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Home My WebLink About2760 ARLAND RD; ; CB151676; Permit06-01-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151676 Building Inspection Request Line (760) 602-2725 Job Address: 2760 ARLAND RD CBAD Permit Type: PME Status: Parcel No: 1561420300 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC #: Issued: Inspect Area: Project Title: ARLAND ROAD HOME- VARIOUS ELECTRIC UPGRADES INCLUDING REPAIR AND REPLACING WIRING/OUTLETS, GFI'S. ISSUED 06/01/2015 LSM 06/01/2015 06/01/2015 Applicant: ARLAND ROAD LLC 3915 SKYLINE RD CARLSBAD CA 92008 760-613-0265 Owner: ARLAND ROAD LLC 3915 SKYLINE RD CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: J Clearance: 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 pemnit was 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 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING nENGINEERING • BUILDING •FIRE • HEALTH •HAZMAT/APCD Ccityof Carlsbad Building Perinit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. / ^ 1 (o Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS SUITEf/SPACE*/UNIT* APN - CT/PROJECT # LOT# PHASE# It OF UNITS # BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet ofAtfected Area(s) fco^ 6v+j^^S /rev^'Vt^/wPVc^/ f-^-^ ^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES •NO • FIRE SPRINKLERS YES I |NO| I APPUCANT NAME Primary Contact PROPERTV^W^ER^^^ ^ ADDRESS ADDRESS CITY STATE ZIP PHONE FAX PHONE EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAIVIE ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL 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 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 {$500)). ;jOBKEB$' COMPBNSATION Workers' Compensation Declaration: / /lerety affirm under penalty ofpeijury one of the following declarations: I 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 perfomiance of the woiV for which this pemiit is issued. I I have and will maintain workers' compensation, as required by Section 3700 ofthe Labor Code, for the perfomiance of the work for which this permit is issued. My workers'compensation insurance earner 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. I 1 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of Cal^omia. 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 compensation, damages as provided for In Section 3706 of the Labor code. Interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE / hereby affimt that I am exempt from Contractor's Ucense Law for the following reason: I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture 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 wiithin one year of completion, the owner-builder VKIII have the burden of proving that he did not build or improve for the purpose of sale). I I I, as owner of the praperty, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The 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 the Contractor's License Law). I I I am exempt under Section Business and Prafessions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the praposed praperty impravemenL [^Yes 1 iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constniction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supervise and provide the major woA (include name / address / phone / contractors' license number): 5.1 will provide some of the norK but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SGNATURE •AGENT DATE COMPLETE THIS SECTION FO UILDING PERMITS ONI 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 Acf? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT NSTRUCTION tENDING AGENCY I hereby affirm that there is a construction lending agency for the perfonnance of ttie work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address A P P I I C A N T C E R T I F I C A T I O N I certj^that I have read the applkation and state that the above Infbmiation is correct and thatthe Infbmiation on the plans Is accurate. I agree to comply with all Ci^ ordinances and State laws relating to building constnjction. I hereby authorize representative ofthe City of Carlsbad to enter upon the above mentioned praperty for inspection purposes. 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 pennit Is required for excavations over 5'0' deep and demolition or constmctbn of stmctures over 3 stories in height. EXPIRATION: Every permit Issued by the Building Oflicial under the provisions of this Code shall expire by limitatton and become null and void If the building or vmrt< authorized by such peimlt Is not commenced within 180 days from the dale of such perniit or if the building or wori< authorized by such pennit is suspended or abandoned at any time alter the work Is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Building Code). JS^M'PUCMITS 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. Fax (760) 602-8560, Email buildinQ(5)carlsbadca.qov or Mall the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: MAIL/FAX TO OTHER CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151676 Type: PME Date inspection Item 06/03/2015 34 Rough Electric 06/03/2015 36 Electrical Repairs 06/03/2015 39 Final Electrical Inspector Act PD AP Rl PD AP ARLAND ROAD HOME- VARIOUS ELECTRIC UPGRADES INCLUDING REPAI Comments PM PLEASE Wednesday, June 03, 2015 Page 1 of 1