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Home My WebLink About2758 SOUTHAMPTON RD; ; CB130558; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-11-2013 Permit No: CB130558 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2758 SOUTHAMPTON RD CBAD PME 2081403000 Lot #: DEATON RES -ADD OUTLET TO EXISTING CIRCUIT IN GARAGE. 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/11/2013 SKS 03/11/2013 03/11/2013 DEATON MICHAEL&BROWN CANDACE DEATON MICHAEL&BROWN CANDACE 2758 SOUTHAMPTON RD CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2758 SOUTHAMPTON RD CARLSBAD CA 92010 $0.00 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APf, Date: Clearance: $0.00 NOTICE: Please take NOTICE hat 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 pem,it 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 Sectfon 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 applicatfon processing or service fees in connection with this project. NOR DOES IT APPLY to any f f w i h I n iv n N Tl E ii r hi r t hi h h f limi i h I h rwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ENGINEERING Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov # BATHROOMS Est. Value Plan Ck. Depos't SWPP CONSTR. TYPE OCC. GROUP ')t DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) o.dd e.J~<..Tr,cz) Ol.)"T l.e1 -,-z, Q./)(.1$1•/"\J C, rLUI'{ i.9Pl':4)10 1 C ti t, H 61 t \ ~nvA; F.3 EXISTING USE PROPOSED U GARAGE (SF) APPLICANT NAME (Pt/mg Contact; Cand:zue co0,;o ADDRESS PATIOS (SF) °9' ta cG!JS (-Dr a .;J DECKS (SF) FIREPLACE YES □# __ NOD AP Secondary Contact) l 'vez,or, I AIR CONDITIONING YES O NO □ FIRE SPRINKLERS YES □ NOD • cl)\.) ADDRESS S ouih,;;i vnn ~'°<-'-=c_\ -~~-----+=~-------=~--~~--------1 -~~--~ nwE ZIP CITY STATE ZIP LS (};0 CA 92·0 I 0 PHONE FAX I FAX 7 4' Q__2_e,c2_;9___.5__,__,.2e-C,=--it_S:,-. ---'--------------1 EMAIL .E'..M"A"l"L------------~------------------j ARCH/DESIGNER NAME & ADDRESS STATELIC. # STATE LIC.# CLASS CITY BUS. LIC # (Sec. 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to. construct, alter, improve, demolish or repair any structure. r.rnor to its issuance, also requires the applicant for such permit to file a signed statement that he Is l,censed pursu_ant to the provIsIons of the Contractor"s License Law /Chapter 9. commend mg with Section 70_00 of DIvIsIon 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 subiects the applicant to a cIvII penalty of not more than five hundred dollars {$500}). ~i~fiiiiAMi*i-fiJ-'ltif,iii4f i I Workers' Compensation Declaration: / hereby affirm under penalty of petju,y 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 performance 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 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 ______ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work lor 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 dollar.. (&100,000), in I addition to the cost of compensaUon, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,K! CONTRACTOR SIGNATURE □AGENT DATE J}it!ilii,M i!Ui,ii:itiii i:tb'.11·1,:44494¥ ' I heret:,; affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner ol 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 Contractors License Law does not apply to an owner ol 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. II, 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 ol 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 Cade for this reason 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement D Yes O No 2. I (have/ 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/ phone/ contractors· license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeNise 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/ type of work} -fiSPROPERTYOWNERSIGNATURE c~ &C)(u'y\_.,,/ □AGENT DATE /l')arcl--\ ti, 2013 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration torm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley•Tanner Hazardous Substance Account Act? □ Yes O No Is ttie applicant or future building occupant required to obtain a permit from the air pollution control district or air q~ality management district? □ Yes O No Is the facility to be constructed W1thin 1,000 feel of the outer boundary of a school site? 0 Yes O 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 hereby affirm I certify that I have read the application and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter ufX)n the aOOve mentioned property br insjR!ion purposes. 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 Cfl'I IN CONSEQUENCE OF THE GRANTING OF THIS PERM~ OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heiJht. EXPIRATION: Every i;ermit issued by the Building Offi:::ial under the provisbns of this Code shall expire by limitat10n and beo:lme null and vod if the building orv.ork authorized by sudl i;ennit is not commenced within 180 days from the date of such i;ermit or if the building orv.ork authorlzed by such i;enn~ is susi;ended or abandoned at any time after the oork is oommenced for a i;eliod of 180 days {Section 100.4.4 Unifonn Building Code) 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 www.building@carlsbadca.gqv or Mail the completed fom1 to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS □ PICK UP: ~ CONTACT (Listed above) 11 CONTRACTOR (On pg_ 1) FAX OCCUPANT (listed above) □ MAIL TO: □ CONTACT (listed above) c OCCUPANT (Listed above) ·.J CONTRACTOR (On Pg. 1) n MAIL/ FAX TO OTHER: L5APPUCANT'S SIGNATURE ZIP CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#-. n NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB130558 Date Inspection Item 09/17/2013 39 Final Electrical 09/17/2013 39 Final Electrical Wednesday, September 18, 2013 Type: PME Inspector Act RI PY AP DEATON RES -ADD OUTLET TO EXISTING CIRCUIT IN GARAGE. Comments AFTER 10:30 AM Page 1 of 1