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Home My WebLink About2367 GEODE LN; ; CB152884; Permit. ' City of Carlsbad ,. 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-03-2015 Permit No: CB152884 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2367 GEODE LN CBAD PME 2132722000 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: JURADO RES-GAS 7 ELECT TO BBQ , ELECT TO FOUNTAIN & GAS TO FIREPIT Applicant: HARLOW LANDSCAPE STE 115 5927 BALFOUR CT CARLSBAD CA 92008-7343 760-271-7240 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: JURADO MICHAEL J 2367 GEODE LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 09/03/2015 RMA 09/03/2015 09/03/2015 $163.00 $38.00 $0.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: FINAL_e.~l;FftL Date: ~ 'f. Clearance: $0.00 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 permit 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 Garlsbad 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 f e xa ti n of whi h h v r viousl b n iven a NOTICE simil r hi r st which the sta ute of limi a i ns has reviousl otherwis x ir THE FOLLOVflNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH O HAZMAT/APCD , (_ City of Building Permit Application Plan Check No. (}1 /5 ;)_J'yL) 1635 Faraday Ave., Carlsbad, CA 92008 " V ~ V I Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov JU-www.carlsbadca.gov Date 'If/ ~/I~ lswPPP JOB ADDRESS L"-, SUITEf/SPACEf/UNIU r IA~ ·2~c.., 0 C OcA < --- CT/PROJECT• l LOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME 1CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 'F':re . ~ n. 6Q... 5 c:.. <; +o 11 -t- ..fc> bbc, r -:r ,0 ,..,._........._-f c:. ;. V\... e f .c. c:-fr 1 ~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE r R CONDITIONING I FIRE SPRINKLERS YES Q . NU YES 0 No0 m O NoO APPLICANT NAME "R, ~r-\ PROPERTY OWNER\\ eA, Primary Contact -r-o,.,,.,t,.o-.--.__ '--"-' e....-r C) ADDRESS ADDRESS (_r-.., 7 '70 /1,o-< de"'-~~'( i..f-'2.3<:,7 6~ooA...~ CITY STATE ZIP CITY STATE ZIP L ~rr~0 ..... ...(.__ C.f+ -, -z.c:, ¢< I {_c.-..r \.-s bo....,).... c:P. 4' i._ C0 '15" PHONE IFAX PHONE I FAX 7<:C -'2 7 t-7Z 't"C (, I c; -50? ·? '&"'75 EMAIL b---rt,..-~ ' EMAIL a. .,__ .,__. I ' L. C) .,,,.--. DESIGN PROFESSIONAL C0NTRACTo;..,us. NAME c...r\a~ I "'-"'-.,,,ls c.c.... c--. c:=. ADDRESS ADDRESS ff-. lco~ c-f-• 5'7'27 ~.~ t!S CITY STATE ZIP CITY STATE ZIP 6-< l~ i-:,c.....,,A... c.. 1-l 47z_c::::ioY- PHONE ]FAX PHONE IFAX 7GC -2.? I-7:Z </0 EMAIL EMAIL bu-....-t -~ ,.... ~ q ....... -: l . c::.o-- I STATE LIC. # STATE UC.# -1 c~-z 7 I c1TY ;·~c-~ /;{ J :/? ~ 'f(;2 7'f3 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improv~. demolish or re air 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 IC~a'f.ter 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 703 .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: I hereby affirm under penalty of pe,jury one of the following dec/araffons: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 ol the Labor Code, for lhe perlormance of lhe wort< 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 perlormance of the wort< for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. _____________________ Policy No. _____________ _ Expiration Date _________ _ ~ h. section need not be completed if the permit is 101 one hundred dollars (S100) or less. Certificate of Exemption: I certify that in the pertormance of the wort< for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of ornia. 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, ~s r,ovlded for n Section 3706 of the Labor code, Interest and attorney's fees. / / 2S CONTRACTOR SIGNATURE !'~~Z--------•AGENT DATE 9 P / 0' I hereby affirm that I am exempt from Contractor's License Law for the following reason: • • • I, as owner of the property or my employees wilh wages as their sole compensalion, will do the wort< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(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. It, 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 ot the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves lhereon, and contracts lor such projects with contractor(s) licensed pursuant to the Conlractor'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. O Yes 0 No 2. I (have I have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supeivise and provide the major wort< (include name I address f phone / contractors' license number): 5. I will provide some of lhe work, but I have contracted (hired) the following persons to provide the wort< indicated (include name/ address I phone/ type of wort<): RS PROPERTY OWNER SIGNATURE •AGENT DATE , 7 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 tJ\e 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. Lender's Address I certify that I have read the application and state that the above inlornnation Is correct and that the inlonrnation on the plans Is accurate. I agree to cornplyv.ith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad lo enter upon the above mentioned property 1:>r inspection ixirposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penrnrt is requ~ for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heght. EXPIRATION: Every penrnil issued by the Building Official under the provisions of this Code shall expire by limitation and become null and vod ff the building or mrl< authorized by such permit is not commenced v.ithin 180 days from the dale of such permit or if the buildi!)g or iu~ such penrnrt is suspended or abandoned at any time after the mrl<DiAsTcornE men: 1pe~/ 5 of 180 days (Section 100.4.4 Unifonrn Building Code). Ji$ APPLICANT'S SIGNATURE ~ ,-/_.l / / STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY {Commercial Projects on I y I Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I 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 L5 APPLICANT'S SIGNATURE DATE , Inspection List Penn it#: CB152884 Type: PME JURADO RES-GAS 7 ELECT TO BBQ , ELECT TO FOUNTAIN & GAS TO FIREPI Date Inspection Item Inspector Act Comments 03/09/2016 29 Final Plumbing RI 03/09/2016 29 Final Plumbing PD AP 03/09/2016 39 Final Electrical RI 03/09/2016 39 Final Electrical PD AP 09/11/2015 23 GasfTesVRepairs PD AP 09/11/2015 31 Underground/Conduit-Wirin PD AP Thursday, March 10, 2016 Page 1 of 1 \ \ \ \~ ~ " r-N 1'--'\ I' \,I \ " -f.. \~ c...1\ .._J ,--. -I,\ ~ 11" p ..,. ~ \ II\ \5"" G' T 1 ·;-- .. ~ ~ r p i \ +--, r () ...JI 1 t ?- -+, r, I' (). ~ p f\ "' F ;\ ? + .. ,t-"ti r-~ t 0 ( • t t r i;<.l (\ (J:) u-1 ,. p :;:) 0 \ \