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Home My WebLink About2292 LINDSAY DR; ; CB153665; Permit10-28-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 153665 Building Inspection Request Line (760) 602-2725 2292 LINDSAY DR CBAD PME 2121012700 Lot#: 0 PINTAR INVEST: REPAIR 8 LF GAS PIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/28/2015 SLE 10/28/2015 10/28/2015 TURNER FAMILY TRUST 08-27-90 TURNER FAMILY TRUST 08-27-90 2292 LINDSAY DR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: 2292 LINDSAY DR CARLSBAD CA 92008 $38.00 $0.00 $0.00 $60.00 $98.00 $98.00 Total Payments To Date: $98.00 Balance Due: Clearance: $0.00 CE ~ cf ywr prtject irdt.des tt-e "I · ·cr1• fees, declc:aicro, reservatia,s, er cthar exarncro -cctledively ra'ared to as 1-." oo l'eve oo days mm tt-e-lhs pemit l'.05 issued to pretest iITjXlSilirn cf tt-ese-exarnrns. If yoo pretest trerr. yoo rrust fdlo.vtt-e pretest proo,d.res set forth in ClcMmTerl Code ~on 60020(a), ard filett-e prctest ard anycthar req.ired infarretionwlhtt-eOtyMmgerfor p,m,ssrg in a:xni:ia-a,wth Ca1sba'.l M.rid!B Code ~a, 3.32030. Falcretobrrayfdlo.vth31 ;:roo,drewll ba' anySl.l:seqJert lega ooirn to~ rEMew, set '600, \Od, er a-TU tteir irJl'.X)3ition. Yoo"" h9recy FlRll-ERIV!lREDthll yo.r ng1 to prctest tt-espedfied-exarncro DCES "°' APPLYto""'1er ard """"cxmectia, fees ard a;p;,:ity ctwges, ncr ptmrg, ,onrg gmrg er cth9r smla-,¢ic:aia, p,m,ssrg erseniia,feas in cxmectirn wlhths prtjed. I\CRDCES IT APPLY to any ·ens wi a Cl: ·m1 wi lte Ii · THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD {city of Building Permit Application Plan Check No. Cb I ""'I ~1 • lo""'> 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date lOICJ<. /I';; ISWPPP JOB ADDRESS SUITEI/SPACE#/UNIT# IAPN .() J'1 ::> LI v >l S.A-Y --- CT/PROJECT# I LOT# I PHASE# I # OF UNITS I# BEDROOMS # BATHROOMS lTENANT BUSINESS NAME ICONSTR.TYPE I OCC.GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) C,AS f>,pcs C.. I{ C<'..."-C-D r::012 p IZ..6'; ~ <)-(4 TO G,a, Soc:;c re 7UleJv (ljS p ,', l {<_ ~ f 1Po C) A..) Cs, .4-~ f:..T oP L cAtL v ./J b IS7l. L+ O-<A-6 EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO IAIR CONDITIONING I FIRE SPRINKLERS No[] YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER Primary Contact n, , .,.,-,4,' I A.l,/6$T,l{IJ,,r, l"d.J,{/',i ,,v /!.os l~ ADDRESS ADDRESS <i,;) I/ l A i) t, LA V A-i,£....1' Jf.-~o'F CITY STATE ZIP CITY(,_ 6 STATE CA ZIP ~ z o-Ae.14 °I .::zo 7 y' PHONE IFAX PHONE 760-xrr&,nuc; IFAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL I STATE UC.# STATE UC,# I CLASS I CITY BUS. LIC.# (Sec_. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to.construct, alter, improve, demolish or repair an1 structure, P:nor 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 JChapter 9, 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 v1olat1on of Section 031,5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B 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. 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co ______________________ Policy No. _____________ _ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or tess. LJ 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 subiect 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 doll an (&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 □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following 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, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). p 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: 1. J personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 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 number): 4. 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 I address/ phone/ contractors' license number)· d {hired) th lowir,g persons to provide the work indicated (include name/ address I phone/ type of work): □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 to be constructed within 1,000 feet 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lendmg agency for the performance of the work this permit Is issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATl(IN I certify that I have read the application and state that the above lnfonnatlon Is conact and that the lnfonnation on the plans is aOOJrate. I agree bl comply with all Chy ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br inspection p.Jrp:)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excava~ons over 5'0' deep and demolition or construcikln of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buik:ling Offdal under the provisions of this Code shall expire by limitation and become nul and void if the buik:ling or v.t1rk authorized by sud'l permit is not commenced 'Mthin 100 days from the date of such permit or if the building orv.t1rk authorized by such permit is suspended or abandoned at any time after the v.t1rk is commenced for a period of 100 days (SectOO 100.4.4 Uniform Building Code). ~ 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 building@carlsbadca.gov 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT {Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penni!#: CB153665 Type: PME Date lnspe_ctio_n_ltem ------ 11/03/2015 23 GasfTesVRepairs 11/03/2015 23 GasfTesVRepairs 11/03/2015 29 Final Plumbing Wednesday, November 04, 2015 Inspector Act RI PY AP PY AP PINTAR INVEST: REPAIR 8 LF GAS PIPE Comments AM PLEASE Page 1 of 1