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Home My WebLink About1351 FOREST AVE; ; CB140142; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-21-2014 Permit No: CB140142 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1351 FOREST AV CBAD PME 1561107700 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: CARNEY RES-DEMO 2 INCAND Project Title: LIGHTS IN MASTER BATH & ADD 1 LED CAN LIGHT & 2 VANITY LIGHTS, IN HALLWAY ADD 3 LED CAN LIGHTS W/ SWITCHES, IN LIVING ROOM ADD 3 WAY SWITCH & SWITCH FOR EXISTING FAN/LIGHT. ADD OUTLET FOR TV Applicant: MOONLIGHT ELECTRIC P O BOX 232788 ENCINITAS CA 92023 619 933-6076 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: CARNEY DEVIN&AMANDA 1351 FOREST AVE CARLSBAD CA 92008 ISSUED 01/21/2014 RMA 01/21/2014 01/21/2014 $0.00 $158.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: 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 tin f 'h hv r I n ivn NTIE ilr hi hihhe limi inh i I hrwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING ~ ,,.,~ .. ~{~ ~ CITY OF CARLSBAD JOB ADDRESS 13S Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEt/UNITt 0BUILDING OFIRE Plan Check No. Est. Value SWPPP CT/PROJECT# # BATHROOMS CONSTR. TYPE CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) ])Ql'O <i:) ~,,o:.,.J.. ea...., lh ; t\ ~ W(,., Rc).d_ (1) r,,'' i.6D ('""" \..T 1" 11\%+<.r ~ o.,,cl li.) \lo.",~ \,:1-S w.\"'-OC<..>l' .. ~"1 ~ ... s .... 1, ... ,'.1,.(.1,. --l,l.:..\l..i"1 AJ.J. (3) c. ~ LED c._ ct~ ....,,1, .... d: ...... e., 3...,"':1 S..,,.\.c!. .. J. L:111'-rt foo,M 0<.d..o. 3w'i g..,,tc..l.. ~..., ex,~h·~ L,~a, o,~ €1("W1.~,_J. Sw~cJ. {c,.re,.,·~k"V f;e......, 7 t...~~L -!'.:\~cl. du(lle)l ,rec:4>{.~<.k. a.~ f\W 1\/, Loce.-1-,\:Jv, - EXISTING USE PROPOSED USE GARAGE (SF) PROPER ADDRESS C , \ 135\ ,C~~ CITY Co...f \'i:. ~ STAa. PHONE f 11120 -G,oZ.-'Z."11°1 FAA EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPlACE YESQ AIR CONDITION/NG No0 YES0ND0 APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAA TRACTOR BUS. NAME ESS CITY STATE ZIP PHONE FAA EMAIL STATE UC.# S<a 1,_z:/#J CLASS C..\0 FIRE SPRINKLERS vesONoD (Sec. 7031.5 Business and P,rofessions Code: Any City or Coun.ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its iss e, a o req ires e applicant for such permit to ftle a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Sec n ODO of Division 3 of the B_us1ness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a per it ubjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}). 'WORKERS' COIIIPl!NSATION Workers' Compensation Declaration: I hereby affirm under penaJl'f 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 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---------- Thi s n need not be completed if the permit is for one hundred dollars ($100) or less 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, mages provided for }n~loll 3706 of the Labor code, Interest and attorney's fees. ,g CONTRACTORSIGNATURE V f--...--OAGENT DATE I -'21-1 I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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 arid 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 burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracfing 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 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. 0Yes 0No 2. I (have I have not) sfgned 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 I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work}: 2$ PROPERTY OWNER SIGNATURE 0AGENT DATE ------·-··-- . . . COMPLE,TE .,.HI$ SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management ar.d 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 to be constructed w;thin 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 certify that I have read the application and state that the abcMl infonnatlon Is oonectand that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bull ding coostruction. I hereby authorize representatiw of the City of Cartsbad to enter up::,n the alxll/e mentioned property Dr in~n pufl))SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE C!TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA .Ari OSHA permit is requred forexcava~ons over 5'0' deep and clemolilDn or CO'lstruction of structures ol/er 3 stones in height. EXPIRATION: E'lery permit issued by the Building Offcial under the provisions of this Code shall expire by limitation a,d become nun and voi::I iflhe building or'Mlrk authorized by such pennil is notrommenced 'Mthin 180 days from the date of such permit or if the buik:lrlg orY.tJrk authorized by sudl pennit is suspended or abandoned at any time after the v.ork is rommenced bra period of 180 days (Section 106.4.4 Untfonn Buik:ling Code) . .65 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 building@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#: CB140142 Date lnspecti<>11 _Item 02/28/2014 19 Final Structural 02/28/2014 34 Rough Electric 02/28/2014 39 Final Electrical Tuesday, March 04, 2014 Type: PME Inspector Act RI PD AP PD AP CARNEY RES-DEMO 2 INCAND LIGHTS IN MASTER BATH & ADD 1 LED C Comments CARNEY RES, 3 PM Page 1 of 1