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Home My WebLink About2295 BRYANT DR; ; CB120252; Permit02-13-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 20252 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2295 BRYANT DR CBAD PME 2121015300 Lot#: O'CONNOR: REPLACE GAS LINE FROM METER TO HOUSE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/13/2012 JMA 02/13/2012 02/13/2012 Applicant: HANNA PLUMBING Ovmer. OCONNOR MARLENE M TRUST 01-11-06 643 S. SANTA FE VISTA CA 92083 760-726-2002 2295 BRYANT DR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL A Date: ^ Clearance: NOTICE: Please take NOTICE that approval of your project inclucies the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit 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 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 imposifion. 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 sewice fees in connection with this project. NOR DOES IT APPLY to any fees/exactioas of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ' ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No.^,^^ 17 • Q Z^S'Z. Est. Value Plan Ck. Deposit 12— JOBADDRESS CT/PROJECT # IWif * I PHASE* UOFti *OFUNrrS IfBEOROOMS SUrrE«/SPACE#AIN(T« APN « BATHROOMS I TENANT BUSINESS NAME CONSTR.TYPE I OCC.GROUF DESCRIPTION OF WORK: Inefude Square Feet of Affected Ana(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YESD #_ NOD AIRCONDmONING YES • NOD FIRE SPRINKLERS YES a NOQ CONTACT NAME (tf Different Fom AwOcanQ APPLICANT NAME ADDRESS ADDRESS \ STATE/^ ap^ CHY STATE ZIP OTY PHONE FAX PHONE FAX ^ EMAIL EMAIL PROPERIY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ll 1 I STATE ADORESS crrY _STATE ZIP FAX PHONE \ FAX \ . ^ EMAIL STATE UC.» T lOASS ICnYBUS-UC* J ARCH/OESIGNER NAME & ADORESS STATE ua# wrv^Kj Mil uv^ tMfW \y (Sec. 7031.5 Business and Professions Code: Any Ctty or County which requ^ a peimit to construct alter, improve, demolish or repair any structive, prior to tts issuance, also requires the appHcant for such pennit to file a siaied statemem that he is Hcensed pursuarn to the provision Biislness and Professions Code) or Set he is exempt therefrom, and the basis for the aReged exemption. Any violation of Section 7031.5 by any appncanffor a permit subjects the applicant to a civil penalty of not more than five hundred ddlais ||500}). WORKERS' COMPENSATION Woiiers' Compensalion Declaration: (hereby affirm under pentKy of penury one of Ihe tdkmng dedarstions.' • I have ml wIRiiudntain a cettificatt of consent to MH4isure for woricers'coriviensato 3700 cf Ihe Labor Code, for the perfomtance of ttie worii fcr which Ihis pennit is issued. /S-44»ve and wB imMaln «rorters'comoHuatiaiK a; number are: Insurance Co, This seclion need not be conipleled if the permit is iix one hundred dollars ($100) or less. Expiration Date Mil 'Z-OI'S • Certifieate Of ExecnpfioKlcertifylhatintheperfdmianpeafttiewQrtcfcrwNchNspenntt CaHomia. WARNING: Failure ts secure workers'compensation coverage is unlawful, and shall suliiectm addition to the cost efconH>ensation,{lamates as provMed for InSe^on 3706 of the Laborcode,!^ t I JS^ CONTRACTOR SIGNATURE A 5^ DATE ^ [itP 1 OWNER-BUILDER DECLARATION (/lereby affiim Itaf f aril exenipt hm ConAactor's lji»rm • I, as owner of Ihe property or my employees witti wages as ttieir sole compensaSon, Wll do the wortt and tt^ License Law does not apply to an owner of property who builds or improves ttiereon, and who does such wori( h^ sale. V, however, ttie btdding cr improvement is sold wittiin one year of completion, ttie owner-b^^ • I, as owner of ttie property, am exdusiveiy ccnlracling witti (censed contractors to constnid ttie pro^ notapplytoan'ownerof proper^ who builds or improves ttiereon, and contrads Ibr such piqects witti contracts) • I am exempt under Seclion Business and Professions Code for ttiis reason: 1.1 personally plan to provide ttie major labor and materials for constnx:tian of ttie proposed property iin^^ OYes OHa 2.1 (have / have nol) signed an qipficalion for a buidwig perniit for tfie proposed work. 3.1 have contracted witti ttie following person 0inn) ID provide ttie proposed conslnidioa Ondude name addre^ 4.1 plan to provide portions of ttie wori(, but I have hved ttie foitowing person lo coordinate, supenrise and piovk^ S. I will provide some of ttie worit, but I have contraded (hired) ttie fdlowing persons to provide ttie wori( indcated C<^^ vfifpROPERTY OWNER SIGNATURE •AGENT DATE CO IMJP i. ETEi JH IS SECT ION FO R N O fsfjr R E S I D E N TJ A t B U I L D I N G P E R M I T S O N I Y Is ttie applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or ri sk management and preventton program under Secttons 2S505,25533 or 25534 ofttie Presl^-Tanner Hazardous Substance Account Ad? OYes ONo is the appli(sM or fotuie building occupant required to obtain a pemiit from ttie air ^ OYes •No 'isttieto°litytobeccnstnictedwittiin1,000leetofttieouterboundaiyafaschoolsite? OYes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTiFICATE OF OCCUPANCY UAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFiCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CO N S TRU CTl ON LENDING AGEN C Y I hereby afTirm that there is a construction lending agency for the performance of the work this pemut is issued (Sec. 3097 (i) (M Ckxle). Lender's Name Lendei's Address A P P L IC A N T C ERTIFICATION Icertify ttiatlhave read ttie appDcatkm and state ttiat ttie above Infonnatkxi is coned and ttiat tte lheiGbyaulhciizeiepieseitafr«ofl«(:[^ofCartsbadtoenlerup^ AGAWST All LIABIUTES,JUD(3l«*re,(»STSAhDEXF^^ OSHA:AnOSHApeinAtsie(faediyexcavaScnsover5VdeepanddemalGonoroo^ D(PIWK3N: Every peimit issued by iKBuMng Offidal uriderfiepiTiM^ 180 daysiomtie dab of such pemAo^ftB buiding wvraik auttin^Bdtvsudi p ^APPLICANT'S SIGNATURE f^<. ft ACS^yxfyA "ATE ^2- ' 3 City ofCarlsbad BIdg Inspection Request For: 02/14/2012 Permit* CB120252 Title: O'CONNOR: REPLACE GAS LINE Description: FROM METER TO HOUSE Inspector Assignment: Type: PME Sub Type: Job Address: 2295 BRYANT DR Suite: Lot: 0 Location: OWNER OCONNOR MARLENE M TRUST 01-11-06 Owner: OCONNOR MARLENE M TRUST 01-11-06 Remarks: a m please Phone: 7607262002 Inspector: ^"i^ Total Time: CD Description 23 Gas/Test/Repairs 29 Final Plumbing Act Comments Requested By: CARINA Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act,. Insp Comnfients