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HomeMy WebLinkAbout2425 MOUNTAIN VIEW DR; ; CB142682; PermitCity of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Plumbing/Mechanical/Eiectrical (PME) Permit 10-15-2014 t Permit No:CB142682 Building Inspection Request Line (760) 602-2725 Job Address: 2425 MOUNTAIN VIEW DR CBAD Permit Type: PME Status: ISSUED Parcel No: 2030230900 Lot #: 0 Applied: 10/15/2014 Entered By: LSM Reference #: • - Plan Approved: 10/15/2014 PC #: . . Issued: 10/15/2014 Inspect Area: Project Title: FORESTER RES- RELOCATE GAS GAS METER! RELOCATE WATER LINE FROM METER TO HOUSE Applicant: Owner: JOHN FORESTER ADMIRAL BLUE EXHANCE CO LLC STE 108 300 CARSLBAD VILLAGE DR 1201 PEMBROKE LN CARLSBAD CA 92008 NEWPORT BEACH CA 92660 760-535-4343 760-535-4343 Plumbing Fees $160.00 Electrical Fees- $35.00 Mechanical Fees $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: $0.00 f//ill FINAL AP'RO\FAL Inspector: ' Date: t// 1'2O/5 Clearance: NOTICE: Please take N(ITICE that approval of your project includes the impoition 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 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 plannin, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any __________ 5,.<-pIc.. , ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING GENGINEERING DBUILDING EJFIRE EJHEALTH DHAZMATIAPCD I Building Permit Application, Plan Check No. 'q City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Vilue C Ph: a.rISDa. S l 'i 760-602-2719 Fax: 760-602-8558 *femail: building©carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 101 I's ' "-4 Iswpp. SI JOBSADDRESS,...S..J SUITE#/SPACE#/UNIT# APN ')L7( iJP.) q7 0 Q' - - - CT/PROJECT C LOT C PHASE C C OF UNITS C BEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CCC. GROUP I)ESCRIPTION OF WORK: Include Square Feet of Affected Area(s) , s ID V f4ce (.J4/e EXISTING USE . PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES#. NOE YES JNO D YES] NO[::] APPLICANT NAME '. . PROPERTYOWNER PrlmaryContact* JPYS1'CP e't 1"1" ADDRESS yl o Cc4rI)a4ci( (4'//4ç.. O'iO34 )fV ADDRESS " CITY . STATE ZIP CITY STATE ZIP . Cr/j4e,,f Ce,. -"O? PHONE 76o 9'35" L43%'3. FAX S. PHONE . . FAX EMAIL.. DESIGN PROFESSIONAL . . CONTRACTOR BUS. NAME .. ADDRESS ••. ... . •. . ADDRESS . ..' CITY STATE ZIP CITY '. STATE ZIP PHONE . FAX PHONE 1FAX, : EMAIL .. EMAIL - —717-7 0r— C STATE LIC.0 . CLASS., ., CITY BUS: LIC.# (Sec. 7031.5 Business and Professions Code: Any city or County which requires a permit to construct, alter, improve, aemOiiSn or repair any structure, prior to its issuance, aiso requires we 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 theapplicant to a civil oenaltv of not more than five hundred dollars 35001). . Workers' Compensation Declaration: thereby affirm under penalty of perjury one of the following declarations: . * El 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 theperforrnance of the work for which this permit is issued.: 'El I have and will maintainworkers' 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 carder-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. [] Certificate of Exemption: I certify that in the performance 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 criminal penalties and civil fines up to one hundred thousand dollars (9100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees, CONTRACTOR SIGNATURE . 0 AGENT . DATE . I hereby afflirn that I am exempt from Contractor's License Law for the following season: 1, is 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 doessuch 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 salO). [] 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 Ucense Law). [J I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to piovide the major labor and materials for construction of the proposed property improvement; 0Yes DNo S 2.1(have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the pioposed construction (include name address! phone !contractors' license number): I plan to provide portions of th work, but I have hired the following person to coordinate, supervise and provide the major work (include name Iaddress I phone !contractors' license number): twill me I the Y44, but I have con i cled ' d) the following persons to provide the work indicated (include name! address phone type of work): - VL—N .."PROPERTY OW R SIGNATURE '- - . . S - . - S - DAGENT DATE / b - 1 ¶ - , (®G [ 7OOO 7O( '®(I1 0JOiC O(0l1C)0 @)()1W 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. ®170®tI L(c7 I hereby affirm that there is 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 Ol 0O?0®) I certify that I have read the application and state thatthe above Information Is conectand thatthe Information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspeon purposes. 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 permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Everypermitissuedbythe8uiIingOffdaIunderJtre provisions of this Code shall expire by limitation and become null and void if the building or work authorized bysuth permit is not commenced within l8odaysfrom the date ofsuch peimitorif I in rwork thorizedbysuthperm dedor abandoned at any time after the work iscommenced for aperiodofl8O days (Section 106.4.4 Uniform Building Code). ...'APPLICANT'S SIGNATURE If DATE io STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. raTIFJ CATE SP Fax (760) 602-8560, Email buiIdinacasbadCa.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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On NO CHANGE IN USE/ NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ..gAPPLICANT'S SIGNATURE DATE Inspection' List Permit#: C8142682 Type: PME FORESTER RES- RELOCATE GAS GAS METER! RELOCATE WATER LINE FR. Date Inspection Item Inspector Act Comments 06/18/2015 29 Final Plumbing - RI EXPIRING PERMIT/NEEDS FINAUPERMISSION TO ENTER 06/18/2015 29 Final Plumbing PY AP 03/26/2015 23 Gas/Test/Repairs PD CO 10/22/2014 23. Gas/Test/Repairs PY AP . . 10/20/2014 23 Gas/Test/Repairs. PY NR F) Friday, June 19, 2015 Page lofi p. . I