-3560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Ca~sbad, California 92008. CO#: (Office Use onryJ CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (Dn Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ ,.S APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB140908 Type: PME ALLEN RES-GAS TO FIREPIT Date lnspect!Q.!! Item Inspector Act Comments 06/19/2014 21 Underground/Under Floor RI FINAL UNDERGROUND GAS TO FIREPlT 06/19/2014 29 Final Plumbing PD AP 04/24/2014 23 Gas/Test/Repairs MC AP Friday, June 20, 2014 Page 1 of 1