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Home My WebLink About2349 MICA RD; ; CB121431; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-02-2012 Permit No: CB121431 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2349 MICA RD CBAD PME 2132821300 LING RES-GAS LINE TO BBQ & Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: FIRE PIT. ELECTRIC TO BBQ & 2 OUTLETS NEAR FENCE Applicant: SIJUN LING 2349 MICA RD CARLSBAD CA 92009 760 383-1523 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: SIJUN LING 2349MICA RD CARLSBAD CA 92009 760 383-1523 ISSUED 07/31/2012 RMA 08/02/2012 08/02/2012 $150.00 $30.00 $0.00 $0.00 $180.00 Total Fees: $180.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: I ( · )... · I 'L Clearance: $180.00 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 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 se1Vice fees in connection with this project. NOR DOES IT APPLY to any f ih h I TIEiilr hihh fimii THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: 0 PLANNING . ~ <,:( ,::fl') •~ CITY Of 0 ENGINEERING OBUILOING □FIRE □HEALTH 0 HAZMAT/APCD Plan Check No . Est. Value CARLSBAD Building Permit Application 1635 Faraday Ave .• Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 emai I:· buldllng@carlsbadca.gov www.carlsbadca,gov Plan Ck. Deposit JOB ADDRESS CT/PROJECT# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /liAL (c,L STATE ZIP aJ i-1 FAX EMAIL <o\'t-c)Y\. GI 11 PROPERTY OWNER NAME .s-; ' ADDRESS Cll,' STATE LIC. # # BATHROOMS TENANT BUSINESS NAME FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE PHONE FAX EMAIL STATE UC.# CLASS SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES O NOD ZIP ZIP CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requi:es the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 70_00 of Div1s1on 3 of the B_usiness and Professions Code} or that he is exem_1;1t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). 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' compensaUon 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 pem,it is issued, My workers' compensation insurance carrier and policy number are: Insurance Co .. ______________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less, D Certificate of Exemption: I certify that in the perfom1ance 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 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. AS CONTRACTOR SIGNATURE llllf!IZ □AGENT DATE 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 himseH 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 111at he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contractirg 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 _____ 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. □ 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 (fim,) to provide the proposed construction (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, 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 I address I phone/ type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenffon program under Secb'ons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is !tie 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 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCV 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. I certify that I have read the application and state that the above information is correct and that the lnfonnation on the plans Is accurate. I agree to comply'Mth all City ordinances and State la'oW relating to building construction. I hereby authorize representative of the City of Garlsbad to enter upon the atxJve mentioned property for inspectiC<I purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD ACAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: MOSHA permit is required for excavations over 5'0' deep and demolitKln or C011struclion of structures over 3 stories n height. EXPIRATION: Every permit issued by the Buik:ling Ofocial under the provisOns of this Code shall expire by limitation and become null and vok:l if the building orv.ork authorized by sudl pem,it is notrommenced \Mthin 180 days from the date of such pem,lt or if the building or 'M:lrk authorized bys permit i uspended or abandoned at any time after the 1MJrk is rommenced for a period of 180 days (Section 100.4.4 Unifomi Building Code). AJS 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@ca~lsbadca.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. UC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER:_ _NS APPLICANT'S SIGNATURE □ OCCUPANT (Listed above) □ ASSOCIATED CB# o NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB121431 Type: PME Date lnspecti<ln Item 11/02/2012 29 Final Plumbing 11/02/2012 39 Final Electrical 08/07/2012 23 GasfTest/Repairs Inspector Act PD AP PD AP PY AP 08/07/2012 31 Underground/Conduit-Wirin PY AP Monday, November 05, 2012 LING RES-GAS LINE TO BBQ & FIRE PIT. ELECTRIC TO BBQ & 2 OUTLE Comments Page 1 of 1 d ·t GFCI lSamp l"PVC Electrical Con UI • 18" Below gradde hen under concrete 16" Below gra e w •h-, I ""~::v:"-':_:'c:;~rjl~~~~~~~~Line (.~~ -.. M:,:,., -¾" Yellow Poly Natural Gas line 18,, Below grade 16" Below grade when under concrete. Existing Natural Gas Meter >-co 12349 JMJCA ROADC,8 \~I &.f JI :r, m 0 0 :a C 0 0 ~ ' a ~