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Home My WebLink About2407 SACADA CIR; ; CB132133; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-24-2013 Permit No: CB132133 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2407 SACADA CR CBAD PME 2161903502 Lot#: STANLEY RES-RUN GAS LINE FROM 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: GARAGE TO KITCHEN TO NEW GAS STOVE-SAME LOCATION AS PREVIOUS ELECTRIC STOVE WITHDRAW RMA 09/04/2013 09/04/2013 Applicant: Owner: STANLEY JOAN QUALIFIED PERSONAL RESIDENCE TRUST STANLEY JOAN QUALIFIED PERSONAL RESIDENCE TRUST 3888 CLARKSTON RD THREE FORKS MT 59752 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: lnsoector: 3888 CLARKSTON RD THREE FORKS MT 59752 408 600-6932 $158.00 $0.00 $0.00 $0.00 $158.00 $0.00 Total Payments To Date: $158.00 Balance Due: FINAL APPROVAL Date: Clearance: ($158.00) NOTICE: Please take NOTICE that approval of your project indudes the "Imposition' of fees, dedications, reservations, or other exactions hereafter oollectiVely refened to as "fees/exactions." You have 90 days from the data this permit was issued to proteslimposition 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 prooesslng in acco!dance with Gartsbad Municipal Code Section 3.32.030. Failure to time~ f<>low 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 ap~ication processing or service fees in connection with this project. NOR DOES IT APPLY to any • M·--L,::_.._ _____ ..__ • -_, ___ ,, __ L-,L,_ nr~1n .. ,i.1...h _,, , . -, . ,_ . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH QHAZMAT/APCD «, Building Permit Application Plan Check No. ( 11'1/ ~ 'JJ ?? ... ,, 1635 Faraday Ave .. Carlsbad. CA 92008 Est. Value ·-~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov /AJ-Plan Ck. D11posly www.carlsbadca.gov ~ate '1 I U f f ~ ISWPPP JOB ADDRESS l-Lfo7 SAolDA CltcLE SUITEf/SPACEf/UNIT# IAPN --- CT/PROJECT# ILOT# I PHASE# l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) k:..d c,h <-"' I <.-ff ··:1 i " -t.:, ~ 1 ; ""-I:, 2 1,-,,,,~.-hu:,W '" ~~ o.n.l rv.nni] i{ -\",:, \oLM<. til«..<-tlj "bovt., :\I,., :t µ. \\ b<!. (or .._ n '-' ~ <..oo ld·of' 1 re c:,.Uh".') ~ 11t<.f(i<.. t.,ool'.::\:<>-\' · EXISTING USE FIREPLACE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES0, rlR CONDITIONING I FIRE SPRINKLERS No[] YES □No □ YES□No□ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL PROPERTY OWNER NAME ;rf\ ~I\\ S1N-1\..E\/ CONTRACTOR BUS. NAME ADDRESS t-LIOf SACADA. C.l~l.£ ADDRESS CITY (,~j?. l.$ S /\i) STATECA zq,.odl CITY STATE ZIP PHONtl 0 L-(&b l,,oo-(,q !> 1.., IFAX PHONE I FAX EMAIL , EMAIL _\ OIV\ OJ RG\'30-h. (on-, ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# lClASS I CITY BUS. UC.# (Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, p_nor 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_nd1ngwIth Section 7000 of Division 3 of the Business and Professions Code] or fnat 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 applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following declarations: El 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 work for which this permit is issued. I have and will maintain workers' compensation, as reciuired 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 policy number are: Insurance Co. ______________________ Policy No.-------------~ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees . .K$ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that 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 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 hImsett 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 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. Oves [l]No 2, I~ I have not) signed an application for a building permit for the proposed work. J. I have contracted with the fo · g person (firm) to provide the proposed construction (include name address I phone I contractors' license number): \.J~t:,E. ~p\~f.oN Gr, of t I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number): "»"""' ~~-"Ji'o,ntracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): fl:S PROPERTY 0 DATE ~/ Lf /1 ~ ' I • COMl'Ll!TI! THI$ U!CTION l'OR NQl\1-Rl!HPEN'CIAL 111.IUDINQ PERMITS ONLY ~ m, , ~ '" 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 applicarit 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 Slate that the aboYe lnfonnation Is correct and that the lnfonnatlon on the plans Is accura1e. I agree to comply with all City ordinances and State tav.s relating to building constructlon. I hereby authorize representa~ve of the City of Cal1sbad to enter u~n the above mentioned property for inspection puf')Xlses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CITY IN CONSEOJENCE OF THE GR'INTING OF THIS PERMIT. OSHA: Ari OSHA pennlt is required fof excavations over 5'0' deep and demol~ion or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building 'al un provisKlns of this Code shall expire by limitation and berome null and vok:I ~ the building orv.ork authorized bysuci'l pennit is not commenced 'Mthin 160days from the date of such pennit or if the bu. · ulhorized by sud1 permit is suspended or abandoned at any time after the IMXk is commenced bra pericxl of 180 days (Seeton 100.4.4 Uniform Building Code). LS' APPLICANT'S SIGNATURE • DATE 7 I<{, ( 3 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 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. 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:----------------~ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Request for Refund ' City of Carlsbad Account#: 00136104222 Vendor#: ----=-.=c..:..::c::...:..=.-=-==----------- Amount of Refund: $ 1ss.oo Fee Paid For: -..:L..:...::..==-=------Plumbing Permit D ate Fee Paid: _9~/4=/2=0~13~---Fee Paid By: Joan Stanley Facts Supporting Request: Work covered under permit has been cancelled. NAME OF APPLICANT: Joan Stanley STREET ADDRESS: 2407 Sacada Cr. CITY, STATE & ZIP: Carlsbad CA 92009 PREPARED BY: Janet Altar DATE: 09/24/2013 APPROVING DIVISION OFFICIAL: _____________ DATE: ____ _ APPROVING DEPARTMENT OFFICIAL: _____________ DATE: ____ _