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Home My WebLink About2884 ELMWOOD ST; ; CB151929; Permit06-22-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI51929 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2884 ELMWOOD ST CBAD PME 1561900800 Lot #: BARONE RES-REPLACE SEWER LINE FROM PROPERTY LINE TO STREET Status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 06/22/2015 RMA 06/22/2015 06/22/2015 Applicant: PHIL RADO INC Owner: BARONE FAMILY TRUST 1485 POINSETTIA AV VISTA CA 92081 760 603-0217 2884 ELMWOOD ST CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $160.00 $0.00 $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: /f' Z '^ ^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refened to as "fees/exactions." You have 90 days from the date this pennit 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 processing in acconJance with Carlsbad Municipai Code Section 3.32.030. Failure to timely foiiow 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 Dreviously othenAiise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING DENGINEERING QBUILDING •FIRE •HEALTH •HAZMATMPCD 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.carlsbadca.gov Plan Check No, Est. Value Plan Ck^^posit / fi64Date//^//CiHWPPP JOB ADDRESS '|#BE SUITEt/SPACE*/UNIT* CT/PROJECT # PHASE # # OF UMTTS ' # BEDROOMS # BATHROOMS TENAMT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include SQuare Feet ofAtfected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|» Ndj I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME C:: Primary Contact PROPERTYOWNER ADDRESS OTY i ; ' STAYE , ADDRESS —f ZIP CITY STATE ZIP PHONE , 760 ^ top FAX PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME T-l^i >i--VAC , STATE ZIP ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX ElVIAIL ... . _ _ V idftSS I 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 fiie 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) ortnat he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMi>£KSATION Workers' Compensation Declaration: / hereby affinn under penalty ofpeijuiy one ofthe following declarations: Bl have and will maintain a certificate of consent to seif-insure for woriteis' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the worit for which this pemi'it is issued. I have and will maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worit for which this permit is issued. My workers' compensation insurance earner and policy number are; Insurance Co._ Policy No. ^ 0 I O 3 Expiration Dale This section need not be compieted if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the worit for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of Califomia. 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 providedjtir in Section 3706 ofthe Laborcode, interest and attomey's fees. r t ^eS" CONTRACTORSIGNATURE /^24//\._J^j QAGENT DATE ^/dZ^jj ^ I hereby affinn that I am exempt fmm Contractor's License Law for the following reason: I [ I, as owner of the property or my employees with wages as their sole compensation, will do the wortt 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 ovmer of property who builds or improves thereon, and v»ho does such worit 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 comptetion, the owner-builder will have the buiden of proving that he did not build or improve for the purpose of sale). I I 1, 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 Prafessions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the praposed praperty Improvement. •Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed worit. 3.1 have contracted with the following person (firni) to provide the proposed constniction (inciude name address / phone / contractors' license number): 4.1 plan to provide portions of the wortt, but I have hired the following person to coordinate, supen/ise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the foliowing peisons to provide the worit indicated (include name / address / phone / type of wortt): /grPROPERTY OWNER SIGNATURE •AGENT DATE OMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILOiNG PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or rtsk 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 retiuired to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constnicted 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. TION LENOING AGENCY I hereby aflimi that there is a construction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address [ftlCAttr CERTIFICATION I certify that I have read the applteatkin and state thatttie above informatkin is conectand thatthe informatkin on the plans is accurate. I agree to complywith all City oidinanoes and StaiB laws telating to building constmctkin. I hereby auihorize representative of the City of Carisbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGFiEE TO SAVE, INDEMNIFY AND KEEP HAFiMLESS THE CfFY OF C;AFiLSBAD AGAINST ALL UABILmES, 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 for excavations over 5'0' deep and demolitbn or constmctbn of stmctures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisbns of this Code shall expire by limitatbn and become nuli and void if the building or vwrk authorized by such pennit is not commenced within 180 days from the date of such pemnit or if the building or worit authorized by such pennit is suspended or abandoned at any time after the worit is commenced for a period of 180 days (Sectbn 106.4.4 Unifomn Building Code). 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. Fax (760) 602-8560, Email buildina(5)carlsbadca.aov or Mali the completed fomn to City of Carisbad, Building Division 1635 Faiaday 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 EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed 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 ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151929 Date Inspection |tem 10/30/2015 29 Final Plumbing 10/30/2015 29 Final Plumbing 07/01/2015 29 Final Plumbing Type: PME BARONE RES-REPLACE SEWER LINE FROM PROPERTY LINE TO STREET Inspector Act Comments Rl PB AP PB CA Monday, November 02, 2015 Page 1 of 1