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Home My WebLink About2105 LINDA LN; ; CB142623; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-09-2014 Permit No: CB142623 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2105 LINDA LN CBAD PME 2051604400 Lot#: Project Title: BRATTON RES-REPAIR GAS LINE Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: DUE TO LEAK-CAP OFF LINE TO LOG LIGHTER -SDG&E SHUT OFF Applicant: Owner: ISSUED 10/09/2014 RMA 10/09/2014 10/09/2014 HENDRIX PLUMBING BRATTON ELDEAN M TRUST 07-13-98 470 CHINQUAPIN AV CARLSBAD CA 92008 760 730-9866 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2105 LINDA LN CARLSBAD CA 92008 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: FINAL APPROVAL Inspector: Date: O-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lrnposition" 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 !n 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 seiv\ce fees in connection with this project. NOR DOES IT APPLY to any f h' v· I Ii i i h I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING ("city of Carlsbad JOB ADDRESS 21 OS Lt rv t::>I) Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov e,_,rJ c.se.o. SUITEf/SPACU/UNIU □BUILDING 0FIRE □HEALTH SWPPP CT/PROJECT# LOT# PHA.5E # # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL ' 11\J PROPOSED USE STATE FAX STATE FAX s-6e.v,c..e GARAGE (SF) PATIOS (SF) ZIP ZIP STATE LIC. # FIREPLACE vesO AIR CONDITIONING No[] ves0No0 L. /\) . STATE ZIP FAX FIRE SPRINKLERS YES□No□ (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 fi\e a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Div1sIon 3 of the Busmess and Professions Code) or fuat 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 apphcant to a c1vi\ penalty of not more than five hundred dollars {$500)). WORKl!RS' COMPl!NSATION Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided tly Section 3700 Of the labor Code, for the performance of the work for whk:h this pennit is issued. d(;j I have and will maintain workers' c~pensation..,!S reQuired bV Section 3700 of the labor Code, for the perfonn~ of the w_.9£k for whk:h this rnnit is :;ued~y workers' compensaf insur ce carrier an~licy numberare:lnsuranceCo. $ l Alt:;-,~ Ful\.12 PolicyNo . .:,00 "1-(.1) l,4't, -7...l. I Expirabon0ate l I ?.,(} I.!) J_hi§.section need not be comp~ted ii the permit is for one hundred dollars ($100) or less, LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Ca\ifomia WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousa dollars (&100,000), in addition to the cost of compensa~s asrrovided for In e 3 of the Labor code, interest and attorney's fees. 8$ CONTRACTOR SIGNATUJiE ~ I hereby affirm that I am exempt from Contractor's Ucense Law for the fo/loWlng 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 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 LK:ense Law). I am exempt under Seclion _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for constructK)n of the proposed property improvement. OYes ONo 2. I (have I have not) signed an applicatlon for a building permit for the proposed work. 3. I have contracted with \tie following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provkle 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. \ 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): Jt5 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 preven~on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf! Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quaily management district? Yes No Is the facility to be constructedwiltin 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 certify that I have read the application and state that the aboYEI Information Is correct and that the infonnation on the plans is accurate. I agree to romplywith all City ordinances and Stam laws relating to builclng construction. I hereby authorize rei:resentative of the City of Carlsbad to enter up:m ttle aOOve menOOned 1XOperly tir inspection purp;)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD AG'.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG'.INST SAID CITY IN CCNSEQ\JENCE Of THE GRANTING OF THIS PERMIT. OSHA: M OSHA pennlt is required br excavations over 5'0' deep and demolltOn or construction of structures over 3 stories in heght. EXPIRATION: Every pennit issued by ttle Buik1ing Oflk:ial under the provisOns of ttlis Code shall expire by IJTiitalion and tecome null and vok:I iflt'e buikiil'i! orv.ork authorized by such r:enn~ is notrommenced wthin 180 days from the date of such penntor if the building orv.ork authorized by such pennlt is suspended or abandoned at any time after the v.ork is O'JIT\menced for a pericx:I of 180 days (Section 100.4.4 Uniform Building C.ode) . .f#S 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) 602-8560, Email building@carlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Cafffania 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICKUP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:~---------------- ~ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATEDCB#:------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB142623 Type: PME BRATTON RES-REPAIR GAS LINE DUE TO LEAK-CAP OFF LINE TO LOG LI Date lnspec_tio_n Item __ -~-Inspector Act Comments 10/09/2014 23 GasfTest/Repairs PB AP Friday, October 16, 2015 Page 1 of 1