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Home My WebLink About2403 LA COSTA AVE; B; CB150391; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-05-2015 Permit No: CB150391 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2403 LA COSTA AV CBAD St: B PME Status: Parcel No: 2162405553 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: FIEDLER: GAS TO WATR HTR & DRYER CAL'S PLUMBING INC. 1345 ENCINITAS BLVD ENCINITAS CA 92024-2845 760-519-1402 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: VALDES PAUL&GIT¥ ~ 7900 FR:0ND030 BR '"SAN DIEGO CA 92126 ISSUED 02/05/2015 JMA 02/05/2015 02/05/2015 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: fltl · ~ ~ FINAL APPROVAL Date: o-zl r> -:,/ 15 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 infonnation 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 service fees in connection with this project. NOR DOES IT APPLY to any f e x in fwhi h hav v· I n iv naN Tl Esimilar hi ra towhi h h flimit i h r vi usl th rwi THE FOLLOWING APPRO'.IALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD c·cicyof Building Permit Application Plan Check No. r"f) I S-0 31 / 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Depo_slt email: building@carlsbadca.gDv www.carlsbadca.gov Date '1 I <::' I 1 , ISWPPP JOBAO;l:'4-03 _1,.. ; A-u,._,:,-1.4 A c-CMLJUJ.l llTE#/SPACEf/UNITf 9)£Vt IAPN --- CT/PROJECT# ILOT# PHASE# # OF UNITS I# BEDROOMS' # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) .rµ:57l1U..JdJ .-fH1.£ai~Lf-t 70 'PF· ~AV12."'1.) b,'f") ll•~Pi'/P<-t G--t'S ~'-tl::Udl. 'W ~ /tctti1:t1. ~) C.U;T/ll:':, O•lYYt.... ~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO Nc0 vesONoD vesONoO APPLICANT NAME PROPERr:~ ~LC""" l==/L-Zli L),(__ Primary Contact ADDRESS ADDRESS ,'\ '{ J..A-CL/2/)'f ~-J..lll_J ·-I CITY STATE ZIP CITY STC,lr ZIP'9~ ~S/j,11) PHONE IFAX P"9fw--$'1'-~bJs-lFAX EMAIL EMAIL STl::U::JJ--FI £1)I 1-4'1.. C,, '-I AHti> ·U,!1"'1 DESIGN PROFESSIONAL CONTRACTOR BUS. NAMEC9AL.5 PWMdiVb-.l:.L-'C. ADDRESS ADDRESS.)'i'S"° rl-15 I . f::.'7-,,C._J.U11 i)LVtJ, 571: 71/ CITY STATE ZIP CITY!:~ ' TJl'r~ STATE ZIP ,;;..,,/ I • C,4 q;,1µ_,;.t1 PHONE IFAX PHONE 71.b-::.1~1-/Lf())._ IFAX EMAIL EMAIL _ Ot'L .. "l Pi..Vl-"fd1icJL,-Q.)U'tb-b-iWl1L-u,.,i,, STATE LIC. # STAt't/a L/JI., llf"c.3" I CITY '";;hp/,' Rcf (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re~air an)'. structure. prior to its issu!lnce}~ls~requires the applicant for such permit to file a s1 ed statement that he is licensed pursuant to the provisions of the Contractor's License Law C a ter 9, commending with Section 70 O of Division 3 of the Business and Professions Code) or fat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section }03f5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affltm under penalty of pe,jury one of the following declarations: B 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. I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for whk:h this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ ~~n need not be completed if the permit is for one hundred dollars ($100) or less. (Yterttflcate of Exemption: I certify that in the performar,ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crtmlnal penaltles and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages a~_Provided for J9-Sectio 06 ~~ L code, Interest and attorney's fees. A$ CONTRACTOR SIGNATURE ~A . 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 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. 0Yes 0No 2. I (have/ have not) signed an application for a building pennit for the 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 to coordinate, supervise and provide the major work (include name/ address I phone / contractors' license nllmber): 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): A$ PROPERTY OWNER SIGNATURE □AGENT DATE ! • COMPLETE. TH 1\, SECTION FOR NON• RE$ IO ENT I AL BU IL O ING 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 LENPING AGENCY I hereby affirm that there 1s a construction lending agency for the perlormance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPllCANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon Is conact and that the lnfonnationon the plans Is accurate. I agree tD romplywith all City oldinances and Sta1e laws relallng 1D buHdlng construction. I hereby authorize representative of the City of Cartsboo to enter u~n the alxlve mentioned property br inspection purp::1ses. l ALSO AGREE TO SAVE, INDEMNIFY .A.ND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIDCrTY IN CONSEQUENCE OF THE CRANTING OF THIS PERMIT. OSHA: M OSHA pennlt is requred for excavations over 5'0' deep and demolltim or coostruction of structures over 3 sbries in hejJht. EXPIRATION: Every permit issued by the Buikling Offk;ial under1he provisbns of this Code shall expire by IITlrlation and become null and VOO tt the buikling or w:xk authorized by sudl permit is not oommenced 'Mlhin 180 days from the date of such permit or if the lxlilding orv.or1<. authorized by such permit IS suspended or abandoned al any time after the v.ork IS oommenood for a period of 180 days (SeciKJn 100.4.4 Unifonn Buikling Code). ,6$ 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 buildinq@carlsbadca.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. LIC, No. DELIVERY OP110NS PICK UP: CONTACT (Listed above) OCCUPANT (listed above) CONTRACTOR (On Pg. .1.J MAIL TO: CONTACT (Listed above) CONTRACTOR (On pg_ .1.J OCCUPANT (listed above) MAIL/ FAX TO OTHER: _______________ _ ..S APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTIIUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP . ' Inspection List Permit#: CB150391 Type: PME Date Inspection Item 02/06/2015 23 GasrresURepairs 02/06/2015 23 GasrresURepairs 02/06/2015 29 Final Plumbing 02/06/2015 29 Final Plumbing Monday, February 09, 2015 Inspector MC MC Act RI AP RI Fl FIEDLER: GAS TO WATR HTR & DRYER Comments UNIT B UNIT B Page 1 of 1