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Home My WebLink About2412 SACADA CIR; B; CB133244; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-31-2013 Permit No: CB133244 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2412 SACADA CR CBAD St: B PME 2161904501 Lot#: CAAMANO DUPLEX-GAS LINE REPAIR SDG&E LOCKED OFF METER DUE TO LEAK 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/31/2013 RMA 12/31/2013 12131/2013 LOU CAAMANO BELICK FAMILY 2eM TRUST 03 31 04- 2412 SACADA CR CARLSBAD CA 92009 760 815-9154 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES ~ I 2 SACADA CIR'#>'\' CARLSBAD CA 92009 $125.00 $0.00 $0.00 $0.00 $125.00 Total Fees: $125.00 Total Payments To Date: $0.00 Balance Due: Inspector: Jlvt. Cc.-fhi-is Date: 0 Clearance: $125.00 NOT/CE: 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 processlng or service fees in connection with this project. NOR DOES IT APPLY to any f I I "mil r . h h I h THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING <<~!> ~ CITY Of CARLSBAD JOB Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov # BEDROOMS □BUILDING □FIRE Plan Check No. Est. Value SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE AIR CONDITIONING No0 v,s □NoD FIRE SPRINKLERS YES0NO□ APPLICANT NAME (Primary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX ,(oM EMAIL STATE UC.# STATE LIC.# CLASS 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. commending with Section 7000 of Division 3 of the Business and Professions Code) or fhat 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 ($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 perlormance of the work for which this permit is issued D I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the perlormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Polley No. ______________ Expiration Date _________ _ ~sectkln need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perlormance 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. Jl5 CONTRACTOR SIGNATURE □AGENT DATE OWNIJ!R•BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their so(e 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 himsell 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) ~ 1, as owner of the property, am exclusively contracting with licensed contractors to construcl_the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does no; apply to an owner of lf=2" property who builds or improves thereon, and contracts for such projects with contractor(s) hcensed pursuant to ttie Contractor's Ucense Law), □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I ~ly plan to provide the major_ labor and materials for construction of the proposed property improvement. Oves ~No 2. l~ave not) signed an applicabon for a building pennit for the proposed work. " Pf! i JI 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors· license number): ~~'IJ:lf!,L L LV K(.. Q I 4. I plan to prov;de pardons of•• woo, but I have h;red the follow;ng person to ooord;nale, supeo;se aad prov;o, •• majo, woo 1;nclude name I address/ phone I contractora' lk:en nomberi' '::; 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated {include name I address/ phone I type of work): _g PROPERTY OWNER SIGNATURE a □AGENT .. COMPLETE, THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure 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 Acr? 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 certtfy that I have read the application and state that the above lnfonnatlon Is oorrectand that the Information on the plans Is accurate. I agree to comptyv.ith all City ordinances and State lav.s relating to building construction. I hereby authorize rei:reser,tative of the City of Carlsbad to enter upon the atove mentioned property tir inspedioo purp,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: M OSHA permit is required br excavations over 5'0' deep and demolitbn or construction of structures over 3 stories in height. EXPIRATION: Every pemilt issued by the Building Off'cial under the provisbns of this Code shall expire by limitation and beoome null and vod Wthe buik:ling oroork authorized by such pennit is not commenced v.;thin 180 days from the dale of such pemilt or if the building orv.ork authorized by such permit is suspended or abandoned at any time after the v.ork is rommerced tr a period of 180 ys (Sectbn 100.4.4 UnOOrm Building Code). ~APPLICANT'SSIGNATURE ~ ' ----DATE /1!_ 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. 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/FAXTOOTHER: _______________ _ Af APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION [)ATE ZIP Inspection List Permit#: CB133244 Type: PME Date Inspection Item 12/31/2013 23 Gas/TesVRepairs 12/31/2013 29 Final Plumbing Thursday, January 02, 2014 Inspector Act MC AP MC Fl CAAMANO DUPLEX-GAS LINE REPAIR SDG&E LOCKED OFF METER DUE TO LE Comments UNIT B ONLY CALLED IN TO CAROLYN Page 1 of 1