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Home My WebLink About2290 LINDSAY DR; ; CB150598; Permit... 02-25-2015 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: CB 150598 Building Inspection Request Line (760) 602-2725 2290 LINDSAY DR CBAD PME 2121012600 Lot#: 0 HILNER RES-REPLACE GAS LINE FROM METER TO HOUSE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/25/2015 LSM 02/25/2015 02/25/2015 HANNA PLUMBING & SUPPLY INC HILNER DENNIS L REVOCABLE FAMILY LIVING TRUST 01 643 S SANTA FE AV VISTA CA 92083 760-726-2002 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2290 LINDSAY DR CARLSBAD CA 92008 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Clearance: $0.00 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 tliat procedure will bar any subsequent legal action to attack, review, set aside, void, or annul tlieir 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 es/ x cti n f w i h hav r viousl been iv n N Tl E imilar to this or a to whi h tat le of limitation h r vi usl otherwise ex ir THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING QFIRE □HEALTH 0HAZMATIAPCD {'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. C..S 1.S-0::s-<; 8' Est. Value Plan Ck. Deposit JOB ADDRESS CT/PROJECT# AK: Include Square Feet of Affected Area(s) 'Replace ~3 L, ,,-,,-_ -P,o,,,.--, EXISTING USE APPLICANT NAME Primary Contact ADDRESS~ CITY v. EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE GARAGE (SF} STATE ZIP FAX STATE UC.# Date SUITEI/SPACEI/UNIT# # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) FAX CONTRACTOR BUS. NAME ClASS SWPPP CONSTR. TYPE OCC. GROUP P.<" AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES □No□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_us1ness and Professions Code) or that he is exemJ;lt 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 c1v1I penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 pertormance of the worl( for which this permit is issued. ~ I have and will maintain wo~1rs' compensation, if ~u1red by Section 3700 of the Labor 0 Code, for the _pertormance of the worl( for wh~ch this permit is issued. My workers' compensation insurance ca nomberare: losuraoceCo Yar1 0 s::sot~ le ::tn•; :S--r )(IC" r-s Poley No. JIA t--4 C G;.00529 ""'"raUooDale__'o..,_,L,,oc'.'.....'.,J._d..~= p!.i§.seclkln need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, t shal 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 penaltin and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in ction 3706 of the Labor code, Interest and attomey's fees. Ji5 CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the worl( and the structure 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, 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 lo 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 _____ B,usiness 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 I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the folklwing peraon (firm) to provide the proposed construct on (include name address I phone I contractors' license number): 4. I plan to provide portions of the worl(, but I have hired the following person to coordinate, supervise and provide the major war!( (include 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 the worl( indicated (include name I address I phone I type of worl(): ,/IS PROPERTY OWNER SIGNATURE □AGENT 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 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 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 JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I cerlifylhat I have read the application and state lhatlhe aoove information Is correct and that the infonnation on 1he plans Is accurate. I agree to comply'Mth all Clfy ordinances and State la'oW relating to bulldlng consbuction. I hereby autho~ representative of the City of Carlsbad to enter up::m the atxJve menooned property tJr inspection pu~ses. I ALSO AGREE TO SAVE, INDEMNIFY ,ANO KEEP HARMLESS THE CITY OF CAALSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG'JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA: M OSHA pennlt is requred for excavations over 5'0' deep and demolltbn or construction of structures over 3 stories in hei;Jht. EXPIRATION: Every permit issued by the Buik:ling Ofocial under the provisbns of this Code shall expire by limitation and become null and vok:l W the buik:ling or'Mlr!c. authorized by sudl pennit is not commenced v.ithin 180 days from the date of such pennlt or if the building Cl( 'Mll'k. aulho · by sudl pennlt is suspended or abandoned at any time after the 'NOO( is rommenced for a period of 180 days (Secoon 100.4.4 Unifonn Building Code). ,6$ 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, Emall building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/FAXTOOTMER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP • Inspection List Permit#: CB150598 Type: PME Date Inspection Item 02/26/2015 23 Gas/TesURepairs 02/26/2015 23 Gas/TesURepairs 02/26/2015 29 Final Plumbing 02/26/2015 29 Final Plumbing 02/26/2015 39 Final Electrical Friday, February 27, 2015 Inspector PY PY PY Act AP AP RI AP RI HILNER RES-REPLACE GAS LINE FROM METER TO HOUSE Comments AM PLEASE AM PLEASE Page 1 of 1