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Home My WebLink About2211 AZURITE PL; ; CB130707; Permit03-22-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB130707 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2211 AZURITE PLCBAD PME 2132401700 Lot# GUMINA GAS TO FIREPIT/ELEC TO LIGHT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/22/2013 J MA 03/22/2013 03/22/2013 Applicant GUMINA SAL&GLENDA Owner GUMINA 2211 AZURITE PL CARLSBADCA 92009 2211 AZURITE PL CARLSBADCA 92009 Plumbing Fees Electncal 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 AP Date ^ ^PRC M ROVAL 13— Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as lees/exactions" You have 90 days from the date this permit vi^as 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 infomiation 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 nght to protest the specified fees/exaclions 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 ffies/exaclions Df which vou havB nreviouslv been oiven a NOTICE similar to this, or as to whiph thg statute of limitations has previousiv othen^ise expired CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buldling@carlsbadca gov wv^w carlsbadca gov Plan Check No. rPyl^OlOy Est. Value Plan Ck. Deposit Date SWPP CT/PROJEtT # LOT# |PHfl^#^ |#0F UNITS JOB ADDRESS SUITE#/SPAC£#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /ncfude Square Feet orxffecfed Area(s} EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • Noa APPLICANT NAME (Primary Contact) APPUCANTNAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ipHOPERTY OWNER NAS/[E r\ CONTRACTOR BUS NAME ADDRESS ATE CJpr ZIP CITY STATE ZIP PHONE linn K\A~3SVZ ^ ce \\ PHONE FAX •EMAIL ^i-T ~^ ARCH/DjQI^ER NAMt & AODRtgS, <D EMAIL CLASS CITY BUS IIC # (Sec 70315 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 file a signed statement that he is licensed pursuant to the provisions of the Contractors 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Wortiers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations • I have and will maintain a certificate of consent to %e\\ insure for workers compensation as provided by Section 3700 of the Labor Code for ttie performance of ttie work for which this permit is issued D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wor^ for which this permit is issued My workers' compensation insurance earner and policy number are insurance Co Policy No Expiration Date This section need not be completed if the pemiit is for one hundred dollars ($100) or less O Certificate of Exemption I certify that in the performance of the work for which tfiis pemit is issued, I shall not employ any person in any manner so as to become subiect to the Workers' C^ompensation Laws of California WARNING Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000),in addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attorney's fees jSS CONTRACTOR SIGNATURE •AGENT DATE I hereby affirm that I am exempt from Contractor s License Law for the following reason • I, as owner of the property or my employees with waQes as their sole compensation, will do the wofit and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractof s License Law does not apply lo 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 (or the purpose of sale) a* I, as owner ot 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 I personally plan to provide the major labor anci matenis for construction of the prtiposed property improvement • Yes • No 2 I (have / have not) signed an applicabon for a building permit for the proposed work 3 I have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contiactors' 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 vrork (include name / address / phone / contractors' license number) 5 I vflll provide some of the work, but I have contracted (hired) the (t^lovmng pasons lo provide the work indicated (include name / address / phone / type ol work) ^PROPERTYOWNERSIGNATURE QJ}g,^(^ QxiU^i •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? • Yes O No Is the applicant or future building occupant required to obtain a permit from the air poilution control distnct or air quality management distnct? O Yes CI No Is ^e 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 I hereby affirm tliat there is a construction lending agency for the performance of the work this pemiit is issued {Sec 3097 (i) Civil Code) Lender's Name Lender's Address I cert^that I have read the application and state thatthe above Infomiation is correctandthattheinfoiinatlon on the plans I agree to comply with all Ct^oidlnancesand State laws relating to building construction I hereby authonze representalwe of Ihe City of Carlsbad to enter upon the abcrre mentxxied proper^ for nspecbon punMses I ALSO AGREE TO SAVE, INDE^WiFY AND KEEP HARfA£SS THE CfTY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH fvlAY 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 and demolition or constaicBon of stnjctures over 3 stones in heighL EXPIRATION Every p«mit issued by the Building Official under the provisions of the Code shall expire by limitatKKi and become null and void if the buildng or work aulJionzed by such pennit is not commenced within ISOdaysfiomthe date of such pemut or if the buSdiig or work authonzed by siKii permit is suspended or abandoned at anytime after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform BuikGng Code) APPLICANT'S SIGNATURE or [f the buMfig or work authorized^ si DATE 3k 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 {Commercial Projects Onry) Fax (760) 602-8560, Email www buildinq(5}carl5badca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX ElVIAIL OCCUPANT'S BUS UC No DELIVERY OPTIONS • PICKUP • CONTACT {Usted above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg i) • MAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) n MAIL/FAX TO OTHER • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit* CB130707 Date Inspection Item 05/03/2013 29 Final Plumbing 05/03/2013 29 Final Plumbing 05/03/2013 39 Final Electncal 05/03/2013 39 Final Electncal Type PME Inspector Act Rl MC Fl Rl MC Fl GUMINA GAS TO FIREPIT/ ELEG TO LIGHT Comments Monday, May 06, 2013 Page 1 of 1