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Home My WebLink About1412 TOPAZ CT; ; CB112420; Permit11-15-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112420 Building Inspection Request Line (760) 602-2725 1412 TOPAZ WY CBAD PME 2121915900 DEVLIN RES-REPLACE FAU IN ATTIC Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/15/2011 RMA 11/15/2011 11/15/2011 DEVLIN FRANCIS W&ERIKA DEVLIN FRANCIS W&ERIKA 1412 TOPAZ WAY CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1412 TOPAZ WAY CARLSBAD CA 92011 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the ulmposition" 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 Ca;lsbad 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 NOTIFl::O 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 le s/ex _)":t ":f:"'~. C I T Y O F CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 /2718/2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPAC Plan Check No. Est. Value SWPP CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION Of WORK: Include Square Feet of Affected Area(s) -I\ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NOD YES □ NOD YES □ NOD ~~ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME !ADORE) ADDRESS CITY STATE ZIP PHONE FAX _,+"""'-: I - EMAIL ~.:.r'V""'\ STATE LIC. # STATE LIC.# CLASS CITY BUS. UC # (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to its issuance, also reciuires the applicant for such permit to file a sIJ;!ned statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law \Chapter 9, commending with Section 70_00 of DIvIsIon 3 of the B_usIness and Professions Code} or that he Is ex.empt therefrom, and the basis for the alleged ex.emption. Any vIolatIon of Section 031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars ($500)). Worti:ers' Compensation Declaration: / 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 performance of the work for which this permit is issued. 0 I have and will maintain worti:ers' 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. D 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 ol California. WARNING: Failure to secure worti:era' 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. ~ CONTRACTOR SIGNATURE !l!I!! □AGENT DATE I hereby affirm that I am exempl from Contractor's Ucense Law for the following reason- □ 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 ovmer of property who builds or improves thereon, and who does such worl( himself 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 ovmer 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 ex.empt under Section ____ _ Business and Professions Code for this reason: 1. I personally ptan to pro~ide the major labor and materials for construction of the proposed property improvement □Yes 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 I phone/ contractors' license number)· 4 I plan to provide portions of the work. but I hav ed lhe following person to coordinate, supervise and provide the major work (include name I address I phone I contractcrs' license number) 5 I will provide some of the work, but I have co act (h' d) the following persons to provide the work indicated (include name I address I phone I type of work): .85 PROPERTY OWNER SIGNATURE LIAGENT DATE ,.. 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 applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes D No Is the facility to be constructed 'Nithin 1,000 feet of the outer boundary of a school site? O 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 state that bove infonnation is correct and that the information on the plans is acx:urate. I agree ID comply with all City ordinances and State lav.s relating ID bull ding consln.Jction. I hereby authorize representative of the City of Carlsb to nter up::in lhe aOOve mentioned property for ins~on purp::1ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUCGMENTS, COSTS ND PENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: h, OSHA pemiit is required klr excavations ver 5' ' p and demol~ion or construction of structures over 3 stories in height EXPIRATION: Every p:!rmit i.ssued by the Building ial u e the provisions of this Code shall expre by limitatOn and become null and void if the buikling or w:irk aulhorized by sudi ~miit is not commenced 'Mlhin 180 days from lhe date of sudl p:!rmit or if lhe buildi a thorized by sudi p:!rmit is sus~nded or abandoned at any time after the w:irk l5 rommenced for ape • of 180 day (Section 100.4.4 Uniform Building c.ode). ,2S APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 11/16/2011 Permit# CB112420 Title: DEVLIN RES-REPLACE FAU IN Description: ATTIC Type: PME Sub Type: Job Address: Suite: Location: 1412 TOPAZ WY Lot: 0 APPLICANT DEVLIN FRANCIS W&ERIKA Owner: DEVLIN FRANCIS W&ERIKA Remarks: gate code is 4848 Total Time: CD Description Act Comments Inspector Assignment: Phone: 7608046296 Inspector: ---- Requested By: FRANCES Entered By: CHRISTINE 43 AirCond/Furnace Set (i_ _____ _ 49 Final Mechanical f------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments