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Home My WebLink About2607 LA GOLONDRINA ST; ; CB122459; Permit11-19-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ARS STEA 9895 OLSON DR City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit Permit No: CB122459 Building Inspection Request Line (760) 602-2725 2607 LA GOLONDRINA ST CBAD PME 2155622100 Lot #: 0 DYVIG: REPLACE WTR. HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: DYVIG FAMILY TRUST 07-30-01 ISSUED 11/19/2012 JMA 11/19/2012 11/19/2012 SAN DIEGO CA 92121 858-677-5445 2607 LA GOLONDRINA ST CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $31.00 $0.00 $0.00 $64.00 $95.00 ------- Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: Clearance: NOTICE: Please take NOTIC 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 Umely 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 f . n f h. I - CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. CB (Z' Est. Value CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit Date SWPPP UITE#/SPACE#/UNIT# -'2.\ -o # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION i)F WORK: lnclud8 Square Feet of Affected Area(s) \( p L c_ 5 0 ~ C\. \ '3 Cl\. s wo..:Gr N.()...ll-e, PROPOSED USE GARAGE (SF} DEBORAH EDMISTON PATIOS {SF) DECKS (SF) FIREPLACE YESQ APPLICANT NAME (Secondary Contact) AIR CONDITIONING Nc0 YES □No□ FIRE SPRINKLERS YES0NO□ ADDRESS ADDRESS 9895 OLSON DRIVE #A CITY STATE SAN DIEGO CA ZIP 92121 CITY STATE ZIP PHONE FAX PHONE FAX 858-457-65:i'Z. EMAIL CONTRACTOR BUS. NAME ARS OF SAN DIEGO ADDRESS 9895 OLSON DRIVE #A CITY STATE ZIP SAN DIEGO CA 92121 PHONE FAX 858-457-651 Tl. 858-677-5479 EMAIL dedmiston@ars.com ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 791820 CLASS C-20C-36 CITY BUS. LIC.# 1030700 (Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires the applicant for such permit to file a s1~ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law )Chapter 9, commending with Section 7000 of Div1s1on 3 of the B_us1ness and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 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 perfom1ance of the work for which this pem1it is issued [Z] I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the perfom1ance of the work for which this oem1lt is Issued, My workers' compensation insura ca rand policy number are: Insurance Co LIBERTY Polley No. 7631•508631· 012. Expiration Date _ _L__:Ll:c-,,_.__,__._,_,_ __ ~section nee<J not be completed If the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the perfoonance of the 'NOrk for which thiS pennlt iS issued, I shall not employ any person in any manner so as to become subject to the Workers' CompensaUon 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 compen es as provided for in Section 37 of the bor code, i erest and attorney's fees • .fl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their so~ 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 contracHng 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 lmprovemenl Oves ONo 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 {fim1) to provide the proposed construction (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 ar.d provide the major 'NOrk (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the foliowing persons to provide the mrk Indicated (include name I address/ phone/ type of work) ~ PROPERTY OWNER SIGNATURE □AGENT DATE -----~~---~------------ Is the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of ttie Presley-Tanner Hazardous Substance Account Act? D Yes LJ No Is the applicant or future building_occupant required to obtain a permit from the air pollution control district or a~allty management district? Oves D No Is the facility to be constructed W1thin 1,000 feet of the outer boundary of a school site? 0Yes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS 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 certify that I have read the application and state that the above lnfonnation is correct and that the lnfonnation on the plans Is accurate. I agree to comply v.tth all City ontlnances and State laws relating to building construction. I hereby authorize representative of the City of CarlsbOO to enterup:m the above mentioned property for ins!)3Cfioo pul'JX)ses. 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 pennlt is ra:iuire:I for excavatklns over 5'0' deep and demolltion or oonstruction of structures over 3 stories in height. EXPIRATION: Every pem,lt issued by the Building Offk:ial under the provisions of this Cede shall expire by limitation '!.llJ>a""'"-'"'li.!!and -.00 if the building or work authorized by such permit is not oommenced within 180 days from the date of such building or work authorized by such permi is sus Of ab at any time after wcrk is oommenced for a period of 180 days (Soction 100.4.4 Uniform Buikling C.ode) _g' APPLICANT'S SIGNATURE DATE , - Inspection List Permit#: CB122459 Type: PME Date Inspection Item _____ _ 03/12/2013 25 Water HeaterNents 03/12/2013 25 Water HeaterNents 03/12/2013 29 Final Plumbing 03/12/2013 29 Final Plumbing Thursday, March 14. 2013 Inspector Act PY PY RI AP RI AP DYVIG: REPLACE WTR. HTR Comments Page 1 of 1