The URL can be used to link to this page

Home My WebLink About2836 CEBU CT; ; CB131555; Permit06-27-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI31555 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2836 CEBU CT CBAD PME OOOOOOOOOO Lot#: KUSCHNER RES- GAS LINE FROM STUB OUT TO BBQ IN REAR YARD Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/27/2013 RMA 06/27/2013 06/27/2013 Applicant: LAURIE KUSCHNER Owner: LAURIE KUSCHNER 2836 CEBU CT CARLSBAD CA 92009 760 814-2773 2836 CEBU CT CARLSBAD CA 92009 760 814-2773 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $154.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: $0.00 Inspector: FINAL AP Date: "^^ PRROy Clearance: NOTICE: Please iak.e NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter coiiectively refened 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 foiiow the protest procedures set forth in Government Code Section 66020(a), and fiie the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Faiiure to timely foiiow that procedure wiii 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 appiication processing or sewice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previousiv been given a NOTiCE similar to this, or as to which the statute of limitations has previously othenvise expired. THE FOLLOWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING nBUILDING OFIRE DHEALTH OHAZMAT/APCD PlanCheckNo. (^^ j 3 / ^QP ^ CITY OF CARLSBAD dmf |LOT# I PHASE* |#0PUNITS Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carisbadca.gov Est. Value Plan Ck. Deposit ^>4Date ^7j7 /// SWPPP JOB ADDRESS , SUITE*/SPACEf/UNIT* -310 CD CT/PROJECT # PHASE # SOPUNITS |# BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP DESCRIPTION OF WORK: /nc/ude Square Feet of AfTected Areafs; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESl~|* N0| I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANTNAME (Primary Contact) APPLiCANT NAME (Secondary Contact; ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL PROPERTy 0 CONTRACTOR BUS. NAME ain Cf^/t ' CITV-^ . , / / STATE' ZIP I ADDRESS CITY STATE ZIP PHONE. ^\ , / ' FAX PHONE lAl ARCH/DEi 'DESIGNER NAME & ADDRESS STATE LIC. # 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 pursuanttothe 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)). WORKERS' COMPENSATION Workers' Compensatian Declaration: / hiereby affirm under penalty ofpeijuiy one ofthe foltowing declarattons: HI 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 work for which this permit is issued. 1 have and wiil maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemiit 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 pennit is for one hundred dollars ($100) or less. I I Cettificate 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 Califomia. WARNING: Faiiure 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 tlie cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. >ef CONTRACTOR SiGNATURE iwHBR- mm 11. O'E't w-mct' M-'U -At tmi* I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: • AGENT DATE • • 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 offeied 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 dkl not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to constnict 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: _ _1j^l personally plan to provide the major labor and materials for construction of the proposed praperty improvemenl QYes ^jfio , ^r^pjh 3' fnavecor r): J have not) signed an applicatk}n for a building permit for the proposed work. I contracted with the following person (firm) 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 work (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 work): ^1 PROPERTY OWNER SIGNATUI QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAt. BUILDING PERMITS ONLY Is the applicant or future buikJing occupant required to submit a business plan, acutely hazanJous materials registration form or risk management and prevention program under Sections 25505,25533 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 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 C ONSTRUCTION LENOING AGENCY I hereby aflimi that there Is a constniction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certiV that i have read the applicatnn and state that the above information is ooriEct and tliat the inlbnnati^^ I hereby aultiorize repiesentative of the City of Carlsbad to enter upon Kie above mentbned propeity 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 pemit is requined for excavations over 5'0' deep and demolition or construction of stmctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Buiiding Ofiicial underthe provisbns ofthis Code shall expte by limitatbn and become null and void if the building or work authonzed by such peimit is not oommenoed within 180 days from the date of such pemiit or if the building or woik authorized by sjch pemilt is suspended or abandoned at any time after the vrork is commenced for a peiiod of 1_gO days (Segjbn 106.4.4 Unifomi Building Code). ygS'APPLiCANT'S /^T'^-'^^^ 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 building(a)carlsbadca.aov or Mail the completed fomi to City ofCarlsbad, Building Division 1635 FaradayAvenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Usted above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL/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 APPLICANTS SiGNATURE DATE Inspection List Permit*: CB131555 Type: PME KUSCHNER RES-GAS LINE FROM STUB OUT TO BBQ IN REAR YARD Date Inspection Item Inspector Act Comments 07/15/2013 23 Gas/Test/Repairs PY AP Wednesday, July 23, 2014 Page 1 of 1