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Home My WebLink About2352 JEFFERS PL; ; CB161208; Permit03-29-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB161208 Building Inspection Request Line (760) 602-2725 2352 JEFFERS PL CBAD PME 2081620300 BACHER: EXTEND GAS LINE TO FIREPIT Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/29/2016 SLE 03/29/2016 03/29/2016 BACHER GERALD □&MARIANNA E BACHER GERALD □&MARIANNA E 2352 JEFFERS PL CARLSBAD CA 92008 760-889-0415 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2352 JEFFERS PL CARLSBAD CA 92008 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROfL Date:£· 3/ · / Clearance: $0.00 J,,OllCE R"'"" la<e r,oJJCE that ,wuva cJ yas prcjed irdudes the "ln,:xisitic>i' cJ f-dedcaicns, reservaticns, ex ctrer exa::ticns hereater a::Aledivay reterredto as 1eas'exa::ticns." Yoo hi>.e 9:Jdaysfromtre-tlis pemit w,s iSSl.l3dtoprctest irrp:,sitirn citresefeas'exa::tiCl1S 11:,oo prctest ttern )00 rn.ot fdlo.vthe prctest proced.res set forth in C'oJenTrent Code Sedirn 60020(a), ..-d file the prctest ..-d any ctrer req.ired irifarrairn wth the Qty rvtragerfcx i:,ocessirg in a:=daicewth Qr1stm Mricipa Code Sedirn 3.32.03:J. Falcretotirrelyfdlo.vthal ~wll ba' anySLb;ecµint legal oclirn to attack, revieN, set ~de, \Od, a an.A their irrpl3ition. Yoo ae reret,,, F1..R11-ER r-.onFIED that yas ri!tl to prctest the specified feas'exa::ticns DC.ES NOT .APPLY to'M!ler ..-d ,,,,,_ 0Cl1nedrn leas M:J ~ cnr,gas, ncx plannrg, mirg IT"(lrg ex ctt-er sinila 'l'.)plicalirn i:,ocessirg ex SEI\Ace fees in 0Cl1nedirn wth tlis prcjed. i'ffi DC.ES IT .APPLY to any i vJi CE si ·1 Uis t 'Ah the Ii . i 'red THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Ccicyof Carlsbad EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov PROPOSED USE GARAGE (SF) PATIOS (SF} STATE ZIP FAX STATE ZIP FAX STATE LIC. # □BUILDING □FIRE □HEALTH 0HAZMATIAPCO Plan Check No. f lO r 20~ Est. Value SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS vesONoD (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to 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 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: I hereby affirm under penalty of p0fjury one of the following declarations: 0 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 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 _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for whicl1 this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION r □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 wof'r< 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). 0 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). :gJ' 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 ONo 2. I (have I have not) signed an application for a building permit for the proposed work 'j,_ ~PRO □AGENT COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future 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 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon Is conectand that the infonnation on the plans Is accurate. I agree to OJfllplywlth all City ordinances and Sbrte lav.s relatlng to buildlng construction. I hereby authorize representative of the City of Carlsbad toenteruJX)O the aOOve mentioned property bl' inspection PJrp;)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSMD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE Of THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is required fi:>r excavations over 5'fJ deep and demolilKll'l or OJnstruction of struch.Jres over 3 stories in he';)ht. EXPIRATION: Every permit issued by the Building Offx::ial under the provisi:Jns of this Oxle shall expire by !milaoon and beoome null and VOO if the building or wk authorized by such permit is not commenced 'Mlhin 100days from the date of such permit or if the building oroork authorized pe pended or abandoned at anytime after the v.Qrk is commenced for a period of 100 days (&ld:On 100.4.4 UnOOrm Building Oxle). _l_A!':_'APll'PIPL~IC~AN~T~'S~S~IG~NA~T~URE~~~~~~'~'.,(j~:z~......,~~'-!'_~~==~----~DA~T~E-__':~~~~;;j'~tC__!y:7~'._ ______ _J • 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 building@carlsbadca.gov or Mail the completed form to City of Gar1sbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#------------ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER, _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB161208 Type: PME Date lnsi,ection Item . 05/31/2016 29 Final Plumbing 05/31/2016 29 Final Plumbing 04/01/2016 23 Gas/TesURepairs 03/31/2016 23 Gas/TesURepairs 03/30/2016 23 Gas/TesURepairs Tuesday, May 31, 2016 Inspector PD MC MC MC Act RI AP AP co NR BACHER: EXTEND GAS LINE TO FIREPIT Comments NOTICE INSTALL GAS LINE & PROVIDE TEST. Page 1 of 1