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Home My WebLink About2321 DANA CT; ; CB132866; Permit11-19-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrlcal (PME) Permit Permit No. CB132866 Building Inspection Request Line (760) 602-2725 Job Address 2321 DANA CT CBAD Permit Type PME Status ISSUED Parcel No 1675323000 Lot# 0 Applied 11/19/2013 Entered By RMA Reference* Plan Approved 11/19/2013 PC# Issued 11/19/2013 Inspect Area Project Title SJOBERG RES- REPLACE POLYBUTEL WATER PIPES W/ NEW PEX PIPING- BOTH HOT & COLD WATER Applicant A BOMB PLUMBING Owner SJOBERG CONSTANCE G 37351 HARVEST DR MURRIETA CA 92563 760622-1833 2321 DANA CT CARLSBAD CA 92008 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $158 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00 Inspector FINAL APPROVAL Date Clearance 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 permit was issued to protest imposition of these tees/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 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 fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE- nPLANNING nENGlNEERING QBUILDING dmE OHEALTH nHAZMAT/APCD 1 CITY 0 F CARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov vinvw.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|# NOj I AIR CONDITIONING YES I |NQ| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME 9iO?iS-l Haf-oe.-^ CAcK. APPLICANT NAME (Secondary Contact; ADDRESS ADDRESS CITY . FAX CITY STATE ZIP PHONE— EMAIL ^ , _ • , PHONE ITYOWNERNAM^^^^^^^^^^^^^^^^^^^^^^^^^^^^ I EMAIL PROPERTY OWNER NAME. CONTRACTOR BUS. NAME ADDRESS CITY STATE ADDRESS CITY PHONE AM ^ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issu6tfce, also requirrfs the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Sectron 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption Any violaUon 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 / hereby affirm under penalfy of perjury one of fhe foliowing declarations CZ I have and will maintain a certificate of consent to self-msure 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 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 carrier and policy number are Insurance Co Policy No Expiration Date .J'his section need not be completed if the pemiit is for one hundred dollars ($100) or less 't/^J^ertificate of Exemption: I certify that in the perfomnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workeis' Compensation Laws of iaiifomia WARNING. Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages a^flg^ided^H^ Section 3JISS of the Labor code, interest and attomey's fees JS^ CONTRACTOR SIGNATURE • AGENT DATE / heretiy affirm that I am exempt from Contractor's License Law for the following reason I I 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not inlended 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 himse^ 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 puipose of sale) I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 [ 1 am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement •Yes I INO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (fimi) to provide the proposed constmction (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, supen/ise 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 pravide the work indicated (include name / address / phone / type of work) PROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and preventon program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf , Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP 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. 1 hereby affirm that there is a constmction lending agency for ths performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certify that I have read the application and state thatthe above infbnnation is conect and thatthe mfonnation ontheplans is accurate. I agree to complywith all City oidinances and State laws nelatang to building constmction. I hereby authors representative ofthe City cf Carisbad to enter upon the above mentioned property fbr mspecton purposes 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSH A An OSHA pemiit is required fbr excavations over 5'0' deep and demoliton or constmction of stmctures over 3 stones in height EXPIRATION Every pemnit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or viori< authonzed by such perniit is not commenced within 180 days from the date of such pennit or ifthe buildin9J»w3rt< autazed by such pemiit is suspended orabandoned at any time after the vrort( is commenced Ibr a penod of 180 days (Section 106 4 4 Unifonn Building Code) yglTAPPLICANT'S SIGNATURE / l) DATE //- /f - 15 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. c c U P A Only Fax (760) 602-8560, Email building@carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008 C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP ZIP Carlsbad CA PHONE FAX OCCUPANT'S BUS LIC No DELIVERY OPTIONS , PICK UP: CONTACT (Listed above) „ OCCUPANT (Listed above) CONTRACTOR (On Pg 1) IVIAIL TO: CONTACT (Listed above) , OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION #i CHANGE OF USE / NO CONSTRUCTION jg?APPLICANT'S SIGNATURE DATE Inspection List Permlt#: CB132866 Type: PME SJOBERG RES- REPLACE POLYBUTEL WATER PIPES W/ NEW PEX PIPING- BOT Date Inspection Item 11/26/2013 29 Final Plumbing 11/26/2013 29 Final Plumbing 11/22/2013 24 Rough/Topout 11/22/2013 24 Rough/Topout Inspector PY PY Act Rl PA Rl AP Comments SJOBERG RES Tuesday, November 26, 2013 Page 1 of 1