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Home My WebLink About2814 RANCHO PANCHO; ; CB142287; Permit,. ' , City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-08-2014 Permit No: CB142287 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2814 RANCHO PANCHO CBAD PME Status: Parcel No: 2225911600 Lot #: 0 Applied: Entered By: Reference#: Plan Approved: PC#: Issued: Inspect Area: Project Title: GELDNER RES -GAS LINE TO FIRE PIT// ELECTRICAL TO OUTLETS IN BACKYARD Applicant: GELDNER TRUST 01-27-09 2814 RANCHO PANCHO CARLSBAD CA 92009 760-566-6620 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GELDNER TRUST 01-27-09 2814 RANCHO PANCHO CARLSBAD CA 92009 ISSUED 09/08/2014 SKS 10/08/2014 10/08/2014 $160.00 $35.00 $0.00 $0.00 $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: Inspector: Date: $0.00 NOTICE: Please take NOTI pproval of your project includes the "lmpos ion" 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. 1f 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 seiv\ce fees in connection with this project. NOR DOES IT APPLY to any 'nfhi vii ·nNTI rhi hihh ii THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING 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. Est. Value JOBADDR~SI SUITEI/SPACEf/UNIT# CT/PROJECT# # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) _ C\0-6 \,r-e---tv -\',ve.rd--\ iJ Fle--e .::,uf>. ~ Mi ~e.c\y-, ~ o,.:r-\·\et_s \y\. ~k'fl-n\. EXISTING USE GARAGE {SF) PATIOS (SF) APPLICANT NAME CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE UC.# STATE UC.# STATE FAX CLASS SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ ZIP CITY BUS. UC.# 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 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, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the apphcant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaratlon: / /Jefeby affirm under penalty of perjury one of the following declarations: B I have and will maintain a certificate of consent to &elf.Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. I have and will maintain workers' compensation, as reauired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p:ilicy number are: Insurance Co, ______________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit Is for one hur.dred 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure tO secure worker1' 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 attomey's fees. ,65 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLAl?ATION 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 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 buikls or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for ~le, If, however, the buildiflQ 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 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 materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the prop:ised work. 3. I have contracted with the following person (firm) to provide the proposed constndon (include name address I phone/ 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 work (include name I address I phone I contractors' license number): 5. I will provide some of the worl(, b I ha contracted (hired llowing ns to provide the worl( indicated (include name I address/ phone I type of wof\l.): □AGENT DATE ~OMl'1'1i:1'1i217Bfl-SICTION l"QR'NQl!l'•Rll:SIDIIV:t,tAl:i ii'un.l!lt,IG 1'1!1Hil1'$ ONl.iiif : , -~ -~ ~ Is the applicant or future building occupant required to submit a business plan, acvtely hazardous materials registraUon 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appllcatlon and state that the above lnfonnatlon Is coll'8C1: and that the lnfonnatlon on the plans is aa:urate. I agree bl comply'Mlh all Cily ordinances and State laws relating bl building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AG<\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG<\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA ~nn~ is required for excavations over 5'0' deep and demolition or ro1strudion of structures over 3 stories n he,ight. EXP!RATION: Every permit issued by the au· Oflk:ial under the prol/is· o is II ·re by li'llttation and become null and void tt the buik:ling orv.ork authorized by such ~nnit is not oommenc:ed 'Nilhin 180 days from the date of such ~nntt or if e bui g or r!<. autho · tt is sut or abandoried at any time after the v.ork is commenced for a peood of 180 days (Section 100.4.4 Unifonn Building Code). 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 buildinq@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. UC. 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/ FAX TO OTHER: ________________ _ ,..S APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP • Inspection List Permit#: CB142287 Date Inspection Item 02/26/2015 29 Final Plumbing 02/26/2015 29 Final Plumbing Type: PME Inspector Act RI PY AP 02/26/2015 29 Final Plumbing PY PA 02/26/2015 39 Final Electrical RI 02/26/2015 39 Final Electrical PY AP 01/22/2015 23 Gas/Test/Repairs PY AP 01/22/2015 31 Underground/Conduit-Wirin PY AP Friday, February 27, 2015 GELDNER RES -GAS LINE TO FIRE PIT// ELECTRICAL TO OUTLETS IN BACK Comments Page 1 of 1