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Home My WebLink About2243 CORTE CICUTA; ; CB122277; Permit10-29-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No;CB122277 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2243 CORTE CICUTA CBAD PME 2552702600 Lot #: HEE RES - REPLACE LEAKING GAS LINE FROM GAS METER TO BBQ AND FIRE PIT, Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/29/2012 SKS 10/29/2012 10/29/2012 Applicant: KIMO'S LANDSCAPING Owner: HEE JONATHAN M&SHARON A FAMILY TRUST 05-28-99 PO BOX 793 CARLSBAD CA 92018 760-729-5466 2243 CORTE CICUTA CARLSBADCA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $154.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $154.00 Total Fees; $154.00 Total Payments To Date: $154.00 Balance Due: $0.00 Inspector: FINAL APR Date: Jj-mi AL Clearance: NOTICE: Please tal(e NOTICE thqjt approval of your project incfudes the Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit 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 information vtfith the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow lhat procedure will tjar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are tiereby 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 seivice tees in connection with this project. NOR DOES IT APPLY to any fees/exac:tinns o( wftich vou have previouslv been given a NQTICE similar to this, or to which the statute of limitatior^s has previouslv otherwise expired. THE FOLLOWiNG APPROVALS REQUIRED PHSOR TO PERMST ISSUANCE: PLAMfiING I ENGiNEERiNG ilDING DFIRE [ HEALTH • HA2MAT/APCD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.cai1sbadca.eov Plan Check No. [ Z^ZT-^^^ Est. Value Plan Ck. Deposit Date IOB ADDRESS \ CT/PROJECT # # OF UNITS # BEDROOMS SUITE#/SPACEfl/UNIT# # BATHROOMS TENANT BUSINESS NAME COWSTR. TVPE OCC. GROUP DESCRIPTION OF WORK: fncfuife Square Feet of Affected Areafs) Fr 3 EXISTING USE PROPOSED USE GARAGE (SF| PATIOS (SF| DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES a NO • FIRESPRINKLERS YES • NOD APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS STATE STATE ZIP PHONE FAX PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME , . f 1^ 5 ADDRESS Po Boy 7?3 STATE ZIP PHONE IV^I'IC * - 7^ '?43-^75"'70 PHONE ^ FAX ^, ^„ ^ EMAIL . ZMZ~ I GLASS I I CITX^US. LIC.# ARCH/DESIGNER NAME & ADDRESS (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolisti 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 ofthe Contractor's License Law {Chapter 9. commending with Section 7000 of Division 3 ofthe 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 Declaration: / tweby affirm under penalty of perjury one of the following declarations: n I have and will maintain a certificate of consent to self-insure far workers' compensalion as provided by Seclion 3700 of the Labor Code, for the performance ol the vvork lor which this perm it is issued. ^ I have and will maintain workars' compansation. asrequired by Section 3700 of the Labor Code, forthe perfomiance of the work for which this pennit is issued. My workers' compensation insurance cairier and policy number are: Insurance Co. TO'^^^ Sri-laCt::\j-/\s^?Vv'A<:g, CO PoiicvNo. u^-^C^OQ^ySJlcJ*^ Expiration Date j O ^ j Xdj'^ This section need not be completed if the pennil is for one hundred dollars ($100) or less. O Certificateof Exemption: I certify that in ttie performance of the work for which this pennit is issued, I shall notemploy any person in any manner so as to become subject to the Wortcers'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 (K100.DOO), In addition to the cost of compensation, damage]|as pr^/ided fo( in Section ji^06 of t^e Labor code, interest and attomey's fees. DATE iOl^^l^Oi^ I hereby affirm that I am exempt from Contractor's Ucense Law for the fdlowing reason: D I, as owner ot tfie 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 ot property who builds or improves thereon, and who does such work himself or through his own employees, provided that such impre)vements are not inlended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the bunlen ot proving that he did not build or improve for the purpose of sale). • I, as owner of the pnaperty, 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 impraves thereon, and contracts for such projects with contractor[s) licensed pursuant to the Contractor's License Law). O I am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. • Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firni) to provide the proposed construction (include name address / phone/contractors' license number): 4.1 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): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): yfifpROPERTY OWNER SIGNATURE •AGENT DATE RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futuro building occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sectbns 25505.25533 or 25534 of tie Presley-Tanner Hazardous Substance Account Act? • Yes O No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management districi? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary ot a school site? • Yes • Mo IF ANY OF THE ANSWERS ARE YES, A FIN/U. 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the wor1( this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the applk»tk}n and slate that ttie above infoimation is correct and I heretDy authorize representative of the City of Carlsbad to enter upon Ihe above mentioned pnDperty for inspection purposes. I ALSO ACRE 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 permil is required for excavations over 5'0' deep and demolition or conslructbn of stnjctufes over 3 stories in height. EXPIRATION: Eveiy permit issued by the Building Ofiicial under tfie provisbns of tfiis Code shall expire by limitation and become null and void ifthe building or wrk autfiorized by such permit is not commenced within 180 days from the date of such permit or if the buiding orwrk authorized by sueti permit is suspended or abandoned at any tme after the wrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code), yC^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 www.buildinp(5)carl5badca.oov or Mail thecompletedform to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (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: D CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. l) 1:1 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 ^efAPPLlCANT'S SIGNATURE DATE Inspection List Permit*: CB122277 Type: PME HEE RES - REPLACE LEAKING GAS LINE FROM GAS METER TO BBQ AND FIR Date Inspection Item 11/07/2012 29 Final Plumbing 11 /07/2012 29 Final Plumbing 11/01/2012 23 Gasn"est/Repairs 11/01/2012 23 Gasn"est/Repairs Inspector Act Comments Rl PY AP Rl PY AP Wednesday, November 07, 2012 Page 1 of 1 iiX^l C^^c. C.e^iV fe^looo F^^A\'5W GfTvie Aboue V^'ifs'ssW ^^^<le^