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Home My WebLink About2778 CARLSBAD BLVD; 211; CB142464; Permit09-23-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 142464 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2778 CARLSBAD BL CBAD St: 211 PME 2031722501 Lot#: JAMISON RES - REPLACE WATER HEATER, SAME LOCATION Status: Applied: Entered By; Plan Approved: Issued: Inspect Area: ISSUED 09/23/2014 SKS 09/23/2014 09/23/2014 Applicant: MARY JAMISON UNIT 211 2778 CARLSBAD BLVD CARLSBAD CA 92008-2269 760-580-2256 Owner: JAMISON UNIT 211 2778 CARLSBAD BLVD CARLSBAD CA 92008-2269 760-580-2256 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL Date _ARPRQVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in acconjance 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenA/ise expired. [THE I%L"LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUA"NCE: nPLANNING •ENGINEERING nBUILDING DFIRE •HEALTH • HAZMAT/A"PCD] Plan Check No.CL^ / ^2 J(^^ C City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS SUITE«/SPACE*/UNIT« CT/PROJECT « PHASE # » OF UNITS # BEDROOMS ^ DESCRIPTION OF WORK: (nc/ude Square Feet OfAffacted Areafs; L / # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCCGROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|* NoQ AIR CONDITIONING YEsj |NO| 1 FIRE SPRINKLERS VEsj |NO| 1 APPLICANT NAME Primary Contact PROPERTYOWNER , ADDRESS ADDRESS jn, , , y ut t 1 CITY STATE ZIP STATE ZIP PHONE FAX PHONE , FAX EMAIL EMAIL • , / DESIGN PROFESSIONAL CONTRACTOR BUS. NAIVIE ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # STATE LIC.# 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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). ORKERS- COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of peijury one of the foltowing declarations: I have and will maintain a certificate of consent to self-Insure (or workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the worl< for which this pemiit is issued. 11 have and will maintain workers' compensation, as reguired bv Section 3700 of the Labor Code, forthe performance of the work for which this permit is issued. My workers' compensation insurance 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. I I Certificate of Exemption; I certify that in the perfonnance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition tothecostof compensation, damages as provided for In Section 3706 ofthe Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE QAGENT DATE MJHHJI.IIH., / hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensalion, will do the work and the stmcture 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'/] 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). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement •Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work, 3.1 have conlracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supereise and provide the major wori( (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of wori<): PROPERTY OWNER SIGNATURE []AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventton program under Sections 25605,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 constructed 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. RUCTION LENDING AGEN 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 tliat I have read the application and state tiiatthe above Inforniation is correct and that the Infomiation on the plans Is accurate. I agree to complywith all City ordinances and State laws relating to building constniction. I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property 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 permit is required fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION; Every pemiit issued by the BuikJing Offcial under the provisions of this Code shall expire by limitation and become null and void if the buikiing or mik authorized by such permit is not commenced within 180 days from the date of such permit or if the buikiing or vwrt< authorized by such pennit is suspended or abandoned at any time after the mAi is commenced for a period of 180 days (Section 106.4.4 Unifomi Buikiing Code). > ^APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERIVIIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildina(a)carlsbadca.aOV or Mall the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg, 1) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER:. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE r Inspection List Permit#: CB142464 Type: PME JAMISON RES - REPLACE WATER HEATER, SAME LOCATION Date Inspection Item Inspector Act Comments 09/30/2014 25 Water HeaterA/ents - Rl ELEVATOR CODE: 3410# CG: #5055 09/30/2014 25 Water HeaterA/ents SP AP 09/30/2014 29 Final Plumbing - Rl JAMISON RES 09/30/2014 29 Final Plumbing SP Fl Wednesday, October 01, 2014 Page 1 of 1