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Home My WebLink About2314 LONGFELLOW RD; ; CB151650; PermitI • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-29-2015 Permit No: CB151650 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2314 LONGFELLOW RD CBAD PME Status: Parcel No: 2121431700 Lot#: 0 Applied: Reference#: PC#: Project Title: Applicant: MCMAHAN RES: REPAIR GAS LEAK AT STOVE TOP ISLAND MCMAHAN MICHAEL&ELAN 2314 LONGFELLOW RD CARLSBAD CA 92008 760-212-3417 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: MCMAHAN MICHAEL&ELAN 2314 LONGFELLOW RD CARLSBAD CA 92008 ISSUED 05/29/2015 LSM 05/29/2015 05/29/2015 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take N CE that approval of your project includes the "Imposition" f fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exac ns." 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 Government 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 imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to waler 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 f exacti n which ve r vi t b n iv n a N I E imilar hi or a which th tut f limitatio sh eiwi e x ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD CCityof Building Permit Application Plan Check No. C.8151050 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 Date51.;>q /1~ 1sWPPP JOB ADDRESS Q..3/4 /,,oY\,( t~9 j/ i--,_,J q;i.o-ofl SUITH/SPACH/UNITf IAPN --- CT/PROJECT# I LOT# " PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Squat& Feet of An'ected Area(s) qo.o le.MC.. <Uf u,,tJ.., @) ~0(X...10f i~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1DECKS (SF) FIREPLACE AIR CONDITIONING I FIRE SPRINKLERS v,so No0 YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER Mi~3 =t~ AA~ Ptlmary Contact ADDRESS ADDRESS ~5l'f . I -. _, ;.tlb,vJ /2--L CITY STATE ZIP CITY ~ STATC-A ZIP 0-:uwt PHONE 1FAX PHj(A} °]../ z_ 6'-/17 I"" I EMAIL EMAIL elA.Prrc.rn.~ (J) H>dY'IA -•-lurw, DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I"" PHONE IFAX EMAIL EMAIL I STATE UC.# STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the apphcant for such permit to file a signed statement that he is hcensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of Div1s1on 3 of the B_usiness and Professions Code) or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 wor1( for which this permit is issued. D I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the wor1( 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 less. LJ Certificate of Exemption: I certify that in the pertormance of the wor1( 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 coverage is unlawful, and shall subject an employer to crlmlnal penalties and civil 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. ,NS CONTRACTOR SIGNATURE 1111 DATE □ I, as owner of the property or my employees with wages as their sole compensation, will do the wor1( 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 wor1( 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 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 _____ ,Bllsiness ar.d Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a buikling permit for the proposed work. 3. I have contracted with the following person (firm) to pro'o'ide the proposed construction (include name address/ 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 wor1( (include name I address/ phone/ contractors' license number): 5. twill provide some of the work, but I have contracted (hired) lhe following persons to provide the wor1( indicated (include name I address I phone I type of wor1()· □AGENT DATE ,-;:;- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or fufOre 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 feel 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 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 buildinq@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 OPTlONS 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:---------------~ ,15 APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penni!#: CB151650 Type: PME Date lnspectionJtem __ _ 06/0112015 23 Gas/T esURepairs 06/01/2015 23 Gas/TesURepairs 06/01/2015 23 Gas/TesURepairs Wednesday, June 03, 2015 Inspector Act PY PY RI AP AP MCMAHAN RES= REPAIR GAS LEAK AT STOVE TOP ISLAND Comments Page 1 of 1 ---·-·•···•·---··--··~ ''