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Home My WebLink About2006 COSTA DEL MAR RD; ; CB161340; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME} Permit 04-07-2016 Permit No: CB161340 Buildin~J Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2006 COSTA DEL MAR RD CBAD PME Status: Parcel No: 2166100201 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant LCD HVAC INC UNIT#3 2114 ABBOTT ST OMNI LA COSTA RESORT-REPAIR GAS LEAK AT HOUSE METER SAN DIEGO CA 92107 619 312-3426 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: ROGER KENT INVESTMENTS INC P 0 BOX 866728 PLANO TX 75086 ISSUED 04/07/2016 RMA 04/07/2016 04/07/2016 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Aa I Clearance: $0.00 NOTlCE: Please take NOllCE that aprxoval of your project includes the "lrrpcsition" ci fees, dedications, reservations, or other exactions hereafter oollecl:ively referred to as "fees' exactions." You have 00 days from the date this perrrit \M:lS issued to protest irrposition of these fees' exactions. If you protest them, you rrust fallON the protest procedures set forth in <?overnrrent Code Section 66020(a), and file the ~XQtest and any other required inforrrationiMth the OtyManagerfor ~ing in aa:adance IMth Carlsbad rvllnidpal Code Section 3.32.030. Failure to tirrely fallON that procedure \11.111 bar any subsequent legal action to attack, review, set aside, void, or annul their irrposition. You are hereby R.RTHER NOll RED that your right to protest the sped1ied fees' exactions !XES NOT APPLY to water and OONer oonnection fees and capocity dlanges, nor planning, zoning, grading or other sit'Tilar application ~ng or service fees in oonnection IMth this project. NOR !XES IT APPLY to any fees'exactionsof\1\.hch have 'ousl been ·venaNOllCEsirrilartothis orasto\1\.hchthestatuteoflirritationshas eviousl othenMse 'red. EXISTING USE APPLICANT NAME Primary Contact ADDRESS PHONE~ EMAIL l ADDRESS CITY PHONE EMAIL DPLANNJNG 0ENGINEERING Building Permit Application ·1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT #BEDROOMS #BATHROOMS PROPOSED USI; PATIOS (SF) STATE ZIP CITY 4-zro=r PHONE "/Y\ct I t , Co 0-1 EMAIL 0BUILDING DFIRE Plan Check No. Est. Value STATE FAX CONTRACTOR BUS. NAME ADDRESS ::til STATE ZIP FAX STATE LIC. # SWPPP ZIP ZIP qUo OCC. GROUP FIRE SPRINKLERS YEsONoD (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 sii<ned 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 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 applicant to a civil penalty of not more than five hundred dollars {$500}). . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self·insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~have and will maintain workers' compensation, as required by S~tion 3700 of the Labor Code, for the performance of ~e work for whic~ this permit is issued. My workers' compensation inpurance carrier an~ policy number are: lnsuranceCo.1~r,g.w /(" :C:2-r1..5.-Policy No. L C. Wc_(p 4 90·---r / Expiration Date 0 6-o/ -2o I~ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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: 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, damages as code, interest and attorney's fees. JE5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 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 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. DYes 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 I contractors' license number): 5. I will provide some of 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): 2$ PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. . OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permitissued by the i Official under the of this Code by limitation and become null and void if the building or w:nk authorized by such permit is not commenced within 180 days from the date of such permit or if the permit is or abandoned at anytime after the mrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CA No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#F------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:------------------o CHANGE OF USE/ NO CONSTRUCTION .65 APPLICANT'S SIGNATURE DATE I n ist Permit#: CB161340 Type: PME Date --~pec!i~t-~m---~-·-- 04/07/2016 23 Gas!T est/Repairs 04/07/2016 29 Final Plumbing Monday,Ap~l 11,2016 Inspector Act AEK AP AEK Fl OMNI LA COSTA RESORT-REPAIR GAS LEAK AT HOUSE METER Comments Page 1 of 1