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Home My WebLink About2220 NOB HILL DR; ; CB142165; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-26-2014 Permit No: CB142165 Building Inspection Request Line (760) 602-2725 Job Address: 2220 NOB HILL DR CBAD Permit Type: PME Status: ISSUED Parcel No: 1671122800 Lot #: 0 Applied: 08/26/2014 Entered By: LSM Reference #: Pln Approved: 08/26/2014 PC #: Issued: 08/26/2014 Inspect Area: Project Title: MAYNARD RES- REPIPE HOT & COLD WHOLE HOUSE Applicant: Owner: REPIPE 1 MAYNARD NATHANIEL D&JANE E STE 201 2220 NOB HILL DR 19326 VENTURA BL 91356 CARLSBAD CA 92008 818-342-2927 Plumbing Fees $158.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 AL ln ' sn rtnr: i2k1/ Date: FINAL A?R7V Clearance: ______________ NOTICE: Please take NOTl that proval of your project includes the imposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You nave 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 ITHE FOLb WING APPROVALS RQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING ENGINEERING 0 BUILDING DFIRE [:]HEALTH DHAZMAT!APCD cr City of Building Permit Application '~ 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Ccir 1sIad. email: buildingcarlsbadca.gov www.carlsbadca.gov Plan Check No. e6LL+ at Est. Value Plan Ck. Deposit Date 1 .ea /.-/ Iswppp I JOB ADDRESS '2..... ,0 fl/'C4 b i4 1 1 Or 1SUITE#/SPACE#/UNITH 7 APN - - - CT/PROJECT H LOT H PHASE H H OF UNITS H BEDROOMS H BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) c e.- p'pe- ho'je.. p- C..OLJ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE YES #, NO[:] I AIR CONDITIONING YES ENO EJ I FIRE SPRINKLERS YES[:] NO APPLICANT NAME Primary Contact iT [C I d PROPERTY OWNER /( ,41 Ct I C "(- DRESS DDRESS AD CITY STATE ZIP CITY STATE ZIP PHONE fLfr3y..q,f FAX I j( PHONE çy33770FAx EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS . 2—/. CITY STATE ZIP CITY STATE ZIP i- PHONE FAX PHONE FAX EMAIL EMAIL STATE Ur— H STATE LIC.H 7 ;) 2 I CLASS I (_ 3C r I CITY BUS. LIC.# I (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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter , 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)). ®D6' (®@(O®() Workers' Compensation Declaration: I hereby affirm under penalty of pe4ury one of the following declarations: have and 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 permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio ' surance Omer poicy number are: Insurance Co._(. V'€V' -) ' Policy No. 1 000t -Z-- 0 .5 'II)' Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. [J 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' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. CONTRACTOR SIGNATURE /7 -.---7 rAGENT DATE ®)(!)O)&1 I hereby affirm that lam exempt from Contractor's License Law for the following 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 sate. 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). [J 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes [—]No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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): 5.1 will provide some of the work, butt have contracted (hired) the following persons to provide the work indicated (include name! address! phone type of work): PROPERTY OWNER SIGNATURE []AGENT DATE (®a ø O®Q(OC oGO()@ POGNMOV@ Ø(M69 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 Act? 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 lobe constructed within 1,000 feel 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. (®?U(D€t?O®&) I)®O&)® ®I)€S? I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lenders Address O919 OOOG?O®(1 Icerlifythati have mad the application and state thatthe above information isconectandthatthe information onthe plans isaccurate. I agree tocomptywith all Cityordinances and State laws retailing to bulldingconstniction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over SO' deep and demolition orconstruction of structures over 3 stones to height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and void if the building or votk authorized by such permit is not commenced within 180 days from the date of such permfl or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced bra period of 180 days (Section 106.4.4 Uniform Building Code). ,.APPLICANT'S SIGNATURE DATE I f ?..-.- C. f STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CE RTIFIC ATE OF . , - la•z;I.,.Only )£ Fax (760) 602-8560, Email bUiIdinp(carIsbadCa.qOv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY . STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. NO CHANGE IN USE / NO CONSTRUCTION MAIL! FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION LAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142165 Type: PME MAYNARD RES- REPIPE HOT & COLD WHOLE HOUSE • Date Inspection Item 09/02/2014 29 Final Plumbing 09/02/2014 29 Final Plumbing 08/27/2014 24 Rough/Topout 08/27/2014 24 Rough/Topout Inspector Act Comments - - RI FINAL PLUMBING INSP PY AP - RI MAYNARD RES PY AP Monday, September 08, 2014 Page 1 of 1