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Home My WebLink About2061 JANIS WAY; ; CB160396; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-01-2016 Permit No: CB 160396 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2061 JANIS WY CBAD PME Status: Parcel No: 2051531300 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: PANMAN RES-REPAIR GAS LINE ABOVE WATER HEATER IN GARAGE COASTAL PLUMBING 4882 HILLSIDE DR CARLSBAD CA 92008 760 720-2991 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: PANMAN DAVID&VIOLA M TRS 1152 CALLE MARIA SAN MARCOS CA 92069 ISSUED 02/01/2016 RMA 02/01/2016 02/01/2016 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 ~ cf )'JUI' r,tjed irdudes tre ··1~00· ctf""" derlc:aticrs, resavaticrs, actl-a"exa:tiCl15 -cxJlecti1/Ely referred to as 'fees' iCl15." ou ta,e 00 days Iran tre-ths pemit l'o0S iss..ecl to p,-ctest iriµisitim ct trese feas'exa:ticrs. If you prctest ltierr\ you rru;t fc:Alo.vthe p,-ctest ircx:ed-JaS set forth in G'.Mrme1t Co:le SEdim 60020(a), 1.-d filetre prctest 1.-d anyctt-..-r,aq.ired infooralim wth treaty ~fa i:,ooassrg in =crdauawth ca1sbal M.ridpa Co:1e &,cao, 3.32.03). FallffltOtirrelyfcAlo.vthal ~wll ta-anySlbsecµlnt legal acAim toattad<, rEMe..v, sa: aside, \Od, er aTU treir irrp:sition. You ire hereby FLRT1-ER r-oTIRED ttat )'JUI' rig-I to prctest tre specified feas'exa:tiCl15 CCES NOf l'PFL Y tow,ter 1.-d,.,..,.,. cxrneclim feas 1.-d ~ cta,ges, na ~arirg, mng, ga:jrg a ctt-..-simla-~ic:atim i:,ooassrg er se-,,;a, fees in cxrneclim wth ths r,tjed. l'-cR CCES IT l'PFL Y to any widl ·va, ·m1a-to · v,.n linitaf · · THE FOl.LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HAZMAT/APCD {city of 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 SUITEf/SPACEf/UNITI Plan Check No. Est. Value SWPPP CT/PROJECT# # BATHROOMS CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME PROPERTY OWNER ADDRESS CITY STATE ZIP FAX DESIGN PROFESSIONAL , ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (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 is ance, also r quires t e applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter"9, commending with Section 7000 of Division 3 of the B_us1ness and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation 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 Workers' Compensation Declaration: I hereby affirm under penalty ofpeijury one of the following declarations: D l__b.ave and wlll maintain a certificate of consent to self-insure for workers' compensaUon as provided by Section 3700 of the Labor Code, for the performance of the work for whlCh this pennit is issued. ~ have and will maintain workers' c penpti0/1,jiS requi~ed by ion 3700 oft Labor Code, for the perfonnan~ ~rk for which this ~rmit is i~ued. My workers' compensation i uran carrier and policy number are: Insurance Co, 0 l l (_ l,.{ Policy No. t!J W' C(J J l J · 4 -{) ,,L Expiration Date _ _,_+-Hu.,,....,,_,a, __ ~sectkin need not be completed if the rmit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any marmer 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 clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, da 6 of the Labor code, Interest and attomey's fees. / f6 CONTRACTOR SIGNATURE z_, 1 I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ 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 Ucense 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 sucti 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 contracUng 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. OYes ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ 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 /address/ phone/ 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/ phone I type of work): R$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Acr? 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 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 AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construcl1on lending agency for the performance of the work this pem11t 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accura1e. I agree to comply 'Mth all City ordinances and State lav.5 relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter upon the aOOve mentioned property klr ins~n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cm' OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfJYWAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constnJction of structures o>Jer 3 stories in height. EXPIRATION: Every pennlt issued by the Building Offcial under the provisbns of this C.ode shall expire by limlatbn and become null and void if the building or 'M>lk authorized by sudl permit is notOJmmenced Vv1thin 1BO days from the date ofsudl permit or if the bui ·ng orv.or'K authorized udl permit is suspended or abandoned at any time aflerthe v.or'K is OJmmenced r a peri of 180 days (Secti::Jn 106.4.4 Uniform Building Code) . ..6$ APPLICANT'S SIGNATURE DATE '2,, I 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 Car1sbad, 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 ' ' Inspection List Permit#: CB160396 Type: PME Date lnspection_!tem 02/04/2016 23 GasfTesVRepairs 02/04/2016 29 Final Plumbing 02/04/2016 29 Final Plumbing Monday, February 08, 2016 Inspector Act PY AP RI PY AP PAN MAN RES-REPAIR GAS LINE ABOVE WATER HEATER IN GARAGE Comments AM PLEASE Page 1 of 1