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Home My WebLink About2519 Palomar Airport Rd; 101; CB132594; Permit10-23-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/iVlechanical/Electrical (PIVIE) Permit Permit No: CBI32594 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2519 PALOMAR AIRPORT RDCBAD St 101 PME 2130201800 Lot# 0 CYO PIZZA UNDERGROUND PLUMBING Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/22/2013 JMA 10/23/2013 10/23/2013 Applicant TODD Owner COUNTY OF SAN DIEGO 760-277-3582 PUBLIC AGENCY 00000 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $158 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00 Inspector FINAL APPROVAL Date ^1 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "tees/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 nght 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. IZlPLANNING DENGINEERING •BUILDING QFIRE DHEALTH • HAZMAT/APCD | ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www.carlsbadca.gov Plan Check No. CP) [^'^2sS^<-f Est. Value Plan Ck. Deposit Date (0 I i 3 [SWPPF JOBADDRESS , , •^-2.5/9 F^lopo^n A^VTrrV CT/PROJECT# I LOT* 1 H PHASE # [W SUiTE#/SPACE#/UNIT# 5-/0/ I z/ J-^20 - /'k # BATHROOMS TENANT BUSINESS NAME j CONSTR TYPE 3L # BEDROOMS DESCRIPTION OF WORK, /nc/ude square Feet or Afrectei>/lrea(s; , -y EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |N0| I APPLICANT NAME (Primary Contact) APPLICANT NAME ^Secondary Contact; ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP FAX PHONE FAX ElVIAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP C0NTRACT0B8I ADDRESS iD^I PHONE EMAIL ^ ' ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# (Sec 70315 Busmess and Professions Code Any City or County wtiich requires a permit to construct alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9. commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe 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}) i Workers' Compensation Declaration / hereby affirm under penalty ofpeijury one ot the follomng declarations 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 fhe worii for which this permit is issued 11 have and will maintain workers' compensation, as reguired 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 numberare InsuranceCo Policy No Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption. 1 certify that in the perfonnance of the wori( for which this pennit 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 cnminal penalties and civil fines up to one hundred thousand dollars (&iOO,000), in addition to the cost of compensatioivdamages as provided for in Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNAIW^^^^,,...,^^^^^7 -v • *<5ENT DATE / hereby affimi that I am exempt from Contractor's License Law for the follomng reason I I 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 I 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 I I am exempt under Section Business and Professions Code for this reason 1 1 personally plan to provide the major labor and matenals for construction of the proposed property improvement I lYes 2 I (have / have not) signed an application tor a building permit for the proposed work 3 I have contracted with the following person (firni) to provide the proposed constmction (include name address / phone / 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 / phone / contractors' license number) 5 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the worii indicated (include name / address / phone / type of worii) ^efpROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and preventon program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf , Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP 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 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 I certiiy that I have read the application and state that the above infonnation is conectand that the infoimaton on the plans is accurate. I agree to comply with all Criy ordinances and State laws lelating ti) building constiuction I hereby authonze representative of the City of Carisbad to enter upon the above mentioned property for inspection 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 CIPr' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pemirt is required for excavations over 5'0' deep and demolrttin or constnjction of stnictures over 3 stones in heght EXPIRATION Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by linnitation and become null and void if the building or worti authorized by such perniit is not commenced within 180 days from the date of such pemnitjjwf+i^uilding or worii authonzed by such penrat is^uspended or abagdoned at any tme after the worii is commenced fbr a penod of 180 days (Section 106 4 4 Unifomi Building Code) APPLICANT'S SIGNATU] Drii authonzed by such penrat issuspended or abandoned at any tme atter the worii is commenced tor a penod ot 1HU days (bedion 1 Ub 4 4 Unitomi Buildi STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. FICATE > j e t t s Fax (760) 602-8560, Email buildina(a)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008 C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS PICK UP: , CONTACT (Listed above) \ OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL TO: CONTACT (Listed above) ' OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL/FAX TO OTHER: [ I'i ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANTS SIGNATURE DATE Inspection List Permit*: CB132594 Type: PME CYO PIZZA: UNDERGROUND PLUMBING Date inspection Item Inspector Act Comments 12/23/2013 29 Final Plumbing PD AP 10/30/2013 11 Ftg/Foundation/Piers PD AP 10/24/2013 21 Underground/Under Floor PD AP 10/24/2013 31 Underground/Conduit-Winn PD AP Thursday, February 13, 2014 Page 1 of 1