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Home My WebLink About2854 RANCHO DIAMONTE; ; CB140878; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-18-2014 Permit No: CB140878 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2854 RANCHO DIAMONTE CBAD PME Status: Parcel No: 2218112900 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: PETERSON RES-INSTALL GAS LINE TO FIREPIT IN REAR YARD REMOVE AN EXISTING GAS LINE GOING TOA BBQ Applicant: PETERSON FAMILY TRUST 08-01-90 2854 RANCHO DIAMONTE CARLSBAD CA 92009 760-918-9930 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: PETERSON FAMILY TRUST 08-01-90 2854 RANCHO DIAMONTE CARLSBAD CA 92009 ISSUED 04/18/2014 LSM 04/18/2014 04/18/2014 $158.00 $0.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APPROVAL Date: S-'/)-/ y 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 i h f i h rw· \ \ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD ~ <<•.: Building Permit Application Plan Check No.C,,,fc) /u n ._, o, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date u I r ~ , LJ lswPPP JOB ADDRESS P, '" cl. ~ D ;,:, »1n1 ,,f.p SUITEI/SPACEf/UNITI IAPN -:-.~~w --- CT/PROJECT# LOT# HASE# # OF UNI s I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) h ,,,ch ye:rrd-IM -s +,,, JI 'jtl:5 h11 e f& i>re pd-/11 RU\ove ex. 1, s ,-,-.l v c,A"'=,1.--1iJe -ra 65Q EXISTING USE FIREPLACE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESC)# 1 IAIR CONDITIONING I FIRE SPRINKLERS No[] YES □No □ YES□No□ APPLICANT NAME . ~••TY o,:, p R._ +-t t' :S,tNf Primary Contact -l""' ADDRESS l~~sv Rcu,clo, D ;n,.,,.., ,t:1,-/-.e CITY STATE ZIP CITY C I t:r r ,h<?d STATE q_ -, C-4 e?.?7 PHONE IFAX p>£J9.-4 qq . IFAX -1/'if-3'~} EMAIL EMAIL c;JrPe-f--el'Sc11@ n,er./ru1tH-t'r', ,::_,,_-- DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL STATE LIC. # STATE UC.# I CLASS 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_ndingw1th Section 7000 of Div1s1on 3 of the B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B 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 performance of 111e work for which this permit is issued. 1 have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the per1ormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Polk::y No. ______________ Expiration Date _________ _ J!).i§.sec!ion need not be completed if the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of CaHfomia. 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. 85 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensaUon, will do the work 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 wrthln one year of compleUon, 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 to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo 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. 0Yes ONo 2. I (have I have not) signed an application for a build Ing permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (inclLJde name address I phone/ oontractors' 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 work (include name I address/ phone I 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 I address I phone I type of work): TY OWNER SIGNATURE □AGENT COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' . Is the applicant or future building occupant required to submit a business pian, 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 pennit 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 01STRICT, I certify that I have read the application and state that the above information Is conectand that the lnformatloo on the plans Is accurate. I agree to comply with all Cllyordlnances and State laws relating to building oonstructlon. I hereby aulhorize representative of the City of Carlsbad to enterurxm lhe aOOve mentiooed property b-insp;iction purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: MOSHA permit is required for excavations over 5'0' deep and demolib:m or construction ofstrucb.Jres over 3 stories in height. EXPIRATION: Every permit issued by the Building Olfcial under lhe pro\'isbns of lhis Code shall expire by !imitation and beoome null and voKI Wthe building orv.ork authorized by such permit is not commenced 'Mlhin 180days from ltle date of such permit or if the buildhg orv.ork authorized pe · is suspended or abandoned at any time after the v.orrc. is o::immenced for a period of 180 days (Seclbn 106.4.4 Uniform Building c.ode). JiS APPLICANT'S SIGNATURE n ~ / /))'--I,.'---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) 602-6560, Email building@carlsbadca.gov or Mail the completed fom, to City of Garlsbad, Building Di~sion 1635 Faraday Avenue, Carlsbad, Califom~ 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMA.IL DELIVERY OPTIONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------~ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STA.TE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATEOCB#'------------- NO CHANGE IN USE/ NO CONSfflUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB140878 Type: PME Date lnspecti()_nltem 05/08/2014 23 Gas/TesURepairs 05/08/2014 23 Gas/T esURepairs 05/08/2014 29 Final Plumbing Friday, May 09, 2014 Inspector Act PB PB RI AP AP PETERSON RES-INSTALL GAS LINE TO FIREPIT IN REAR YARD REMOVE AN Comments AFTER 12. GC: 1478 Page 1 of 1