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Home My WebLink About2312 MARCA PL; ; CB121803; Permit09-13-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121803 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2312 MARCA PL CBAD PME Status: ISSUED 09/13/2012 JMA 09/13/2012 09/13/2012 Parcel No: Reference #: PC#: Project Title: Applicant: 2163522300 Lot#: 0 CHANGE OUT 125 MP BREAKER & REPLACE ALL OTHER BREAKERS Owner: Applied: Entered By: Plan Approved: Issued: Inspect Area: AARDVARK ELECTRIC RICHARDS DIANE LIVING TRUST 07-18-07 1517 SPRING CREEK LN OCEANSIDE CA 92057 760-310-9946 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2312 MARCA PL CARLSBAD CA 92009 $0,00 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINALPPROVAL Date • 2-2• f ~ 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 pennit 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 Car1sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent !egal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your r~ht 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 I x i h vi I n iv n N Tl i ii r h. i h h limi i n h r vi I h rwi , THE,fOLLOWINGAPPROVALS REQUIRED PRIOR TO PERMITISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «1'» Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Plan Check No. C6 l Z t 8V3 ~ CITY OF CARLSBAD Ph: 760-602-2719 Fax: 760-602-8558 ~ email: buldllng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit # BATHROOMS TENANT BUSINE NAME DESCRIPTION OF WORK: Include Square Feet of Afrected Area(sJ I1>s+,.// ne_.-/J.~ c,;,. '---...,, '.J-b f't ~ /1 ~ rs EXISTING USE PROPOSED USE n re... ARCH/DESIGNER NAME & ADDRESS STATE LIC. # GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX IL CLASS cl CONSTR. TYPE OCC GROUP AIR CONDIT!ONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZIP (Sec. 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 the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 70_00 of Division 3 of the B_usiness and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). -WOJKIIIH' COMl'l!NS:A'l"IO!il - M M M ' 0~ ~ " ' M ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: J!!,1 have and wilt 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. D I have and will maintain wo~' t;empensation, as r~d by Sru:;li~ 3700 of the Labor Code, for the performa number are: lnsurar.ce Co. ;;;;i__ ,f-, .f-t-~>1"70' Policy No. Expiration Date'll:t--'C-1.C..:::.O!el.l.1....S~- This section need not be completed if the permit is for one hundred dollars ($100) or less. q 0.l J.. /J. -/ J._ D 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 subject to the WM°ers 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 dollars (&100,DDD), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, Interest and attorney's fees. Af CONTRACTOR SIGN'"'~ 2 ir □AGENT DATE '}" -/ s -.2 0 I) I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason· □ !, 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. !I, 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 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 _____ ,Buslr.ess 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 I phone I 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): 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): ..S PROPERTY OWNER SIGNATURE □AGENT DATE ,' ,. ' * ~* * * COMPLETE THU Sl!C:tloN !"OR NON,REUDENTrAt IH/O,DING PERMITS ON~Y 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 O No Is the applicant or future building occupant required to obtain a permit from the air poMon control district or air quality management district? □ Yes □ No ts the facility to be constructed Within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 certify that I have read the application and state that the above lnfonnation Is oorrect and that the lnfonnallon on the plans is accurate. I agree to comply with all Clfy onllnanc:es and State laws relatlngto bulldlng construction. I hereby authorize representative of the City of Carlsbad to enter u~n the above mentioned property klr inspection pullX)ses. I ALSO AGREE TO SAVE, 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 CONSEQJENCE OF THE GRANTING OF THIS PERMIT, OSHA: AA OSHA p:innlt is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buikling Official under the provisions oflhis Code shall expire by limitation and become nul and void if the building orYoO'k authorized by such permit is not commenced 'Mlhin 180 days from the date of such pennit or if the buik:ling or'Mlrk authorized by such p:innlt is suspended or abandoned at any tme after the 'Mlrk is commenced klr a perk>d of 180days (Section 100.4.4 Uniform Buik:ling Code). ,,6$ 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 www-building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. .1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg . .1) □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. UC. No. □ ASSOCIATED CB#------------- O NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB121803 Date lnspe_ction Item 09/14/2012 39 Final Electrical Monday, January 28, 2013 Type: PME Inspector Act PD AP CHANGE OUT 125 MP BREAKER & REPLACE ALL OTHER BREAKERS Comments Page 1 of 1