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Home My WebLink About2250 NOB HILL DR; ; CB131075; Permit04-26-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB131075 Building Inspection Request Line (760) 602-2725 2250 NOB HILL DR CBAD PME 1671122500 Lot#: 0 REILLY RES= SEWER LINE REPAIR (2) PIPE PATCHES Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/26/2013 LSM 04/26/2013 04/26/2013 Applicant: REILLY JAMES E&BARBARA A INTER VIVOS TRUST 10-01 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2250 NOB HILL DR CARLSBAD CA 92008 $154.00 $0.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APPROVAL Date '-frJ,;,-/5 Clearance: $0.00 NOTICE: Please take NOTICE that 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 pemiit 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 f x i n f w i h i I iv n N imil r hi r whi h h f I'm' i x . ~ «ii!, ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-27171271812719 Fax 760-602-8558 www.carlsbadca.gov SUITEII/SPACE#/UNIT# Plan Check No. {!,.5 t ~ IO 7~ Est. Value Plan Ck. Deposit DateLf ~ SWPPP 2-"Z..~-00 ENANT BUSINESS NAME CON TR. TYPE OCC. GROUP PATIOS (SF) DECKS (SF) FIREPLACE vEsO APPLICANT NAME (Secondary Contact) AIR CONDITIONING No□ YES0No0 FIRE SPRINKLERS YES□No□ ADDRESS ADDRESS CITY CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS ··-~ STATE LIC. # (Sec, 7031.5 Business and Professions Gode: Any City or Coun_ty which reQuires a permit to_ construct, alter, improve, demolish or repair any structure, prior to lts issuance, also reciuires the applicant tor such permit to file a signed statement that he 1s hcensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Secuon 7000 or D1v1s1on 3 or the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Sect1on 7031.5 by eny apphcant for a permit subjects the applicant to a civit penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for v«irkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennil Is issued. I have and will maintain wo~s• FDensatlon~ reauired bv Section 3700 of the Labor Code, for the perfonnance of the work f?r which lhis permit is issued. My workers' compensation inslance,arrier and policy ""m"'"""'"'""nceCo L, b :E' CU-=7 Po1;,yNollo0\~lc,?,I Oil.. Explrati<mOate \D I I 5 iwa, section need not be com~ted tt the pennlt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that Jn the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su~ct to the Workers' Compensation Laws of Caifomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and clvll fines up to one hund thousand dollars (&100,000), In addition to the cost of compensa~ges as provided for In Section 3706 of he La code, ln~st and at~fees. ~ CONTRACTOR SIGNATURE LJ 67 c._9.., ~ I hereby affirm that I am exempt from Contractor's Ucense Law for the follov,ing reason: 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 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, Iha owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 1, 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have/ have not) signed an applicalion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeNise and provide the major work (include name I address/ phone/ contractors' license number): 5. I wll proviOO some of the work, but I have contrc,;ted (hired) the following persons to provide Iha work indicated (include name I address I phone f type of work): ft5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or lu!tJre bulkling occupant required to submit a buslness.l!fill, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of Iha Presley-1 anner Hazardous Substance Account Act? 0 Yes [_J No Is the applicant or future bulkling occupant required to obtain a permit from the air pollution control district or a(!:.mlalitv management distf1cl? 0Yes 0No Is the facikly to be constructed within 1,000 feet of the outer boundary of a school s1le? 0Yes LJNo 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 certify that I haVe read the applk:atlon and state that the above lnfonnatlon Is corred: and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to buitdlng <Xll'IStlUCtlon. I hereby authorize representative of the City of Ca1sba:I to enter upoo the above menlk>ned property for in~ purposes. I ALSO AGREE TO SA VE, 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 requred for excavalioos over 5'0' deep and demolilioo or oonstnx:tion of structures over 3 stories in heighl EXPIRA TlOO: Every permit i.5sued by the Buildrlg Official under the provisions of this COOe shall expire by ~mitation and be:::ome nul! and void if the OOilding or work authorized by such pemlll is not commenced within 180 days from lhedate of such penlll or if the Wilding or work authorized by such permit is suspended or abandoned at any ~me after the work is oommenced for of 180 c!a (Se::tion 106.4.4 lmiform Building Code) . .@:)APPLICANT'SSIGNATURE ~ CS")o.JL_ c.✓,::)4-is-DATE '24,, 12> ···-. ---··-··· "••·---- , . Inspection List Permit#: CB131075 Date lnspection_l!<>m 04/29/2013 29 Final Plumbing 04/29/2013 29 Final Plumbing Tuesday, April 30, 2013 Type: PME Inspector Act RI PB AP REILLY RES= SEWER LINE REPAIR (2) PIPE PATCHES Comments Page 1 of 1