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Home My WebLink About1150 TAMARACK AVE; ; CB132496; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-10-2013 Permit No: CB 132496 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No Reference #: PC#: Project Title: Applicant: 1150 TAMARACK AV CBAD PME 2054301900 Lot#: 0 SCHWEIBOLD RES -GAS REPAIR ABOVE FURNACE IN CLOSET Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/10/2013 SKS 10/10/2013 10/10/2013 SCHWEIBOLD DONALD R&BRADY JENNIFER SCHWEIBOLD DONALD R&BRADY JENNIFER 1150 TAMARACK AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1150 TAMARACK AVE CARLSBAD CA 92008 760-518-7851 $158.00 $0.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APPROVAL Date /~ · 2 'Z · ( 3 ' 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 in connection with this project. NOR DOES IT APPLY to any f x i n f which ou h v r vi usl n iv n N Tl E imil r o this or whi h th t e f limi a i ns h HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATiAPCD ~ Building Permit Application Plan Check No. CP--, ( 2,'} '-1'1 (c /(_t!'l\;i 1635 Faraday Ave., Carlsbad, CA 92008 ' Est. Value '¥:' C ! TY 0 F V Ph: 760-602-2719 Fax: 760-602-8558 Plan C~. Deoosit CARLSBAD email: building@carlsbadca.gov s:{t,..-www.carlsbadca.gov Date 7V1 I,;;// "> lswPPP :; f'B ADDR£SS //so 74 ., /7 A -/,, II c1e__ SUITE#/SPACE#/UNIT# (PN ! M,1 '7/ JC --- CT/PROJECT# I LOT# PHASE 11 l#OFUNITS '#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I OCC. GROUP ~ ~ES;5;;_7' lno~:;;;;•~=~/C- r,y..tf# 6#S ,,&c,,..£ /Jp'O~tt' Fut,,f,/,.r /N c.. Io 5 6-1 EXlSTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) YESO ~AIR 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 FAX PHONE I 'AX EMAIL EMAIL A -~ ~PERTY OWNER NAME /)J _ ,_ # .2fa L. ,l, /f./ CONfflACTOR BUS. NAME ADDRE//S'O 7;,.,.,,,, ,/ .p:... ,A ~ ADDRESS ,., CITY c'AnkkJ (!',,,,/TATE <}~8' CITY STATE ZIP PH~~o 72.P /5'7'7 l'AX PHONE I 'AX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I CLASS I CITY BUS. LIC.# {Sec: 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, p_r1or to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of D1v1sion 3 of the Business and Professions Code) or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 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 affinn 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 performance of the work for which this perm rt 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 tt the permrt is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calttomia, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees . .Ii$ CONTRACTOR SIGNATURE 111:lE □AGENT DATE 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 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 empklyees, 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 tt,e burden of proving that he did not build or improve for ttie purpose of sale). ~ ;"'~: owner of the property, am exclusively contracting witti licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of ~eriy who builds or improves thereon. and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's license Law). D I am exempt under Section, _____ Business and Professions Code for this reason· s for construction the proposed property improvement. 0Yes rmit for the p ' n {include name address/ phone/ contractors' license number): inate, supervise and provide the major work (include name I address/ phone / contractors' license number): pe ns to provide the work indicated (include name/ address/ phone/ type of work): )(-------{j~~~t:ht~~L'_____-----------~ .Ji$ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely 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 lo be constructed within 1,000 feet of the outer boundary of a school site? Yes No JF 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 state that the above infonnation is correct and that the infonnation on the plans Is aa:urate. I agree to comply with all City ordinances and State lcMS relating to building construction. I hereby authorize representative of the City of Carlsbad to enter up::,n the alxlve mentioned property for inspection 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA: AA OSHA pennit is required for excavation 5'0' deep and demolrtion or cons n of structures o r s in height EXPIRATION: Every permit issued by the Buildi I under this hall expire Ii me null and void if the buikjing orv.ork authorized by such permit is not commenced 'Mlhin 180 days from the date of such permit or if the ilding rv.o ut pe 1t suspen any time after the wrk is commenced for a period of 180 days Section 100.4.4 Uniform Buikjing Code). 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@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/ FAX TO OTHER:~---------------~ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#,~------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB132496 Type: PME Date Inspection Item 10/22/2013 23 Gas/TesURepairs 10/22/2013 29 Final Plumbing 10/10/2013 23 Gas/TesURepairs 10/10/2013 29 Final Plumbing Wednesday, October 23, 2013 Inspector Act PD AP PD AP PD AP PD AP SCHWEIBOLD RES. GAS REPAIR ABOVE FURNACE IN CLOSET Comments Page 1 of 1