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Home My WebLink About2277 BOCA ST; ; CB130106; Permit01-14-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB130106 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2277 BOCA ST CBAD PME 2163530500 YELLEN INSTALL CLEANOUT Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/14/2013 JMA 01/14/2013 01/14/2013 Applicant Owner ARS AMERICAN RESIDENTIAL SERVICES OF CALlFORNI YELLEN ROSS H&CAROLE A REVOCABLE TRUST 09-25-07 STE A 9895 OLSON DR 2277 BOCA ST SAN DIEGO CA 92121 CARLSBADCA 92009 858-457-6572 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 DO Total Payments To Date $154 00 Balance Due $0 00 Inspector FINAL A Date / \PPRP VAL Clearance NOTICE Please lake NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as fees/exactions" You have 90 days from the date this perniit was issued to protest imposition of these fees/exactions If you protest ttiem, you must follow the protest procedures set forth in Government Code Section 66020{a}, and file the protest and any other required information mt[ the City Ivlanager for processiog m accondance 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 nghl lo 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 fees/exaclions of which vou have previously been given a NOTICE similar to this, or as to which the 5tat^]te of limitations has previously ottierwisg,gxpired CITY OF Building Permit Application 1635 Faraday Ave Carlsbad CA 92008 760-602-2717/2718/ 2719 Fax 760-602 8558 www cailsbadca ^ov RanChect/No. 0&{3-o Est Value Plan Ck Deposit Date JOB ADDRESS "CT/PROJECT « PHASE » # OF UNITS f BEDROOMS SUIT£=/SPACE>', UNIla tf BATHROOMS TENANT BUSINESS NA.ME \u - 35.^^ nS -op CONSTR TYPE OCC GROUP PESCRIPTION OF WORK incme Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • S MO • YES O NO • VES Q TO • CONTACT NAME III Different Font Applicant) APPUCANT NAMEPN. I t r ( ADDRESS ^^^^^^^^^^^^^^^.-.'^^ ADDRESS nLSoiO Or, A CITY STiXfi " ZIP Cir? _ ^ STATE ZIP PHONE FAX PHONE 1 FAX _ EMAIL , 1 . PROPERTY OWNER NAMt / \/ 1 CONTRACTOR BUS NAME /-~\ /->/—, --^ Pd<S (DV San U» epo ADDRESS^ _ — ,• ^ _ t-^ Cirr, _ STATE ZIP FAX PHONE FAX EMAIL ' EMAIL . . - ci ed nnv S-iz^r^ ^.(XC^ .C^orr^ AttCH/OESiGMER NAME & ADDRESS STATE :./C fl STATE LIC » CLASS CiTY BUS UC # (See 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 Ihe applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law [Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or mat 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 cn'il penalty of not more than five hundred dollars {$500|) ^Vor(<ars'Go(iipfln£atiO!i Oeclatstion I {^lebii'atfirm isnder penally a! perjsj'y one ol the /c^tow/rg aecferafions C^/hiVB and will maintain a certificate of consent to self insure torworlcers compensation as provided by Section 3700 of the Labor Code for the performance of Ihe work for which Ihis permit ts issued Li3 J havaand will maintain workers Icompensation as required by Section 3700 ofthe Labor Code for ihe performance of the work lor which Ihis permit is issue^Uvly workers compensalion mAranc*carw / number are Insurance Co >—>\ Wg T'T'Li Policy Ho(^"5 |505U>3 i Q Exoiralion Dale J_Q_/_LJL/2 pnd policy This seclion need not be completed if Itie permit is for one hundred doirarst^IlOO) or less CI Certificate ot Exemption I cerlif/ lhal m the performance of Ihe work for vjhrch this permil is issued I shall not employ any person in any manner so as lo become lubjecl to the Wtukers Compensalion Laws of California WARNING Failure to secure workers' compensation coverage \s unlawful, and shall subject an employerto cnmmal penalties and civit fines up |o one hundredthousand dollars (&100,000}, m addition to the cost of compensation! daiBages as provided for^jjrtf ction 370,fr(ifitte4^or code, fnlerest and attorney's fees addition to the cost of compensation! daiBages as provided for ijrtection 370,fr(ifitte4.^r ci ^CONTRACTOR SIGNATURE ; (^X^tfVK^iSTOV'^^ / hereby affirm thai I am eiempl Uom Contraclor s License Law tor the lollowing reason DATE \/(^/l3 I as owner of the properly or my employees wilh wages as Iheirsole compensalion will do Ihe work and Ihe structure is nol intended or offered for sale [Sec 70^4 Business and Professions Code The Coniractors License Law (Joes not apply to an ov^r^er ol property who builds or improves Ihereor^ and who does sucJi ivorlc himself or Jrtrough his own employees provided thai such improve men Is are nol miendedor offered for sale If howeyer ihe building or improvemeni is sold withm one year ot completion Ihe owner builder will have Ihe burden of proving lhal he did nol build or improve for the purpose of sale] I as owner of the properly am exclusively coniractingwiih licensed coniractors loconslrucl Ihe pro|ecl (Sec 7044 Business and Professions Code The Coniraclors License Law does nol apply lo an owner of properly who Builds or improves thereon and contracts for such projecls wiih conlraclor(sl licensed pursuant lo Ihe Contraclor s License Law) I am exempl under Section Business and Professions Code for Ihis reason 1 1 personally plan lo provide the maior tabor and malenals for conslruclion of Ihe proposed propely improvement 3 Ves D No 2 I (have / have not) signed an application for a building permil for the proposed work 3 I have contracted with the lollowing person (firm) lo provide Itta proposed construction (include name atfdress / phone / contractors license number) 4 I plan to provide portions of the work bul 1 have hired the following person lo coordinale supen/ise and provide Ihe major work (include name / address / phone / coniraclors license number) 5 1 will provide some of Ihe work bul I have coniracted (hiredj the following persons lo provide the work indicaled [include name / address / phone / type of work) ^PROPEf?TY OWNER SIGNATURE • AGENT OATE is the applicanl or fulure building occupant required lo submit a business plan acutely hazardous materials registration form or nsk management and prevenlion program under Seclions 25505 25533 or 25S34 of Ihe Presley Tanner Hazardous Substance Account Acf ^ Yes 3 No Is Ihe applicanl or fulure building occupant required lo obtain a permil fnom the air pollution conlrol dislncl or air quality managemeni dislricf 3 Yes • No Is Ihe facility lo be conslrjcled wilhin 1 000 feel of ihe outer boundary of a school site'' 3 Yes 3 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 fiereby affirm lhal Itiere is a construdion lending agency tor tfie performance of tfie work tfiis permit is issued {Sec 3097 (i) Civil Code) Lender s Name Lender's Address 1 certify tliat i have read the application and state tliat the above mforniabon is conect and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building constmction I hereby aulhonze represenlalive of the City of Carlsbad to enter upon the above mentoned 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 I^AY IN ANY WAY ACCRUE AGAINST SAID CITV IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavabons over 5 0 deep and demolition or constnjction of staiclures over 3 stones in height EXPIRATION Every permd issued by tfie Building Offcia/ under tfie prowsorts of this Code sfiall expire by Imitation and becixne null and void il the building or wort aulhorzed by such permit s not coirmenced wiDiin 180 days from the dale of such pemiil or if the building or work authorized by such pernii B_5uspended a abandoned at any lime after Ifie mr^ is comnienced for a p/nod of 180 di-s (Section 106 4 4 Uniform Building Cooe) ^APPLICANT'S SIGfJATURE DATE 13. Inspection List Permits CB130106 Type PME YELLEN INSTALL CLEANOUT Date Inspection Item Inspector Act Comments 01/16/2013 22 Sewer/Water Service PY AP Friday, May 17, 2013 Page 1 of 1