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Home My WebLink About2434 MICA RD; ; CB101780; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-28-2010 Plumbing Permit Permit No: CB101780 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2434 MICA RD CBAD PLUM 2132700900 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: VELARDE, RICHARD 1117 MULLEN WY VISTA, CA 92083 STERMAL RES GAS/ELECTRIC TOBBO Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: WILLIAM LYON HOMES INC 4490 VON KARMAN AVE NEWPORT BEACH CA 92660 ISSUED 09/28/2010 KG 09/28/2010 09/28/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $4 7 .00 Balance Due: lnspector:L d1. 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 iil 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. • «~-Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No.C!) / {) / 7Pc) ¥ CITY OF CARLSBAD JOBADDRES 2-- CT/PROJECT# Fax: 760-602-8558 www.carlsbadca.gov # OF UNITS # BEDROOMS Est. Value Plan Ck. Deposit Dat SWPP SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUStN NAME ROUP r,0 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (Sf) FIRE SPRINKLERS YES □NO □ CONT ACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL .....,, ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATELIC.:'.Gs--. 3 ~7' ucozzo (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 exem_pt therefrom, and the basis for the alleged exemption. Arr; violation of Section 7031.5 by any appllcanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby atrltm under penalty of perjury one of the following declsral/ons: □ I have and will maintain a c:ertlflcate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. fJ I have and will maintain workers' c:ompensatlon, as reqlired 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 _________ _ '!!!!s_rion need not be completed If the permit is for one hundred dollars ($100) or less. JJ" 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 lo become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure wortters'_c:ompensatlon c:overage Is unlawful, and shall subject an employ8f' to c:rimlnal penalties and c:MI fines up to one hund..-d thousand dollars (&100,000), In addition to the c:ost of c:ompeneatlon, damagas as provided for In Sec:tlon 3706 of the Labor code, Interest and attorney's fffa. AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's UC611se 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 ffllo 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, hc,,vever, the building or improvement is sold within one year of completion, the owner-bu~der 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 conslrucl the project (Sec. 7044, Business end Professioos Code: The Contractor's License Law does not apply lo an owne, of property who builds or improves thereon, and contracts for such projects with contractcr(s) licensed pursuant lo the Contractcr's License Law). □ I am exempt under Section _____ .Business and Professions Code for this reason: 1. I personally plan to provide Iha major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have / havt1 not) signed an application for a building permit for the proposed won<.. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan lo provide portions of Iha won<., but I have hired the following pel'SOn to coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number): 5. I will provide some of the v.u1t, but I have contracted (hired) the following persons to provide Iha work indicated (include name/ address/ phone/ type of won<.): AS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applk:ant 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 D No Is the applicant or future building occupant 1'9Quired to obtain a permit from the air pollution control disbict or air quaWty management distlict? □ Yes D No Is the faclllty to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D 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 DtSTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constructKln lenchng ageocy for the performance of the woril: this perrmt 1s issued (Sec. 3097 (1) C1vd Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read tile application and state that the above Information Is ool1'8Ct and that the lnfonnation on the plans Is accurate. I agree to complyMth all City 01tUnances and State laws ielatlng to bulldngc:onstrucaon. I heraby au1ho!ize llljll8S8n-of lhe City ofCaOlbad t, enler l4)00 lhe above meolioned property u nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARi.LESS TIE Cm' OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEITTS, COSTS ,>ID EXPENSES WHICH MAY IN ANY WAY ACCRUE AGPJNST SAID Cm' IN CONSEQUENCE OF TliE GRANTING OF T!ilS PERMIT. OSHA: AA OSHA pem,lt is requred fct excavations ovar 5'0' deep and derrdioon oc a>nslrucoon of slruclures over 3 sbies Jl her;,ilt. EXPIRATION: Eve~ perm, issued by lhe Bui<ling Olocial "1der lhe pro,isi)ns of l1is Code shall expn, by imitaliln and beCXlme nul and void I lhe buidi1g or"""' auf1orized by such pe,mil is no1 commenced - 180 days from lhe dale of soch pe,mil or ,lhe ooildr,g or"""'au1r<lrized by such penl)i ~•~ at any lire after lhe"""' is commenc:ed ua perod of 180 days (Seclion 106.4A Unit>rm Buildilg Code). ~APPLICANT'SSIGNAl\J~~-1:::-•'',:'.,...-DATE ~ -/ {J • City of Carlsbad Bldg Inspection Request For 02/16/2011 Permit# CB101780 Title: STERMAL RES GAS/ELECTRIC Description: TO BBQ Type:PLUM Sub Type: Job Address: 2434 MICA RD Suite: Lot: 0 Location: APPLICANT VELARDE, RICHARD Owner: GARDNER LESLIE Remarks: Total Time: CD Description 29 Final Plumbing 39 Final Electrical f: Comma"" Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns~ection Histo!Y Date Description Act lnsp Comments Inspector Assignment: PD --- Phone:~477:_4 lnspec~ -'----- Requested By: RICHARD Entered By: CHRISTINE 02/10/2011 29 Final Plumbing co PD NOTICE ATTACHED 02/10/2011 39 Final Electrical co PD 10/01/2010 23 Gas/TesVRepairs AP PD 10/01/2010 24 RoughlTopout WC PD 10/01/2010 31 Underground/Conduit-Wiring AP PD CONDUIT 10101/2010 34 Rough Electric WC PD