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Home My WebLink About2180 CORTE LIMON; ; CB121457; Permit08-02-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB121457 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2180 CORTE LIMON CBAD PME 2552514800 Lot# GALLAGHER RES- GAS LINE TO PORTABLE FIRE PIT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/02/2012 RMA 08/02/2012 08/02/2012 Applicant ULTIMATE OUTDOOR ENVIRONMENTS Owner GALLAGHER EAMON J&LEWIS MONICA T 3459 CORTE FRESA CARLSBAD 92009 942 4090 2180 CORTE LIMON CARLSBADCA 92009 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees $150 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $150 00 Total Fees $150 00 Total Payments To Date $150 00 Balance Due $0.00 Inspector FINAL APP Date _ OVAL 'PROVAI Ml Clearance NOTICE Please take NOTICE /lat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infonnation vifith the City Manager for processing in accordance v^ith 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connectron fees and capacity changes, nor planning, zoning, grading or otfier similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions nf which vou have previously been Qiven a NQTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE • PIANNING • ENGINEERING • BUILDING • RRE • HEALTH • HAZMAT/APCD PlanCheckNo. C^/Z. / ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave . Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buidling@carlsbadca gov www carlsbadca gov Est. Value JOB ADDRESS suiTE#/SP*tt#/UNrrw a/PROJECT# PHASE « I # OF UNITS | W BEDROOMS # BATHROOMS TEr>JANT BUSINESS NAME DESCRIPTION OF WORK Include Square Feet of Affected AreafsJ ISAJAT ^ Lf^e fj/v^' P.e^O F/2j"n 'MeTf*z_ T~o vj-rt^n-e- EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF| DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • Non APPLICANT NAME (Primary ContBCtj APPLICANT NAME (SeeoniSary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PHOEEBTY OWNER NAME ^ - i-CONTRACTOR BUS NAIVIE ADD^SS ADDRESS CiTY STATE HIP CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS CITY BUS LIC f> (Sec 70315 ausiness and Professions Code Any CHy 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 sisied statement that he is licensed pursuant to the provisions ofthe 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 apphcant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration I hereby affinn under penalty ot perjury one of Ihe following declarations O 1 have and will mainlain a certiflcateof consent lo self Insure lor workers compensation as provided by SecUon 3700 of the Labor Code for the perfonnance of the work lor which this permit is issued d I have and will maintain workers' compensation as required by Section 3700 of t}\B Labor Code, for Ihe performance of the work lor which Ihis permit is issued My workers compensation insurance camer and poIiCY number are Insurance Co Policy No Expiration Date This seclion need not be completed ;f the permit is for one hundred dollars [SI 00) or less Certificate of Exemption I certify lhat in the perfonnanceof the work for which this pemiit is issued, 1 shall nol employ any person in any manner so as to become subject lo the Workers Compensation Lawsol Calilomia WARMING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil tines up to one hundred thousand dollars (&10a,O0D), in addition to the cost of compensation, damages as provided for in Section^06 of the Labor code, interest and attomey's fees . JS^ CONTRACTOR SIGNATURE •AGENT DATE / hereby affm that I am exempt from Contractor's License Law for the following reason • 1 as owner of the property or my employees with wages as their sole compensation, will do the vrark and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contraclor's License Law does not apply to an owner ol properly who buiids or improves thereon and who does such work himself or through his own employees provided that such improvements are nol intended or offered for sale If, however, Ihe building or improvement is sold withm one year of completion, the owner builder will have the burden of proving lhal he did nol build or Improve for the purpose of sale) • 1, as owner ol the properly, am exclusively contiacling v^lh licensed contraclors lo construct the project (Sec 7044, Business and Professions Code TJie Contractor s License Law does not apply to an owner of property who buiMs or improves Ihereon, and conlracts for such projects with contraclor[s) licensed pursuant lo the Contractor s License Law] O I am exempt under Section Business and Professions Code for this reason 1 [ personally plan lo provide Ihe ma]or labor and materials for construction of the proposed property improvemenl n Yes • No 2 1 (have / have not) signed an applicalron for a building pemiit for the proposed work 3 I have canlracled with the folk)wing person (firm) to provide the proposed consimcuon (include name address / phone / contractors license number) 4 I plan lo provide portions of Ihe work, but I have hired Ihe following person lo coordinate, supervise and provide the ma|or woik (include name / address' phone / conlractors license number) 5 I will provide some of Ihe work, but 1 have contracted (hired) Ihe following persons to provide the work indicated (include name / address / phone / type of vrark) ^£5*PROPERTY OWNER SIGNATURE •AGENT DATE Is Ihe applicant or fuiure buiUing occupant required lo submit a business plan, acutely hazanJous matenals registration form or nsk managemeni and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf • Yes • No is the applicant or fuiure building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No Is the facility lobe constructed wilhin l.OOOfeel of the ouler boundary of a school site'' O 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 hereby affirm tfiat tfiere is a constmction lending agency for tfie performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address Icetti^tliatlhaveread theapplicatnnand state that the above infoimaDon is coirectand that the information on tie plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze representative of the City of Carisbad to enter upon Ihe above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMtJIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINSTALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANYWAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THEGRANTING OF THISPERMfT OSHA. An OSHA permit is required for excavations over 5'0' deep and demolition or construction ol structures over 3 stones in height EXRRATION Eveiy pemiit ssued by the Building Offiaal under ihe provisions of this Code shall expire by Imitalion and become null and void if Ihe building or mrk auBionzed by sudi pennit is not commenced witfiin 180 days from fie date of such pemut or if ihe buildrg or work authonzed by such pennrt is suspended or abandoned at any lime afler the wrk is commenced kx a penod of 180 days (Seclion 106 4 4 Unifom Buikfmg Code) ^APPLICANT'S SIGNATURE Aj^^C^ A^* ^^^^^^^^^^^ ^^^^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final Inspection. CERTIFICATE OF OCCUPANCY ( C o m m e r c i a t Projects Only) Fax (760) 602-8560, Email vww buildinqfflcarlsbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CiTY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT ILIsted above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL TO • CONTACT (Usted above) • OCCUPANT (Usted above) • CONTRACTOR (On Pg 1) • MAIL/FAXTOOTHER — • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit* CB121457 Type PME GALLAGHER RES- GAS LINE TO PORTABLE FIRE PIT Date Inspection IterTi Inspector Act Comments 08/08/2012 29 Final Plumbing PY AP 08/03/2012 23 Gas/Test/Repairs PY AP Wednesday, December 26, 2012 Page 1 of 1