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Home My WebLink About1306 BASSWOOD AVE; ; CB112291; Permit10-25-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112291 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1306 BASSWOOD AV CBAD PME 2050520800 Lot#: VALENT RES ADD FURNACE WITH CUT IN FOR GAS LINE Applicant: ASI HASTINGS 1250 GREENFIELD DR ELCAJON, CA 92167 619-223-9016 Status: ISSUED Applied: 10/25/2011 Entered By: KG Plan Approved: 10/25/2011 Issued: 10/25/2011 Inspect Area: Owner: VALENT OSCAR B&JANET I 1306 BASSWOOD AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $30.00 $0.00 $150.00 $0,00 $180.00 Total Fees:$180.00 Total Payments To Date:$180.00 Balance Due:$0.00 Inspector: FINAL AR.MA >VAL Date:Clearance: 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave.. Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No.Q P) \ /• Est. Value Plan Ck. Deposit JOB ADDRESS CT/PROJECTs LOTS PHASE *=? OF UNITS * BEDROOMS 3UITES/SPACES/UMIT* * BATHROOMS APN TENANT BUSINESS NAME CQNSTR, TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FiREPUCE AIR CONDITIONING YES| [NO( [ FiRE SPRINKLERS YESJ |NO| [ CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP STATEen-ZIP PHONE FAX RHONE EMA+C FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME £v o *T> ADDRESS CITY CA ZIP FAX PHONE FAX EMATtr EMAIL ARCH/DESIGNER NAME 4 ADDRESS STATE LIC. *STATEUC.* (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I ftereoy affirm under penalty of perjury one of the following declarations: I 11 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. I I iI 11 Itave and will maintain *ork»rs^otTOeBgatoiuasjrauired bvSection 3700 of the Labor Code, for the performance of tne/xork for which thisjiermit is issued. My workers' compensation insuratea earner and/policy number are: Insurance Co ( ^£A^\jY/lUrW' Policy No. \J()(-4^—^E> L/{ ^ u2-.~IC) Expiration Date 1^11 t 0 I IZ2. This section need not be completed 'i the permit is for one hundred dollars ($100) or less. | I 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 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 dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 otthe Labor code, interest and attorney's fees. ^CONTRACTOR SIGNATURE ^jti^^A^ lULfa<^ ^^NT DATE l^l^^lU ••••••••••iilillfil^^ I hereby affirm (haf I am exempt from Contractor's License Law fortfte 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 owner of property who builds or improves thereon, and who does such «rk himself or through his own employees, provided that such improvements are not intended or offered for sate- 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). | [ D i, as owner of the property, am exclusively contracting with licensed contractors to construct she project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). I am exempt under Section __Business and Professions Code for this reason: 1.1 personally plan to provide itie major labor and materials for construction of the proposed property improvement. QYes I |NO 2.1 (have / hare not; signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of She work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address,' phone ' contractors' license number): 5.1 will provide some of ihe work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE J>C/3/ C^CAV"-/, ^"ll (P 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? II Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ajrcjjality management district? I JYas f~1 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes FlNo IF ANY OF THE ANSWERS ARE YES, t 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 that I have read (Re application and state that the above information is correct and that the information 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 upon the above mentioned property for inspection purposes.! ALSO AGREE TO SAVE, INDEMNIFY AMD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over Sff deep and demolition or construction of siwetures over 3 stores in height EXPIRATION; Every permit issued by (he Building Oidal under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if Jie building or work authorized by such permit is suspended or abandoned at any Bme after the work is commenced for a period of 180 days {Section 106.4. <t Uniform Building Code). xfiS"APPLICANT'S SIGNATURE AAJV-^DATE Inspection List Permit#: CB112291 Type: PME VALENT RES ADD FURNACE WITH CUT IN FOR GAS LINE Date Inspection Item Inspector Act Comments 11/03/201143 AirCorrd/Furnace Set - Rl 11/03/201143 AirCond/Furnaee Set JM Fl 11/03/201149 Final Mechanical JM Fl Thursday, November 03, 2011 Page 1 of 1