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Home My WebLink About1228 AVIARA PY; ; CB132633; Permit10-24-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 32633 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1228 AVIARA PY CBAD PME 0000000000 Lot# LIGHTS FOR CHRISTMAS TREE LOT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/24/2013 JMA 10/24/2013 10/24/2013 Applicant M & I ELECTRIC Owner 9301 SHOSHONE AVE 91325 818-882-0474 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0 00 $158 00 $0 00 $0 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00 Inspector FINAL APPROVAI Date Clearance NOTICE Please take NOTICE ffiat approval of your project includes tfie 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You tiave 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 Carisbad Municipal Code Section 3 32 030 Failure to timely followr 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 fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE- nPLANNING nENGlNEERING OBUILDING DFIRE •HEALTH • HAZMAT/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. l^- "ZC^ 33 Est. Value Plan Ck. Deposit Date t6/'^/|^> [SWPPF JOBADDRESS SUITE#/SPACE#/UNIT1» CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: /ncfude Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# NOj I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE (Prfma ry Contact) \ 1 APPLICANT NAME (Secondary Contact; ADDRESS A , CITY I ' , " ^ ^ STATE ADDRESS ITY I A STATE ZIP CITY STATE ZIP PHONE FAX gor-s-^^-23)3:) eos-, 5'3^-g-S83 PHONE EMAIL PROPERTY OWNER NAME NTRACTOR BUS. NAME ADDRESS i I I STATE ' ADDRESS I , , STATE ZIP ZIP 9 2oog PHONE FAX FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS O IMI t LIU ff _ CITYBUS L1C# (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Lavir (Cnapter 9, commending vi/ith Section 7000 of Division 3 ofthe 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 penaity of perjury one of the following declarations K. 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 tfie perfomiance of the work for which this permit is issued 11 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 ""p / l/^^ ) \K Su trajtA.C.e. f Policy No A Tj^ 1^1 'T^r^O Expiration Date <0*ri "tbt - p'gVf^ This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in the perfomiance of the work for which this pemiit is issued, 1 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages » prmitji for In Section 3706 of the Labor code, interest and attomey's fees ygS" CONTRACTOR SIGNATURE / ^ AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the foiiowing reason I I 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 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 bunien 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 constnict 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 Contractors License Law) I am exempt under Section _ eBusiness and Professions Code for this reason 1 1 personally plan to provide the major labor and matenals for construction of the proposed property improvement QYes | |No 2 1 (have / have not) signed an application for a building permit for the proposed work 3 1 have contracted with the following person (firni) 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 peison to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (mclude name / address / phone / type of work) PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP ^ Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP Yes No Is the facility to be constmcted 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 affimi that there is a construction lending agency for the performance of the wori< this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address 4 I certify that I have read ttie applicabon and state tliat the above information is coirect and that the infbnnation on the plans is accurate. I agree to comply witti all City ordinances and State laws relating to building constniction I hereby authonze representative ofthe City of Carlsbad tc enter upon the above mentioned property for inspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMFF OSHA An OSHA permit is requited for excavations over 5'0' deep and demolition or construction of stmctures over 3 stones in height EXPIRATION Every pemiit issued by the Building Official under the provisions ofthis Code shall expire by limitation and become null and void tl the building or \NO<\<. authonzed by such pemiit is not commenced within 180 days from the date of such pennit or if the building orvpjk autfjgnzed by such pemiit is suspended or abandoned at any time after the woi1( is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code) yfilTAPPLICANT'S SIGNATURE j^^X I / 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. OCCUPANCY (Commercial Projects Only! Fax (760) 602-8550, Email buildinQ(S)carlsbadca qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008 C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL / FAX TO OTHER: ' ASSOCIATED CB#- , NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jgf APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB132943 Type: PME BRYANT RES - REPLACE WATER HEATER - SAME LOCATION Date Inspection Item Inspector Act Comments 11/26/2013 25 Water HeaterA/ents - Rl 11/26/2013 25 Water HeaterA/ents PY AP 11/26/2013 29 Final Plumbing - Rl 11/26/2013 29 Final Plumbing PY AP Tuesday, November 26, 2013 ' Page 1 of 1 M &' I E-lectric Compao-^y "•U~^~r,|-|rjo.;, 3. ?lu2."> AususT :S. 200' i 0 wnom n mav concem 1. Domenic iadevaia of M & I Elecinc ComDan^. f State License #4!6"9o j authorize Seasonal Adventures. Inc.. D.B A. Stu Miller's Price is Right Christmas Trees and pumpkms. and any of then agents, to act as an authorized agent on my behalf and to sign appiications for Seasonal Adventures, Inc., D.B.A. Stu jVIiller's Price is Righl Chnstnias Trees and pumpkins This permission is for pumpkin and Christmas tree lighting and power only .Also, this shall serve as authorization for Seasonal A.Qvenrures. Inc.. D.B..A Stu Miller's Price is Right Christmas Trees and pumpkins to obtain any requirea electncal business licenses Sihc^relv Yours, / ' / /• r 1 '^Domenic A ladevaia State of California, Los Angeles County Siibscribetj andswom to (or affirmed) before me on this ;^9Alavof s . 20 0 9. by T^pn^-enrc -e i^f. personally known to me or proved me on ttie basis of satisfactory evidence to be ttie person^sf who appeared before me. Signiiture_ A j\. Jl. .\ JOHN BAE COMM. #1692325 CO NOTARY PUBLIC - CALIFORNIA Q LOS ANGELES COUNTY on My Comm Expires Oct 2.2010