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Home My WebLink About2650 ACUNA CT; ; CB130051; Permit01-07-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CBI30051 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2650 ACUNA CT CBAD PME 2154912100 Lot# ANDERS REMOVE DAMAGE MAIN BREAKER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/07/2013 JMA 01/07/2013 01/07/2013 Applicant LIGHT DUTY ELECTRIC Ow/ner SHARMAN SHERI L TRUST 07-07-99 633 SHADOWTREE DR OCEANSIDE CA 92058 760-214-2730 2650 ACUNA CT CARLSBADCA 92009 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0 00 $154 00 $0 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $ 154 00 Total Payments To Date $154 00 Balance Due. $0 00 /7 /7 Inspector FINAL APR Date L APRJROVAL Clearance NOTICE Please take NOTICE that approval of your project mcludes the Imposition' ol fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as 'fees/exactions * You have 90 cJays from the date this pemiit 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 infomiation with the City Manager for pnxessing in accordance with Carlsbad Municipal Code Sechon 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 nght to protest the specified (ees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application pnxessing or service fees in connection with this prciject NOR DOES IT APPLY to any f$$?/$?(actions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previoush^ otheiwise expired. TKE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE G PLANNING • ENGINEERING • BUILDING G FIRE G HEALTH G HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave . Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buldllng@carlsbadca gov www carlsbadca.gov Plan Check No. C& /5 OQ^i Est. Value Plan Ck. Deposit /MI Date SWPP JOBADDRESS , —' 'ic>5o fic/jMAyrfx SUITEff/SPACEW/UNIT# APN CT/PROJECT # LOT« PHASE« B OF UNITS » BEOROOMS » BATHROOMS TENAPfl BUSINESS NAME CONSTR TTPE OCC GROUP DESCRiPTiON OF WORK Include Square Feet of Affected Aiea(s) UiJDAmA<^a> 6Re/K^^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) )ECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • # NO • YES • NO • YES • NO • APPLICAMT NAME (Primary Contact) APPUCANT NAME (Secondary Contact) ADDRESS /.^^ :i/^AOOhJTm£ DJ^, ADDRESS CITY STATE ZIP OCSA/\lS/7)^ rA. ^2DS?. CITY STATE ZIP PHONE FAX PHONE FAX EMAIL ' /jaihf.ribi\ie(pcJnc.^\/rihoOiOorr) EMAIL PROPERTY OWNER NAME ', , ' LiZ ^ i^ipp A/JDBLK CONTRACTOR BUS NAME . _ , ADDRESS SbDRESS ( CITl' STATE ZIP CITY STATE " ZIP 0/^/^AA/^/i>^ CA' PHONE FAX RHONE „ FAX EMAIL ARCIVDESIGNER NAME 4 ADDRESS STATE UC » STATE yCo " , ' CLASS / CITY BUS UC» (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 applicam for such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Conlractor s License Law fCnapter 9 commendmgwith Section 7000 of Division 3 ofthe Business and Professions Code] or that he is exempt therefrom and the basis forthe alleged exempUon 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)) Workers' Compensabon Declaration I hereby affirm under penalty of perjury one of the blowing declaratons \3 1 have md wtll maintain a certificate of consent to seif-lnsure lor workers compensalion as provided by Section 3700 oltha Labor Code, forthe performanceofthe work lor which this pemnl is issued O i have and will maintain workers' compensation as required by Section 3700 ol the Labor Code for V\e perfomnaiKe of the work for which this pemiit is issued My workers' compensaUon insurance camer and policy nmpbet are Insurance Co Policy No Expiration Date This^tion need not be completed il the permit is lor one hundmd dollars ($1[K)) or less U Certificate of Exemption I certify that in the performance ol the work for which this pennit is issued, 1 shall not employ any person in any manner so as to become sutnect to the Workers' Compensation Laws ol Califomia WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalttes and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in SecUon 3706 of the Labor code, interest and attomey's fees ^CO>*^^CrORSmAJURE^^;^^//;;^^j^^ nAGENT DATE I hereby affirm that I am exempt from Contractor s Ucense Law for the following reason • I as owner ol the property or my employees with wages as their sole compensation will do the work and the stmcture is not intended or oflered lor sale (Sec 7044, Busmess and Professions Code The Contractor's License Law does nol apply to an owner ol property who buiMs or improves thereon, and who does such work himself or ttirough his own employees, provided Ihat such improvements are not intended or offered for sale If, however, lhe building or improvement is sold withm one year ol completion, the owner builder will have the burden of proving ffiat he did not build or improve for the purpose ol sale) • i, as ovmer olthe property, am exclusively contracting with licensed contractors to constnjct lhe praiect (Sec 7044 Business and Professions Code The Contractors License Law does not apply lo an owner ot 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 Ihis reason 1 1 personally plan to provide the major labor and malenals for construction of the praposed property impravemenL • Yes • No 2 ) (have / have not) signed an applicatcn for a building permit lor the proposed work 3 I have contracted with the folkmng person (finn) to pravide the praposed construction (include name address/phone/contractors license number) 4 I plan to provide portions of the work bul I have hired the tolk>wing peison to cooidmate, supennse and provxJe the maior work (indude name / address / phone / contraciois license number) 5 I will provide some of the work, but I have contracted (hired) the toilowing persons to pravide the work indicated (indude name / address / phone / type ol work) yefpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or tuture building occupant required to submit a business plan, acuiely hazardous materials registration form or nsk managemeni and prevention program under Sections 25505,25533 or 25534 ot the Presley-Tanner Hazardous Substance Accouni Act? O Yes O No Is lhe applicant or futura buildmg occupant reqmred to obtain a pemiit fram the air pollution control dismcl or air quality management distnct? O Yes H No Is the facility to be constmcted 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affinn that there is a construction lending agency fw the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender s Name Lender's Address 1- I c^lythat I have iBadtheapplicsbon and state thattheaboveinfom^iatoniscoirectandttiatthe infoimation iagieetocomplywith all Cityonjinancesand State lausrelaOngto building construction 1 hereby auSYxas represenlative of the Qty of Carisbad to enter upon the atxwe mentcned property for nspedion purposes ! ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT OSHA An OSHA perniit is required for excavations over 50' deep and demolition or constmction of sinictures over 3 stones in height EXRF^ATION Every permit issued by the Buildng Official under the provisons of this Code shall expire by limitation and become nuD and void if the building or vtork authonzed by suc^ pennit is not commenced Mthn ISOdaysfrom lhe date of such pennit or if the buMng or wri( authorized by such pemiit is suspended or abandoned al any line afl^ Building Code) >£f 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 ( C o m m c r c j a I Projects Only Fax (760) 602-8560, Email www buildinq(acadsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008 C0# (Orrice Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUtLDING ADDRESS CiTY STATE ZiP CITY STATE ZIP Carlsbad CA PHONE FAX EMAiL OCCUPANT'S BUS LIC No DELIVERY OPTIONS • PICKUP n CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) O MAILTO • CONTACT (Usted above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER • ASSOCIATED CB# • NOCHANGEINUSE/NOCONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION • ASSOCIATED CB# • NOCHANGEINUSE/NOCONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION jtS APR-ICANT'S SIGNATURE DATE Inspection List Permit* CB130051 Type PME ANDERS REMOVE DAMAGE MAIN BREAKER Date Inspection Item Inspector Act Comments 01/04/2013 39 Final Electrical PD AP Thursday, Marcii 07, 2013 Page 1 of 1