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Home My WebLink About2886 ELMWOOD ST; ; CB140312; Permit02-10-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140312 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2886 ELMWOOD ST CBAD PME 1561900900 Lot# Status Applied Entered By Plan Approved Issued Inspect Area RAMSWICK REPLACE SEWER TO MAIN ISSUED 02/10/2014 JMA 02/10/2014 02/10/2014 Applicant EMPIRE PIPELINE SUITE E 1945 CAMINO VIDA ROBLE CARLSBAD, CA 92008 760-603-8088 Owner RAMSWICK RONALD L&BLANCHE TRUST 06-24-08 2886 ELMWOOD ST CARLSBAD CA 92008 Plumbing Fees Electncal 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 APPROVAL/ 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 permit 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 65020(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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING • ENGINEERING DBUILDING DFIRE • HEALTH • HAZMAT/APCO 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.eov Plan Check No. Cg?lM- "312^ Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS TLOTi I PHASE # I # OF UNITS j # BEDROOMS SUITE#/SPACE#/UNIT# - iq - oo -qcib CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OS WORK Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESn # NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NO • NVNAIVIE (Primary Contact^ <- \ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS STATE ZIP , _ CITY STATE ZIP PHONE PHONE PROPERTY OWNER NAIVIE CONTRACTOR BUS. NAME ADDRESS i iZIP CITY ZIP PHONE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS ai^S I CITY BUS LIC 4, (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe 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 forthe 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)) Workers' Compensation Declaration I hereby affirm under penalty of perjury one ofthe following declarations O I have and wjll maintain a certificate of consent to self-insure for workers'compensation as provided by Section 3700 of the Labor Code, forthe performance ofthe work for which this permit is issued (Of I have and will maintam workeK^compaisatioii, as required by Section 3700 of the Labor Code, for the performarue of the work for which this permit is issued My workers' compensaton insurance carijer and policy ^ number are Insurance Co J^I^'^^hj^-TVA-W-l^ Policy No Q<?lS^2-'b" Expiration Date _ |-J-l larrrer This section need not be completed if the permit is for one hundred dollars ($100) or less O Certificate of Exemption I certify that in the performance of the work for which this perniit 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 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 attorney's fees. JS^ CONTRACTOR SIGNATURE •AGENT DATE (O— IC^ I hereby affirm fhaf (am exempf from Contractor's License Law for the following reason • I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors 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) a 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 am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement l!!l Yes • No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address/phone/contractors' license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number) 5 I 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) y^S'pROPERTY OWNER SIGNATURE •AGENT DATE is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of tl 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 distnct or air quality management distncr? O Yes • No Is the facility to be constructed within 1,000 feet of fhe outer boundary of a school site' • Yes O 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 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 certfy that I have lead the application and state that the above infonnation is correct and that the mfbimation on the plans is accurate. I agiee to comply with all City oidinances and State laws relating to building constiuction. I hereby authorize representative ofthe City of Cartsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFTY 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 pemiit IS required for excavations over 5'0' deep and demolition or construction of stmctures over 3 stories in height EXPIRATION Every penmit issued by the Building Ofliaal under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pemiit is not commenced within 180 days from the date of such pemiit or if the building or work authonzed by such pemi( is suspended or abandoned at any time after the wxk is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code) ygS"APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB140312 Type: PME RAMSWICK: REPLACE SEWER TO MAIN Date Inspection Item Inspector Act Comments 02/20/2014 21 Underground/Under Floor - Rl CALL W/ETA PLS 02/20/2014 22 Sewer/Water Service - Ri 02/20/2014 22 Sewer/Water Service PD AP 02/20/2014 29 Final Plumbing PD AP ^ Friday, February 21, 2014 Page 1 of 1