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Home My WebLink About2583 Ingleton Ave; ; CB111850; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-25-2011 Plumbing Permit Permit No: CB111850 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2583 INGLETON AV CBAD PLUM 2131304600 Lot#: 0 Construction Type: NEW SHARIF RES-GAS & ELECT TO BBQ GAS TO FIREPIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/25/2011 LSM 08/25/2011 08/25/2011 SHARIF SJ ASSET PROTECTION TRUST 12-16-05 SHARIF SJ ASSET PROTECTION TRUST 12-16-05 2583 INGLETON AVE CARLSBAD CA 92009 760 504 5030 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 Total Fees: lnspec $47.00 0 0 0 0 0 1 0 2583 INGLETON AVE CARLSBAD CA 92009 $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 Payments To Date: $47.00 Balance Due: FINAL APPF,OVAL Date: /IJ' b · /( 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 tor 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. ~ <<(:'» ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# EXISTING USE APPLICANT NAME (Primary Contact) ADDRESS CITY PHONE EMAIL ()Stl(f-so3"o g:SS}t ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca,.gQy SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date~ z_s; APN # BEDROOMS # BATHROOMS TENANT BU INESS NAME PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF) FIREPLACE YESD #_ NOD APPLICANT NAME (Secondary Contact) ADDRESS STATE ZIP CITY STATE FAX PHONE FAX Al CONTRACTOR BUS. NAME ADDRESS CITY STATE 7 PHONE FAX EMAIL STATE LIC. # STATE UC.# CLASS // SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES O NOD ZIP ZIP CITY BUS. UC.# (Sec, 7031.5 Business and Professions Code: Any City or Coun.ty 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 1s licensed pursuant to the provisions of the Contractor'_s License Law {Chapter 9, commending with Section 7000 of Div1s1on 3 of the B_usiness and Professions Code} or that he is exemJ;lt 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 c1v1I penalty of not more than five hundred dollars {$500}). . lllnilRKIHU' itollill!IIIIIDl,'l"ION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l:l 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 the work for which this permit is issued. l:l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whicti this permit is issued. My workers' compensation insurar.c:e carrier 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. l:l Certificate of Exemption: I certify that in the pelformance of the work for which this perm rt is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallureto secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll 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. ~ CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: C] 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 Lice11Se 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. II, 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). C] 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. C] Yes C] 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): .A$ PROPERTY OWNER SIGNATURE Cl AGENT DATE ls 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? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 certify that I have iead the application and state that the above infonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agme to comp~~ all Cily ordinances and State laws relating to building construction. I hereby authorize reµ-esentative of the City of Carlsbad to enter uixin lhe aOOve mentOned property br inspection purp::1ses. I ALSO AGREE TO SAVE, INDEMNIFY PND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CJ' THE GRANTING CJ' THIS PERMIT. OSHA: AA OSHA penn~ is required br excavations over 5'0' deep and demoldion orronstructOn of structures over 3 stories in height. EXPIRJ\TION: Every pennlt issued by lhe Buildin Official underlhe provisio of this Oxle shall expire by limitatOn and become nul and void tt the building or'M:lrk authorized by such perm~ is not romrnenced 'MIilin 180days from the date of such pennlt or if the b ing or rk authorized uch pe~~~~U§J)§n.ded or abandoned at any time after the 'M:lrk is oommenced for a perod of 180 days (SectKln 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB111850 Type: PLUM Date lnspecti<>n_lte_111_ 10/06/2011 23 Gas/TesURepairs 10/06/2011 29 Final Plumbing 10/06/2011 34 Rough Electric 10/06/2011 39 Final Electrical 09/14/2011 23 Gas/TesURepairs 09/14/2011 24 Rough/Topout 09/09/2011 29 Final Plumbing 09/09/2011 39 Final Electrical Tuesday, April 10, 2012 Inspector Act TP AP TP TP TP TP TP TP TP AP AP AP PA WC co co SHARIF RES-GAS & ELECT TO BBQ GAS TO FIREPIT Comments 4 FT SECT AT HOUSE ONLY VISABLE LINE FOR INSP PRIOR TO INSP EXPOSED GAS LINE@ HOUSE 4FT SECTION REMAINING GAS LINE UNDER CONCRETE INSTALLED W/0 INSP (GREEN COATED GAS LINE) SEE CARD Page 1 of 1