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Home My WebLink About2604 EL CAMINO REAL; B; CB120480; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-16-2012 Permit No: CB120480 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2604 EL CAMINO REAL CBAD St: B PME 0000000000 Lot#: UPS STORE-INSTALL GAS METER 0 Applicant: Owner: ALBANNA ABE 2604 EL CAMINO REAL CARLSBAD 92008 619-889-5854 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $150.00 Total Payments To Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/16/2012 KG 03/16/2012 03/16/2012 $150.00 $0.00 $0.00 $0.00 $150.00 $150.00 Balance Due: -r;;? ~ FINAL APPROVAL Inspector: ~A Date: Y-?]f2,, 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 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 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. «'» ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Est. Value CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit Date · WPPP 11 OF UNllS # BEDROOMS I 0 DESCRIPTION OF WORK: Include Squ11111 Feet of Affected Area(s) GA~SF) STATE c A O(e. Co'IY\ STATE UC.# PATIOS(SF) eF FIREPLACE YESD AIR CONDITIONING FIRE SPRINKLERS N~ YES[XI_No D YES0 N00 APPLICANTN,\ME(Seconduy Contact) ADDRESS CITY STATE ZIP PHONE FAA EMAIL CONTRACTOR BUS. NAME ADDRESS PHONE EMAIL STATE UC.# CLASS CITY BUS. LIC.# (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 [hat 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 cMI penalty of not more than five hundred dollars ($500)). Workers' Compensallon Oeclaratlon: I hereby affirm under penally of /)6/jury one of the following dec/araHons: B I have and will maintain a certificate of consent to self-insure for wOfkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for 1>,nich this permit is issued. I have and wlll maintain workers' compensation, as reQUired by Section 3700 of the Labor Code. for the performance of the wOfk for which this permit Is issued. My wOfkers' co~nsation insurance carrier and policy number are: Insurance Co Policy No. Expiration Date--------- This section need not be completed ij the permit is for one hundred doUars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the WOik for which this penn1t is issued, I shal not employ any person in any manner so as to become subject to the WOfkers' Compensation Laws of Canfomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil flnes 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. fi5 CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am eKempt from Contractor's License Law for the following reason: D D , I, as owner of the property or my employees with wages as their sole compensation, wil do the worlc and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or throogh his own employees, provided that such improvements are not intended or offered for sale. II, however, the buiding 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 lo construct the project (Sec. 7044, Business and Professions Code: The Coniraclor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1. I perso;~rovide the major labor and materials for construction of the proposed property improvement D ves ~o 2. I (have have no igned an application for a building permit for the proposed work. )Cl have con acted with the following pen;on (firm) to prO',ide the proposed construction (lndude name address/ phone I contradors' license number): Aff'l,\ t:.A 111'1' \Al \ ""-' )(j plan to provide portions of the work, but I have hired the following person lo C001dinale. super;ise and provide the major work (inen;de name I address./ phone I contractors' license number): JiC I wil provide some of the won<. but I have conlracte<I (hired) the following persons to provide the work indicated ~ndude name I address I phone I type of work): Mt'-' q.'tf(' w, """ ~ \H ~O!:,c&. -tA oa v,>fi&."-, fi5 PROPERTY OWNER SIGNATURE "gAGENT DATE '!,h<f!> I\~ ~ « ~ CITY OF CARLSBAD DATE: . N{&o PERMIT#: lJ1tiID Unscheduled Building Inspection Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: ___.~'--"jj"------ CONTACT: ------- PHONE#: -------- JOB ADDRESS: ffeot/ t:L <2J,11vo VA-t/ DESCRIPTION:-----'---------------- CODE 23 Bldg Inspection Form DESCRIPTION Page 1 of 1 ACT A( COMMENTS Rev. 06/09 lnspectio List Permit#: CB120480 Type: PME Date l11sp~ction lten,_ 04/20/2012 23 Gas/Test/Repairs 04/02/2012 29 Final Plumbing 03/27/2012 23 Gas/Test/Repairs 03/26/2012 23 Gas/Test/Repairs 03/19/2012 23 Gas/Test/Repairs Monday, April 23, 2012 Inspector PB MC MC MC MC UPS STORE-INSTALL GAS METER Act Comments ~---- AP OK TO REL METER NR PER OWNER AFTER STOP co LEAK co LEAK co NOTICE Page 1 of 1