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Home My WebLink About1785 VALLEY PL; ; CB151713; Permit06-04-2015 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: CB151713 Building Inspection Request Line (760) 602-2725 1785 VALLEY PL CBAD PME 2050803100 KLAUSENSTOCK RES= REPAIR Lot#: 0 GAS LINE UNDER SLAB AND REROUTE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/04/2015 LSM 06/04/2015 06/04/2015 ROOTER HERO PLUMBINGINC KLAUSENSTOCK DANIEL&SUSANNE M 11150 SEPULVEDA BLVD MISSION HILLS CA 91345 818 301-1462 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1785 VALLEY PL CARLSBAD CA 92008 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Date: 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 fe s/ xactions of whi h u h v reviousl been iven a NOTICE imil r to this r as t which the sta ute f limitation ha r vi sl th rwi x ired. ►--------------------------------------------------------, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD C cicy of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Pla.oc SUITEt/SPACEt/UNITt Plan Check No. CJ::i J 5 J 7 Est. Value Plan Ck. Deposit Date f/) 4 15 SWPPP APN CT/PR JECT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. ROUP DESCRIPTION OF W07(X)up7,are F~ ;eete~::s~ O V ~ ~oJ~lr.. ~ij-,c., , EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME Pr/mar Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE ZIP FAX STATE ZIP FAX STATE UC.# PROPERTY OWNER ADDRESS t l'..\tS-"ttllt ADDRESS 0 PHO '2.1+'L) EMA STAT~ Ol 'f ZIP ~r o t>l \) M c.+· ZIP FAX CLASS CITY BUS. UC.# rz_c-to s (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ 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 that 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/araUons: E] 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 wolk for which this pennit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the wolk for which this pennit is issued. My walkers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~section need nol be completed ~ the permil is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the wolk for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia. WARNING: Failure to secu co ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla~ (&100,000), In ovided ctlo oft ab ode, interest and attorney's fees. I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as lheir sole compensation, will do the wolk and the structure is not inlended 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 wolk himse~ 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 owner of the property, am exclusively contracting with licensed contractois 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 Of 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. O ves 0 No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone / contractors' license number): 4. I plan to provide portions of the wolk, bul I have hired the following person to coordinate, supeivise and provide the major wolk (include name / address I phone I contractors· license number): 5. I will provide some of the work, but I have contracted (hired) lhe following peisons to provide the wolk indicated (include name/ address / phone I lype of wolk): .2S PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazaroous 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 penmit 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address • I certify thatl have read the application and state that the above lnfomnation is conect 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 aulholiZe representative of the City of Carlsbad to enter UJXXl the alxlve mentioned property for inspection purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD AGAINST All. LI.ABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ is required for excavations over 5'0' deep and demotiton or construct on of structures over 3 stories n height. EXPIRATION: Every permit issued by the • • • I under the provisons of this Code shall expire by Imitation and beo:Jme null and -.oo W the ooik:ling or v.orll authorized by such permit is not connmenred v.1thin 180 days from the date of such pe if the ooikf orv.orll authorized bys • • pended or abandoned at any time after the v.orll is commenred for riod of days (Seeton 100.4.4 Uniform 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. CEflTIFICATE OF occur'ANCY ( C o m m c r c 1 ,, I PrOJCCt'i 0 11 I V I Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Onlyl CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed abovel CONTRACTOR (On Pg. :1.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above I OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ,IS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB151713 Type: PME Date Inspection Item 06/08/2015 23 Gas/T esURepairs 06/08/2015 23 Gas/T esURepairs 06/08/2015 29 Final Plumbing Monday, June 08, 2015 Inspector Act AEK AEK RI AP Fl KLAUSENSTOCK RES= REPAIR GAS LINE UNDER SLAB AND REROUTE Comments Page 1 of 1