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Home My WebLink About2323 CANNON RD; MP; CB122458; Permit03-13-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CBI22458 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2323 CANNON RD CBAD St MP PME 0000000000 Lot # REPLACEMENT 100 AMP METER PED Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/19/2012 JMA 11/19/2012 11/19/2012 PY Applicant CITYOF CARLSBAD Owner CITY OF CARLSBAD Plumbing Fees Electncal Fees Mectianical Fees Other PME Fees $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $0 00 Total Fees $0 00 Total Payments To Date $0 00 Balance Due $0.00 Inspector FINAL APPROVAL Date iq^<^ll^ Clearance NOTICE Please take NOTICE (fiat approval of your project includes the "Imposition' of fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as "fees/exachons' You fiave 90 days from ttie date this pennit was issued to protest imposition of these fees/exactions If you protest them, you must follow the pnDtest procedures set forth in Government Code Section 66020(a), and file the protest and any other required mfomation 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 sutisequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght 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 applicaton processing or service fees in connection with this projea NOR DOES IT APPLY to any fees/exactions of which vou have orevioush/ been Given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THE FOLLOWING AM>ROVALS REQUIRED PRIORTO PERMIT ISSUANCE • PIANNING DENGINEERING • BUILDING • RRE • HEALTH • HAiaVlAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buldlmg@carlsbadca gov www carlsbadca gov Plan Check No. C£^\^ '2^^SS' Est. Value Plan Ck. Deposit Date Tim SWPP iOB ADDRESS 23Z3 Camon ^ SUITE»/SPACE«/UNTT# CONSTR PTPE I occ GROLP CT/PfiOJECT« PHASE 9 # OF UNITS ff BEDROOMS « BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK Include Square Feet of Affected Area(sj EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SFj DECKS (SF) FIREPLACE YESD tt NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NO • APPLICANT NAME (Primary Contact) APPUCANT NAME (Secontlary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE EMAIL FAX PHONE FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS CITY BUS LIC « (Sec 7031 5 Business and Professions Coae Any City or County which requires a permit to construct, alter improve demolish or repair any struclure pno'to its issuance also requires the applicant for such permitto file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 ofthe Business and Professions Code) or mat he is exempt therefrom and the basis for the alleged exemplion Any violation of Seclion 7031 5 by any applicant for a permit subjects the applicant to a civil penally of nol more than five hundred dollars ($500)) Workere'Compensation Declaration I hereby affirm under penalty of peijury one of the following dedaratons n I have and will maintain a certificate of consent to self insure tor workers compensation as provided by Section 3700 of the Labor Code, lor the performance of the work fcr which this permit ts issued d I have and will maintain workers' compensation as required by Section 3700 otthe LaborCode for the performance of the work torwhich this permit is issued Myworkers compensation insurance camer and policy number are Insurance Co Policy No Expiration Date This secton need nol be compleled if the permit is for one hundred doliars (SIOO) or less • Certificate of Exemptim I certify Ihat in the pertomiance of the worit (or wtich thts perniil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia WARNING Failureto secure workers' compensation coverage is unlawful, and shall subject an empioyerto cnminal penalties and civii fines upto one hundred thousand dollars (S10O,a0O), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attomey's fees CONTRACTOR SIGNATURE aAGENT DATE ?. =*-»i^ tssf-- / hereby affirm (haf / am exempt from Confractor s Lrcense 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 Ihe structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor's License Law does nol appfy lo an owner of property who builds or improves Ihereon, and who does such work himsell or through his own employees, provided that such improvements are not intended or offered for sale if, hov^ver, the building or improvement is soU wittiin one year of completion the owner builder will have the btffden ol proving that he did not buikl 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 PmfessKins Code The Contractor's License Lawdoes not apply to an owner of property who builds or impmves thereon and contracts tor such pmjects with i:ontractor(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 matenais for construction of the pmposed property improvement • Yes • No 2 i (have / have net) signed an application for a buildmg pennit for the proposed vi^irk 3 I have contracted with the following person (firm) lo provide Bie proposed amstroction (indude name address / phone / contractors license number) 4 I plan fo pmvide portons ot the work but I have hired Itie lollowing person to coordinate supervise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide some of Ihe work, but I have contracted (hired) ^e following persons to provide the work indicated (include name / address / phone / type of work) >€f PROPERTY OWNER SIGNATURE GENT DATE Is Ihe applicant or future building occupant requited fo submit a btismess plan, acutely hazaidous matenals registration form or nsk management and prevenbon program under Sections 25505,25533 or 25534 of the Prestey-Tanner Hazardous Sutstance Account Acf • Yes • No Is the api^icant or future building occupant required fo obtain a permit from the air pollution control distnct or air quality management distncf O Yes • No Is the facility to be constmcted within 1,000 feet ol 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 I hereby affimi that there ts a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I ceiti^ that I have read the application and state that ttie above infoimation Is conectand ttiat ttie Information on the plans is accurate. I agieetocomplywith allCi^oidinancesand State law relating to building constmcbon I hereby authorze repiesentative of the City of Cartsbad fo enter upon the above mentioned property br inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALi LIABILfTlES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERI^fT OSHA An OSHA permit is lequied fer excavations over S'O' deep and demotition or constmctjon of structures over 3 stones fi heighL EXRRATION Every perniil issued biy the Building Of&oal under the provisions ofthis Code shal expire by Imitation and become nul and void if the buildng or mk authonzed by sudi p^l s not comrrienced withn 180 days from the date of such pemiit or if the buMing or vwrk authonzed by sudj^miit is suspended or abandoned at any tme after tie v«rk is commenced for a penod of 180 days (Seclion 106 4 4 Unifoim Building Code) >ef APPUCANT'S SIGNATURE y'L^^ y^V DATE STOP- THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certiftcate of Occupancy wilt be requested at final inspection. CERTIFICATE OF OCCUPANCY ICommercial Projects Only Fax (750) 602-8560, Email vww buildinotSjcarlsbadca qov or Mail the completed fomi to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP cmr STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT {Listed above) • CONTRACTOR (On Pg 1) • MAILTO O CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit* CB122458 Type PME REPLACEMENT 100 AMP METER PED ^ate Inspection Item Inspector Act Comments 11/20/2012 32 Const Service/Agricultural PY AP 11/20/2012 39 Final Electrical PY AP Wednesday, Marcfi 13, 2013 Page 1 ofl