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Home My WebLink About2801 ATADERO CT; ; CB141567; Permit07-01-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141567 Building Inspection Request Line (760) 602-2725 Job Address: 2801 ATADERO CT CBAD Permit Type: PME Status: Parcel No: 2551013800 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC #: Issued: Inspect Area Project Title: BJORNESTAD RES- COPPER RE-PIPE FROM UNDERGROUND TO OVERHEAD- BOTH COLD & HOT WATER ISSUED 07/01/2014 RMA 07/01/2014 07/01/2014 Applicant: DOCTOR PIPER INC STE 275 12405 VENICE BLVD LOSANQELES CA 90066 318 866-2286 Owner: HAMALA JOHN T&BJORNESTAD LISA A 2801 ATADERO CT CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: /^'^>'^^ FINAL APPROVAL Date: 0'?/'^^^ Clearance: NOTICE: Please take NOTICE tiiat approval of your project includes the "Imposition" of fees, dedications, reservations, or otiier exactions tiereafter collectively refen-ed to as "fees/exactions." You tiave 90 days from tlie date tills pemnit was issued to protest imposition of ttiese fees/exactions. If you protest ttiem, you must follow tiie protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information w'ith the City IVIanager 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 attacl<, 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 previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING nBUILDING npIRE nHEALTH OHAZMAT/APCD Hi jrd\ ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value JOB ADDRESS ^ 11 AT a I ouAcr # I *i i JMITC I # DcrrtDnnKXC CT/PROJECT # DESCRIPTION OF WORK: Include Square Feet of Affected Area(s; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~|# N0| I AIR CONDITIONING YESQNOQ FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY STATE ZIP ZIP PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS x7 CITY STATE ZIP STATE ZIP PHONE FAX PHONE EMAIL CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County wtilcti requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires ttie applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Ciiapter 9, commending with Section 7000 of Division 3 ofthe 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)). :ERS COmPENSATtON Workers' Compensation Declaration: / hereby affimi under penalty ofpeijury one ofthe fotlowing declarations: • 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 performance of the work for which this permit is issued. I have and wiii maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carjiSLand policy number are: Insurance Co._ /g-< PolicyNo. Expiration Date, This section need not be completed rf the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance of the worUor whichjtlis-g^Onit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatton Laws of Califomia. WARNING: Failure to secure workers' compensatioii^d^tagelCunfawfui, and shall subject an employer to criminal penalties and civii fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as providsd^OKection 3706 of Uie Labor code, interest and attomey's fees. JS^ CONTRACTOR SiGNATURE, • AGENT DATE -7 / '/V « R -.a U 11- U BIS. D EC L.A RATION / hereby affirm that I am exempt from Contracfor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, 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 I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors 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 lo provide the major labor and materials for construction of the proposed property improvement QYes I |No 2.1 (have / have not) signed an application for a building pennit for the proposed wori<. 3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the vrori(, but 1 have hired the following person to coordinate, supervise and provide the major wori( (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hirod) the following persons to provide the work indicated (include name / address / phone / type of worit): ^efpROPERTY OWNER SIGNATURE QAGENT DATE 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 ttie applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distrid? 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 CONSTRUCTION LENDING AGiNCY ^•^^;^i"\. . .... 1 hereby affirm that there is a constmction lending agency for the performance of the worit this pemiit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CEBTIFICATiON • .:.,.^.:..:. ,-::. .-v..-;..: i ceriiV ttiat I have read ttie applteation and state ttiat ttie above informatton is conect and ttiat the intbnnatton on the plans is accuiate. I agree to comply with all City ordinances and State laws relattng to building consbuction. I hereby authorize nepresentative ofthe City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CflY GF CAF!LSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA permit is required Ibr excavations over 5'0' deep and demolition or conslfuctlon of stmctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Ofliciai under the provisions of this Ofost^l expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days ftom the date of such pemiit or if the building or work authorized by suchM^ffsuspended or abandoned at any time after the vrorit is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). vglf APPLICANT'S SIGNATURE I 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 buildinqtSlcarlsbadca.aov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EiVIAiL OCCUPANT'S BUS. LiC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Usted above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141567 Type: PME BJORNESTAD RES-COPPER RE-PIPE FROM UNDERGROUND TO OVERHEAD- Date Inspectionjtem Inspector Act Comments 07/02/2014 21 Underground/Under Floor - Rl 07/02/2014 24 Rough/Topout MC AP SEE CARD 07/02/2014 29 Final Plumbing MC Fl Ttiursday, July 03, 2014 Page 1 of 1