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Home My WebLink About2287 LINDSAY DR; ; CB112489; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-28-2011 Permit No: CB112489 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: SELL FAMILY TRUST 2287 LINDSAY DR CBAD PME 2121013700 SELL: GAS LINE REPAIR 2287 LINDSAY DR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: SELL FAMILY TRUST 2287 LINDSAY DR CARLSBAO-GA--92008 /-- Issued: Inspect Area: ISSUED 11/28/2011 JMA 11/28/2011 11/28/2011 $150,00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total.Payments To Date: $150.00 Balance Due: Inspector: FINAL Date: ROVAL Clearance: $0.00 t approval of your project includes the ~Im s n" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was is ed 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 flle 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 I w i h I iv n N T E imi! r hi whi h I ·m· i vi I I I , «,b Building Permit Application Plan Check No. r~, ,. '7J-l£UI 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date (l /-z.f?! It lswPP JOB ADDRESS .L I;-/ j) .s-lt--Y SUITE# /SPACE#/UNIT # IAPN / ::2 ;;i. 9'"7 --- CT/PROJECT # 'LOT# I PHASE# I# OF UNITS I# BEDROOMS II BAT ROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,,. Qv, s: .L.,,,, re,2 ~ L.. ?,?c~, R- EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLA.CE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES □ NOD YES □ NO □ APPllCANT NAME {Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CIJY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX '"'"'" ...... AIL PROPERTY OWNER NAME CONTRACTOR BUS, NAME -;:rc",=,e S€-L-'- -ADDRESS ADDRESS ZZ.'8'7 ,L ,r/Dg:; y CITY STATE ZIP ,a/ CITY STATE ZIP (Y~JU.S B_.,D C 14 92,00 PHONE IFA:X CCt..t_.. PHONE I FAX -rt.o --471'.. -I 'i 1 0 76,o · Z/'5 -S-f!"(, ·7 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS l STATE UC.# STATE UC.# !CLASS [CITY BUS. LIC.# (Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also re_qu1res 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 9, commending with Section 7000 of DroJ1sion 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)). Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: □ I 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 wUI 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' compensation insurance canier and policy number are: Insurance Co. ______________________ Policy No.-------------~ Expiration Date _________ ~ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation CO\lerage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. _,6$ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the fo//ow,·rg 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 wo!lc. 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 for the purpose of sale), □ I, as owner of the property, am exclusfvely contracting wllh lcensed 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 buik:ls 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. □ Yes □ No 2. I (have/ have not) signed an application 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/ contractors' license 11umber): 4. I plan to provide portions of the work, but I have hired the followir,g person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I 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): i _,g PROPERTY OWNER SIGNATURE l:IAGENT DATE / 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 pennit from the air pollution control district or air quality management district? □ Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnatlon Is correct and that the infonnatlon on the plans is accurate. I agree to compty'Mth all Ci1y ordinances and Stam laY.6181atingto bull ding oonstructlon. I hereby authorize representative of the Qty of Cafisbad to enter upon the aOOve mentKlned iroperty tir inspection purPJSes. I ALSO AGREE TO 5,,\VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUD3MENTS, COSTS ANO EXPENSES WHICH MAY IN I#'/ WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE CF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA pennlt is required tJr excavations over5'0' deep and demolition or construction of structures over 3 stores in heght EXPIRATION: Every pennit issued by the Building Official under the provisions of this Oxle shall expire by limitation and become null and void if the tx.Jilding or'Mlrk authorized by sudl pennit is not commenced Wthin 180 days from the date ofsudl permit or if the building or'Mlrk authorized by sudl pennlt is suspended or abandoned at any lime after the 'Mlrk is commenced for a perbd of 180 days (SectKln 106.4.4 Uniform Building Ox!e). ~ APPLICANT'S SIGNATURE DATE «~~) ~ CITY OF CARLSBAD UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: , 1 -) 8 -, \ PERMIT #: , , 2,,, "-\ ~q • JOB ADDRESS: 21,9,'J ~-J ~" '?r-l--A, INSPECTOR: ts\.._.-..,..,,~ ...... 0,_,__J-__,._____ __ _ CONTACT:~~,...=------ PHONE #: ---------,--- ' <:. 0 QQ,,_J.. ~ ~ DESCRIPTION: _______ o _____________ _ CODE d,.~ Bldg Inspection Form DESCRIPTION Cac.uLJc "fO A:, ,, Page 1 of 1 ACT COMMENTS f= Rev. 06/09