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Home My WebLink About217 CAMEO RD; ; CBR2017-0159; PermitPrint Date: 01/26/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: #Dwelling Units: Bedrooms: Project Title: 2217 Cameo Rd BLDG-Residential 1670801100 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: ROEDE: SEWER REPAIR AT PROPERTY DROP PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER ROEDE ANDERS&STEPHANIE 2217 Cameo Rd CARLSBAD, CA 92008 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Contractor: RESCUE ROOTER 965 Ridge Lake Blvd Memphis, TN 38120-9401 858-457-6572 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2017-0159 Closed-Finaled 01/25/2017 01/25/2017 $166.00 $0.00 f' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING ~' ~((.f:~' ~ CITY OF CARLSBAD ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITU/SPACE#/UNIT# #BEDROOMS #BATHROOMS ADDRESS CITY STATE UC. # 0BUILDING FIREPLACE YESO OFIRE OHEALTH AIR CONDITIONING NoCJ YES0No0 STATE ZIP FAX OHAZMAT/APCD FIRE SPRINKLERS YEsONoO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 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 Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: ..._, .. , .. vand 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 permij is issued. and will maintain workeFf com~atlon§Bias:iredbv Section 3700 of the Labor Code, for the performance of the work for which this permij is issued. Jt workers' compens.ation in!ran,carrier and policy number are: insurance Co. ..bJ .Q .Q. ~ Policy No. "1 (JJ 2> \ 5~ lo'¢ \ 0 \ lt:xpiration Date \ f)\ \-J A 'Q, "j!!j§, section need not be completed W the permn is tor one hundred liars ($1 00) or less. U 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' Laws of Calnomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one thousand (&100,000), in addition to the cost of as provided for in attorney's fees. fl5 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 himseW or through his own employees, provided that such improvements are not intended or offered for sale. H, 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: 1.1 personally pian to provide the major labor and materials for construction of the proposed property improvement. Oves Oo 2. I (have I have not) signed an application for a building permij 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): fl5 PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required ID submH 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 Acf? Yes No Is the applicant or future building occupant required ID obtain a permit from the air pollution control district or air Quality management districf? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school sHe? 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. 1 oertifythat 1 have read the application and slate that the above infolmatlon Is conectand that the lnfonnation on the plans Is aocural8.1 agree to comply with all City oldlnances and State laws l8lallng til bulldog construction. I hereby authorize representative of the City of Carlsbad il enter upon the above mentioned property for ilspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: An OSHA permft is requi"ed iJr excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the B.Jilding Official under the provisklns of this Code shall expie by linitation and berome null and vokl if the building or oork authorized by such · is not commenced Wthin 180 days from the date of such if the buiding or oork authorized by such permft is suspended or abandoned at any time after the oork is commenced iJr a of 180 days 106.4.4 Unibrm B.lilding Code). 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 Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. DELIVERY OPTIONS PICK UP: CONTACT (Usted above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------- A$ APPLICANT'S SIGNATURE (Office Use Only) CA ASSOCIATED CB#•------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE PERMIT INSPECTION HISTORY REPORT (CBR2017 -0159) Permit Type: BLDG-Residential Application Date: 01/25/2017 Owner: Work Class: P/M/E Issue Date: 01/25/2017 Subdivision: Status: Closed -Finaled Expiration Date: 07/24/2017 Address: IVR Number: 1611 Actual Scheduled Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 01/26/2017 01/26/2017 January 26, 2017 BLDG-Final Inspection 011318-2017 Checklist Item BLDG-Plumbing Final NOTES Created By Michael Collins Passed Michael Collins COMMENTS Mainline repair. TEXT Mainline repair. COOVIINER ROEDE ANDERS&STEPHANIE 2217 Cameo Rd Carlsbad, CA 92008-2759 Reinspection Complete Complete Passed Yes Created Date 01/26/2017 Page 1 of 1