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Home My WebLink About2559 Ingleton Ave; ; CB143404; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-04-20 14 Permit No: CB 143404 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2559 INGLETON AV CBAD PME 2131305200 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: MUNDY RES-REPAIR SECTION OF SEWER LINE IN FRONT YARD DUE TO ROOT INVASION Applicant: CARLSBAD PLUMBING COMPANY 6438 LIVE OAKS DRIVE CARLSBAD CA 92009 760 603-1299 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: MUNDY RICHARD J&TERESA I 2559 INGLETON AVE CARLSBAD CA 92009 ISSUED 12/04/2014 RMA 12/04/2014 12/04/2014 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 NOTICE: Please take N ICE 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 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. , THE FOLLOWING A~PROVAL,'> REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING ('City of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNIT# O('BUILDING O FIRE Plan Check No. CT/PROJECT# LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX GARAGE (SF) PATIOS (SF) PROPERTY OWNER ADDRESS ZIP CITY STATE PHONE FAX EMAIL SW PPP CONSTR. TYPE OCC. GROUP ZIP FIRE SPRINKLERS YESO NoD DESIGN PROFESSIONAL CONTRACTOR US. NAME VZ..'-.5 S ~ 1) f\ .... \,\ ~ NC-( <.; ADDRESS ADDRESS 0(2 CITY STATE ZIP CITY C fl\'U.S .t>n o ZIP 71-.0 t'J 9 PHONE FAX PHONE 71.," FAX EMAIL EMAIL C...fh"t..'-S \(!. I'\ 'C t\_.,.. "'--O>NC. STATE UC.# STATE UC.# CLASS CITY BUS. UC.# g34-g-3, C 3 G:> (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 exempt therefrom, and the basis for the 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)). -1 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 performanoe of lhe work for which this permit is issued. I have and will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuranoe carrier and policy number are: Insurance Co. Policy No. Expiration Date ---------- ~section need not be completed ~ the permit is for one hundred dollars ($100) or less. )el Certificate of Exemption: I certify that in the pertormanoe 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 (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE '"1::) j 'l- I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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. 0 Yes 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I 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 I address I phone I contractors' license number): 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 I type of work): 25 PROPERTY OWNER SIGNATURE 0AGENT DATE , 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. Lender's Address I certify that I have read the application and state that the above Information is correct and that the information on the plans is accurate. I agree to comp\yv.ith all City ordinances and State laws re\ating1D building cons1ruction. I hereby authorize representative of the City of Carlsbad to enter upon the above menooned property k>r 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permn is requred for excavations over 5'0' deep and demoliton or oonstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Ofocial under the provisons of this Code shall expire by limitation and berome null and vod [ the building or work authorized by such permit is not commenced 'Mthin 180 days from the date of such permn or if the building or v.ork authorized by such permn is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ 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. CERTIFICATE OF OCCUPANCY {Commercial ProJccts 0 n I y I Fax (760) 602-8560, Email buildinq@cartsbadca.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 ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB143404 Type: PME Date Inspection Item 12/05/2014 22 Sewer/Water Service 12/05/2014 29 Final Plumbing Tuesday, May 19, 2015 Inspector Act PY AP PY AP MUNDY RES-REPAIR SECTION OF SEWER LINE IN FRONT YARD DUE TOR Comments Page 1 of 1