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Home My WebLink About2368 SPRUCE ST; ; CB151000; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-03-2015 Permit No: CB151000 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2368 SPRUCE ST CBAD PME 1560522600 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: SHCRAMM RES= GAS LINE TO BBQ & FIREPIT//ELECT TO GAS AND MISC OUTLETS Applicant: SCHRAMM KEVIN & JESSICA 2368 SPRUCE ST CARSLBAD CA 92008 312-805-5410 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: SCHRAMM KEVIN & JESSICA 2368 SPRUCE ST CARSLBAD CA 92008 312-805-5410 ISSUED 04/03/2015 LSM 04/03/2015 04/03/2015 $160.00 $35.00 $0.00 $0.00 $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: Inspector: FINAL Al:'._PROVA'r- Date: S: 11-/J 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 ln connection with this project. NOR DOES IT APPLY to any f exa tion f whi h have r vi I N Tl E simil r this or whi h the te of Ii i n ha r i I therwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD ('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. (li) 1 S l {JO{) Est. Value -()() # OF UNITS # BEDROOMS ANT BUSINESS NAME acc. GROUP PATIOS (SF) PROPERTY OWNER ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # STATE LIC.# CLASS 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, prior to its issuance, also requires the applicant for such per_mit to file a signed s~tement that he is licensed pursu!lnt to the provIsIons of t:J:le Contractor'l> License t.,aw JChapter 9, comme_nding with Secti9n 1qoo of Division 3 of the B_usiness and Professions Code) or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm undeI 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 pertormance of the work for which this permit is issued, I have and wlH maintain workers' compensation, as required bv 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 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 workers' compensation coverage is unlawful, and shall subject an employM to criminal penalties and cMI 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, ~ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION / 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 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 r.ot intended or offered for sale. If, however, the building or improvement is sold within one year of compleijon, the owner-builder will have the burden of proving that he did not build or improve for the pu!pOSe of sa~)- □ 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 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' 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 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 work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLE~E T"l-11$ SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Arfl 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 MA.Y 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 information Is correct and that the Information on the plans Is accurate. I agree tD comply\\1th all City ordinances and State laws relating to building construction. I hereby authorize rep-esentative of the City of Carlsboo to enter UIXlfl the at:ove menOOned p-operty tr inspection pul'JX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST A1.L 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 penTilt is required for excavations over 5'0' deep and demolitbn or construction of structures owr 3 stories in height. EXPIRATION: Every permit &lied by the Building Offcial under the provisions of this Oxle shall expire by limitatbn and OOC:Ome null and vok:I W the building orv,ork authorized by such permit is not oommenre:I 'Mthin 19:) days from the date of sucti permit or if the buildng orv,ork authorized by such permit is suspended or abanOOned at any time after the v,ork is rommenced for a period of 19:) days (Section 100.4.4 UnifonTI Building Cooe). ~ 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, Email buildinq@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed abOYe) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ..65 APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP , Inspection List Pennit#: CB151000 Type: PME Date lnspectio_r, Item_ 05/19/2015 29 Final Plumbing 05/19/2015 29 Final Plumbing 05/19/2015 39 Final Electrical 05/19/2015 39 Final Electrical 04/06/2015 23 Gas/TesVRepairs 04/06/2015 31 Underground/Conduit-Wirin Wednesday, May 20, 2015 Inspector Act RI PD AP RI PD AP PD AP PD AP SHCRAMM RES= GAS LINE TO BBQ & FIREPIT//ELECT TO GAS AND MISC OUTL Comments AM PLEASE AM PLEASE Page 1 of 1