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Home My WebLink About2032 PLAYA RD; ; CB132172; Permit09-10-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB132172 Building Inspection Request Line (760) 602-2725 2032 PLAYA RD CBAD PME 2151305700 Lot#: 0 EDDY RES-REPLACE FAU-SAME LOCATION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/10/2013 RMA 09/10/2013 09/10/2013 ANDERSON PLUMBING INC.WALTER MANN BERT D&DOROTHY F FAMILY TRUST 02-08-05 1150 N MARSHALL AV EL CAJON CA 92020 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2032 PLAYA RD CARLSBAD CA 92009 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: r-f/ / FINAL APPROVAL Inspector:~ Date: /t:1-U-11 Clearance: $0.00 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 66020(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 f e / x i n f whi h h v I n iven N i ii r hi r i h h I f Ii i i n h . .. • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, 0 PLANNING 0 ENGINEERING JOB ADDRESS ~o~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# □BUILDING □FIRE Plan Check No. Est. Value CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE DECKS (SF) FIREPLACE YESD APPLICANT NAME (Primary Contact) (T\ I' I 11,,r ADDRESS ADDRESS 1150 N. Marshall CITY STATE ZIP CITY El Cajon CA 92020 PHONE FAA 6194490312 EMAIL @andersonpha.com Anderson PHA 'Rd. ADDRESS 1150 N. Marshall ZIP 9~00 CITY El Caion STATE CA ZIP 92020 PHONE FAA 619 449 7646 619 449 0312 EMAIL alisia@andersonpha.con ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS CITY BUS. LIC.# 493163 C36 1074400 (Sec, 7031.5 Business ~nd P_rofes~ions Code: Any City or ~un_ty which requires a permit to.construct, alter, improve, c)emolish or repair any structure, prior t9 its issuance, also requires the applicant for such permit to file a signed statement Oiat he Is licensed pursuant to the provisions of the Contractor's License LawJChapter9, commending wrth Section 7000 of Division 3 of the Business and Professions Code} or fhat he Is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). r------.. -·· ·----------------------------~-------------------' WORKERS" COMPENSATION ----------------- Workers' Compensation Declaration: / hereby affinn under pena/fy of perjury one of the following declarations· D I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provk!ed by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. IL] I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit Is Issued. My workers' compensa~on insurance carrier and policy number are: Insurance Co. Lumbennan Policy No. 425947 Expiration Date 1/1/2014 This section need not be completed if the pennil Is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that In the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensauon 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 1n.,5e~ion 3706 of the labor code, interest and attorney's fees. J!f CONTRACTOR SIGNATURE {._,j tJ-,., (2]AGENT I hereby affirm /hat I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intern!ed 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 1hereon, 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 ls sold wi1hin one year of completion, the owner-builder will have the burden of proving 1hat he did not build or Improve for the purpose of sale). 0 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 'Mlo bu/Ids 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 materials for construction of the proposed property Improvement OYes ONo 2, I (have/ have not) signed an appllca~on for a building pennit for the proposed work, 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major mrk Onclude name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indica181.l {include name I address I phone/ type of work)· ,,e$ PROPERTY OWNER SIGNATURE □AGENT DATE ,. ft • [~COMPLETE TH IS ~EC TIO N FOR NON w RESIDENTIAL BU IL DING PERMITS ONLY : ~ • Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes O 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. I certify that I have read the application and state that the above infonnalion is correct and that the infonnalion on the plans rs accurate. I agree to comply with all Cily ordinances and State laws relating to building construction. I hereby aultlorize represenlatiVe cithe City of Carlsbad to enterupcri ltle above mentioned property for inspectbn pul"P')ses. 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: AA OSHA permit !s required for excava~ons over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every pennit issued by the Buflding Official under the provisions ofltlis C.ode shall expire by rim~ation and become null and l()id iflhe building or work authorized by such permit is not oommenced within 180 days from the date of such permit or if the hui..iing or work authorized by sudl pe1111it is suspende::I or abandoned at any time after the work is ccmmenced for a perkld of 180 days (Section 106.4.4 Uniform Building C.ode). NfAPPUCANT'SSIGNATURE l.,,c,--U~_.,LJo...,,..____ DATE 9 / q j} ~ Inspection-List Permit#: CB132172 Type: PME Date lnspe_ction Item 10124/2013 43 AirCond/Furnace Set 10/24/2013 49 Final Mechanical Friday, October 25, 2013 Inspector Act PB AP PB AP EDDY RES-REPLACE FAU-SAME LOCATION Comments Page 1 of 1