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Home My WebLink About2051 CIMA CT; ; CB122314; Permit11-02-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB122314 Building Inspection Request Line (760) 602-2725 Job Address: 2051 CIMA CT CBAD Permit Type: PME Status Parcel No: 2164911300 Lot#: 0 Applied Entered By Reference #: Plan Approved PC #; Issued Inspect Area Project Title: COLET RES - REPLACE TUB/SHOWER WITH JACUZZI WALK-IN TUB. 2 NEW DEDICATED GRCI CIRCUITS 20 AMP, ISSUED 11/02/2012 SKS 11/02/2012 11/02/2012 Applicant: LJ HAUSNER CONSTRUCTION STE E 1541 PARKWAY LOOP TUSTIN CA 92780 714-544-3100 Owner: COLET JERRY F TRUST 11-23-94 2051 CIMA CT CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $154.00 $31.00 $0.00 $0.00 TOTAL PERMIT FEES $185.00 Total Fees: $185.00 Total Payments To Date: $185.00 Balance Due: $0.00 Inspector: FINAL ARPRQVAL Date: ///W'^^^ Clearance: NOTICE: Please take NOTICE tnat approval of /our project includes the "Imposition" of fees, dedications reservations, or ottier exactions tiereafter collectively refen-Qd to as "tees/exactions." Vou have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest tnem, you must follow ihe 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 lhat 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 ^n given a NOTICE similar to this, or as to which the statute of limitations tias previously othenvise expired. THH FOLLOWmG APPROVALS REQUIRED PUm TO PERMiT tSSUANCE: • PLAfiNmG • ENGiNEERmG • SyiLDlNG • FIRE • HEALTH • HAZMAT/APCD CiTY Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buidling@carlsbadca.gov vv'Vv'Vi/.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPP JOBADDRESS,' pips' } C: cv]if\ cJ SUITE#/SPACE#/UNIT# CT/PROJECT fl fl OF UNITS BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: fncfuife Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF| DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • Non FIRESPRINKLERS YES • NO • APPUCANT NAME'(PrJaiary Contact) , APPLICANT NAME (Secondary Contact) ADDRE ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAM VNER NAME^ ^ CONTRACTOR BUS. NAME ADDRESS ADDRESS Z STATE CITY STATE ZIP CITY„j_ EMAIL FAX PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS. LlCfl 6 3 3^' (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 apolicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9. commending witJi 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 applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under pene^ty of perjury one of the f<:^lowing declarations: n I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of tfie Labor Code, for the performance of Ihe work for which this perm it is issued. S^l have and will maintain workers' compensation, as required by Section 37(X) of the Labor Code, for the perfonnance of the work for which this_penTiit is issued. My workers' compensation insurance carrierand policy number are: Insurance Co. ^c&f AJtaf-oAi?>L-Policy Mo. Expiration Date. This section need not be compleled if the pennit is for one hundred dollars (SIIX)] or tess. G Ceilificale of Exemption: I certify lhal in the performance of the WMK 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 workei^ compensatioiwoverage is unlawful, and shall subject an employerto criminal penalties and civil tines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damatiSb^ pro^rided fodnSection 3706 of the Labor code, interest and attomey's fees. yCf CONTRACTOR SIGNATURE _^X''^^^T''"i^ - ^S^GENT DATE // - 2 " \ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: • I, as owner of the property or my employees with wages as their sole compensation, will do the woric and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not api^y to an owner of property who builds or improves thereon, and who does such wori< himself or through his own employees, preivided that such improvements are not intended or offered for sale. It, however, Ihe building or improvement is sold within one year of complelion, the owner-builder will have the burden of proving that he did not buiid or improve for Ihe purpose of sale). • I, as ovmer of Ihe property, am exclusively contracling wilh licensed contraclors to consfrucl »ie projecl (Sec. 7044, Business and Professions Code: The Confractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts tor such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempi under Section Business and Professions Code for Ihis reason: 1,1 personally plan to provide Ihe major labor and malerials for constnjction of Ihe proposed property improvement, • Yes • No 2.1 (tiave / have nol) signed an applicalion (or a building permil for the proposed worit. 3.1 have contracted wilh Ihe following person (firm) to provide the proposed conslruclion (include name address/phone/contractors' license number): 4.1 plan to pravide portions of Ihe worit, but I have hired Ihe lollowing person to coordinale, supervise and provide the-majorwori< (include name / address / phone / contractors' license number); 5.1 will provide some ol the woric, but I have contracted (hired) the lollowing persons lo provide Ihe woric indicaled {include name / address / phone / type of wori<); yCfpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required lo submit a business plan, acutely hazardous malerials registration lorm or risk managemenl and prevention pn^ram under Sections 25505,25533 or 25534 of frie Presley-Tanner Hazardous Substance AccounI Act? • Yes • No Is the applicani or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? • Yes • No Is the facility lo be constnjcted within 1,000 (eet of the outer boundary of a school sile? O Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCT 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 affinn that there is a construction lending agency for the perfomiance of Hie work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I cetli^ ttiat I have read the applnation and state that the above information Is conect and that the infoimation on the plans Is accurate, I agree to comply with all Ci^ ordinances and State law relating to building construction. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMEm'S, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for excavations over 5'0' deep ^d demolition or ronstnjction of structures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Ofiicial under ttie provisions of this Code shajlexpire by limilation and become null and void if the building or wort( aulhorized by such pemiit is not commaiced within 180 days from the date ofsuch perrriitorifthebuilding^^rlc^dijthonzedbysuchp^it^^ or abandoned at any time alter the vrori< is commenced for a period of 180 days (Seclion 106,4.4 Unifonn Building Code}. ygfAPPLICANT'S SIGNATURE ^-•"'^ ^L.^^^ ^'^^ ' /' 2 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 wvw.buildinq@carisbadca.qov or Mail the completed form to City of Cadsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: {Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX OCCUPANT'S BUS. LIC. No. DELIVERY OPnONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) D MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pfi. 1) a MAIL / FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION JS'APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB122314 Date Inspection Item il/19/2012 29 Final Plumbing Type: PME 1/19/2012 29 1/19/2012 39 1/14/2012 29 1/14/2012 29 Final Plumbing Final Electrical Final Plumbing Final Plumbing Inspector Act Rl PY AP Rl Rl PY CA COLET RES - REPLACE TUB/SHOWER WITH JACUZZI WALK-IN TUB. 2 NEW DE Cornments am Is AM PLS Wednesday, November 21, 2012 Page 1 of 1