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Home My WebLink About2571 ARUNDEL AVE; ; CB121872; Permit09-19-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrlcal (PME) Permit Permit No:CB121872 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2571 ARUNDEL AV CBAD PME 2131702700 Lot #: BURKE RES-GAS & ELECTRIC FOR BBQ & FUTURE SPA Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/19/2012 SKS 09/19/2012 09/19/2012 Applicant: TIM GEORGE CONSTRUCTION Owner: BURKE-NENE FAMILY TRUST 07-12-04 428 E ST RAMONA CA 92065 760-787-5869 2571 ARUNDEL AVE CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $154.00 $31.00 $0.00 $0.00 TOTAL PERMIT FEES $185,00 Total Fees: $185.00 Total Payments To Date: $185 00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: /o/W^^^ Clearance: NOTICE: Please take NOTICE^at 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 v^as issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information vifith the City Manager for processing in accordance with Carlstrad Municipal Code Section 3.32.030, Failure to timely follow that procedure will bar any sut)sequent 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has pfeviouslv othenwise expired. THE FOILOVVING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING • ENGINEERING • BUILDING • HRE • HEALTH • HAZMAT/APCD Plan Check No. A. ^ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldling@carlsbadca.gov vww.carlsbadca.flov Est. Value Plan Ck. Deposit Date JOB ADDRESS CT/PROJEao # OF UNITS « BEDROOMS # BATHROOMS TENAt^fT BUSINESS NAME CONSTR. TWE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area EXISTING USE rPROPOSED USE ^ ADDRESS ' GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NO • ME (Primary caiHact) _ ^ APPLICANT NAME {Sacondary Contact) .1^ ST- ADDRESS STATI ciry STATE ZIP PHONE FAX PHONE FAX EfVlAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS ^d^B ST- CITY STAT CITY— STATE , ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER MAME S. ADDRESS STATE LIC.# ;LASS CITY BUS-LIC^ -y f~ . (Sec. 7031.5 Business ancj Professions Code: Any City or County which requires a permit to construct, altef, improve, demolish or repair any structure, priDrto 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)). Worters' Compensation Declaration: / fwetiy affirm under penalty of perjury one of the fyllomng declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensafion as provided by Section 3700 ot the Labor Code, for the performance of the work (or which this pennit is issued, ^ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the perforniajjce of the wgr^ for whtfh tNs perrjiit 1^ issued. Wy workers' compensation ipsuranfe earner and policy number are: Insurance Co. irkers' compensation, as required by Policy No. mance of the wort; for which this perrrilt is i Expiration Dale. 3tion insurance camet This section need not be completed if the pennit is for one hundred dollars ($100) or less. n Certificate of Exemption: 1 certify that in the performance of the work for which this pemiit 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 woiliers' 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, dajpg^stfi provide<l^or in Section 3706 of the Labor code, interest and attorney's fees. JBS CONTRACTOR SIGNATURE i hereby affirm that I am exetj}pt from Contractor's Ucense Law fix the fdlov/ing reason: • I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who buikls or improves thereon, and wtio does such work himself or through his own employees, fwovided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wipiin 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 contracfing with licensed contractors to construct the project (Sec. 7044, Business and Pmfesskins Cotte; Ttie Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and contracts for such projects with contractor[s) licensed pursuant to Sie Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1,1 personally pian to provide the major labor and materials for constructon of the proposed property improvemenf • Yes O No 2.1 (have / have not) signed an applicafion for a building permit for the proposed work. 3.1 have contracted wilh Ihe foHoiMng person {fm) to provide Ihe proposed conslruclion (include name address/ phone / contractors' tense number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provde the major wori( (include name / address / phone / contractors' license number): 5.1 will provide some ot the vi«rk, but I have contracted (hired) the following persons to provide the work indcated (include name / address / p^ione / type of vrork): yfifpROPERTY OWNER SIGNATURE •AGENT OATE 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 pennit 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? D Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY 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 affimi that there is a construction lending agency for the performance of tfie work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I C8t% that I have lead the application and state that the above Infomiation is conect and that the infomiation on the plans is accurate. I agieetocomply with all Ci^ordinancesand State lave leiattng to building construction. I hereby authorize representative of the Oty of Carlsbad to enter upon the abo\e mentkined property far inspection purposes. I ALSO AGFEE 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 SO' deep and denwiition or constfudion of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Oflidal under Ihe proviskins of this Code shall expire by limitation and become null and void if the buikJhg or vwri^ authorized by such permit is not commenced vwtiin 180 (iays from the date of such pennit orjMlfBuiafriQor vwri< autheri£&ti^ such pemiil is suspended or abandoned at any time after the vwirit is commenced for a period qf 1 BO days (Section 106.4.4 Unifonn Building (Tode). yfi^APPLICANT'S SIGNATURE >^ 1 / L^I^^ 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) 602-6560, Email www,buijdinq@carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDt^ESS BUILDING ADDRESS CtTY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS • PICK UP: • CONTACT (Usted above) • OCXJUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Usted above) • CONTRACTOR (On Pg. 1) n MAIL / FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTHUCTION -efAPPUCANT'S SIGNATURE DATE Inspection List Permit#: CB121872 Type: PME Date Inspection Item 10/26/2012 23 Gas/Test/Re pairs 10/26/2012 39 Final Electrical Inspector Act Rl 09/21/2012 23 Gas/Test/Repalrs MC 09/21/2012 31 Underground/Conduit-Wirin MC Rl AP AP BURKE RES-GAS & ELECTRIC FOR BBQ & FUTURE SPA Comments UNSURE OF CODE/FINAL ELECTRIC GAS BBQ UNSURE OF CODE/FINAL ELECTRIC GAS BBQ METTER TO BBQ AND FP BBQ, FUTURE SPA Tuesday, October 30, 2012 Page 1 of 1