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Home My WebLink About2322 LA COSTA AVE; C; CB161310; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-05-2016 Permit No: CB161310 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2322 LA COSTA AV CBAD St: C PME Status: Parcel No: 216310140.ti Lot#: 0 Applied: Reference #: PC#: Project Title: BELLON: GAS LEAK REPAIR Applicant: BILL HOWE PLUMBING STEA 1364 MORENA BLVD SAN DIEGO 92110 619 286 6348 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: MARTINEZ EDWARD D 2322 LA COSTA AVE #A CARLSBAD CA 92009 ISSUED 04/05/2016 SLE 04/05/2016 04/05/2016 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ Clearance: $0.00 NOTICE: Aease ta<e NOTICE Iha~ ci ;o..r prqed irdudes tt-e '1rrpc,;tiori' ci-. decicaticrs, """""1'1icr,s, a ctt,r .,...crs l1ereater c:dledivay referred to as 'feas'8l<!'dicrs." You hlveOOdaysfromtt-e-ths perrri1 = iSSUld to pictest illJX)Sitioo citt-esefeas'e,,a;;tioo; If )00 pictest tt-em )00 rrust fcllONtt-e ixctest l)lXEdres set lath in G,,arm,nt Qxle Sedioo 600:!J(a), ard file tt-e pictest ard fnf dt'<r req.jred infarralioo wlh tt-e Oty Mnagerfcr IJO(ESSirg in ax.ow a, wtt, Ca1sboo M.ridpa Qxle Sedioo 3.32.030. FalLre 1o tirrely fcllONtha f"OO'd.re wll ba' fnf sul:seqJert legal a::ton 1o ~ reMew, sa: aside, \lad, a aTU their irrp:stioo. You ere t-e"elJy FlR1l-ER NOTIRED trat ;o..r n[tl to ixctest tt-e spedlial feas'8l<!'dicrs [XE; l\01' !'PPL Y tov.ater ard """"'OCllnedoo fa,s and~ cnrges, ncr ~annrg, ,orirg, ga:lrg a ctt<r snilar ,wication IJO(ESSi'IJ cr sen,ioe fa,s in OCl1nediCl1 wlh ths prqed. 1'-1'.:R [XE; IT !'PPL Y to fnf f ·ms 'Mi · ·1 tn v-.h lirri i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit 22 t... LOT# DESCRIPTION OF WORK: Include Square Fftftf of .. f..) t: EXISTING USE GARAGE (SF) APPLICANT NAME DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAA EMAIL STATE LIC. # PATIOS (SF) DECKS (SF) PROPERlY OWNER ADDRESS CITY PHONE EMAIL Date FIREPLACE YESQ_ No0 STATE FAA SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING ves0No0 ZIP FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 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 violation 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 Workers' Compensation Declaration:/ hereby affirm under penaRy of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for whictl this permit is issued. I have and will maintain workers' corn pen tlon, as required by S · n 3700 of e Labor Code, for the performance of the "."°rk for ~ch this perm!! is issued. My workers' compensation insurance c~er and policy numberare:lnsuranceCo. PolicyNo. 72..l-<-!L;: Q rw:~pirationDate IO ~Lis, ~section need not be completed if the permit is for one hundred dollars ($100) or less. r , LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and ubject employer criminal penalties and clvll fines up to one hundred thousand dollars (&100,D00), In addition to the cost of compensation, damages as provi or Section 3706 of the L e, Int and attorney' fe • ,6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ 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). 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 appty' ban 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2, I (have I 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 I phone I 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 I type of work): ,85 PROPERTY OWNER SIGNATURE □AGENT DATE Inspection List Permit#: CB161310 Type: PME Date Inspection Item 04/08/2016 23 Gas/TesURepairs 04/08/2016 23 Gas/TesURepairs 04/08/2016 29 Final Plumbing Monday, April 11, 2016 Inspector Act AEK AEK RI AP Fl BELLON: GAS LEAK REPAIR Comments LEAK REPAIR GC #1793 Page 1 of 1