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Home My WebLink About1564 CORMORANT DR; ; CB120276; Permit02-15-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumblng/Mechanical/Electrical (PME) Permit Permit No: CBl 20276 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1564 CORMORANT DR CBAD PME 2156500205 VOSS/MORGANS RES- REPLACE FAU Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/15/2012 LSM 02/15/2012 02/15/2012 Applicant: ASI HASTINGS 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 Owner: VOSS MICHAEL P&DONNA P 5471 GERMAN VILLAGE RD WEST BEND Wl 53095 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspectoi FINAL APPROVAL Date: ^'Z/^/l^ Clearance: NOTICE: Please take NOTICE ttiat approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this penmit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsl)ad Municipal Code Section 3.32.030. Failure to timely follow that procedure will tar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereljy 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any feea'exactions of which vou have previously t)een given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. <m> ^ CITY CARLSBAD O F Building Perniit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Pian Ck. Deposit Date ^iCji'l^ D SUITE#/SPACE»/UNIT» APN CT/PROJECT » LOT* PHASE* » OF UNITS t BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: (ncfude Square feet of Affected Araa(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEs|~|# Noj 1 YESQNOQ YES| |NO| 1 CONTACT NAME (liOitterent fom Applicant) APPLICANT NAME r . /) ADDRESS CIW STATE ZIP CmL STATE* ZIP PHONE FAX FAX EMAIL "SMAIL " PROPERTVOWNERNAME^^^^;^ CONTRACTOR BUS. NAME |^^- ADDRESS * . 1 U ADDRESS , , . ^ A ^ CITY , , 1 STATE ZIP CITX-, -..^ r STATE D ZIP PHONE FAX 9H0NE ^ FAX EMAIL •SMAIL ' ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# . (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 the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cliapter 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 s Workers' Compensation Decliration: / fiereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for writers' compensation as provided by Section 3700 of the Latxir Code, for the performance of lie worit for which this pennit is issued, t have and will maintain wm^re'compensation. asJ%|uiied bv Section 3700 of the Labor Code, for the perfonnance of the worl( for whicti this pemiit is issued. My workers' compensation insiirance canier and policy number are: insurance Co (^^iUYn'€^ f DXyW Policy NoVO (JT-fe^ .[ C>>--t \ Expiration Date _lJiiXU-X-L^ 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 perfbnnance of the worit fbrwhichthispennitis issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of Califomia. WARNING: Failure to secure worktn' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,IX)0), in addition to the cost of compensation, danjkges as aravUM for in Section 3706 of the LabeiYode, interest and attomey's fees. t .^eS* CONTRACTOR SIGNATURE V^^^C^j^N,!^ (QA^-^XV ^ N ^^^NT DATE ^ j * ^ j ) OWNER-BUILDER DECLARATION / fiereby affi/m that I am exempt from Ckntracta's Ucense Law for the foiiowing mason: I I I, as owner of the property or my employees with wages as their sole compensation, wiil do Uie work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professkms Code: The Contractor's License Law does not apply to an owner of property who buikls or improves thereon, and who does such work himself or through his own empkiyees, provided that such improvements are not intended or oflered for sale. If, hovtever, the buikiing or improvement is sokl within one year of compietkin, the owner-bulkier will have the burden of proving that he dkl not buikl or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with Ifcensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's Lcense Law does not apply to an owner of property who buikls or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law), • am exempt under Section _ .Business and Professions Code fbr this reason: 1 I personally plan to provide the major labor and materials for oonstnx:tx)n of the proposed property improvement. Qves I No 2 I (have / have not) signed an applk;alxin fbr a buikiing pemiit for the proposed work. 3.1 have contracted with the foltowing person (fimi) to provkle the proposed constmction (include name address / phone / contractors' lfcense number); 4 I plan to provide porttons of the work, but I have hired the following person to coordinate, supenrise and provide the major worit (include name / address / phone / contractors' lfcense number): 5.1 will provide some of the worit. but I have contracted (hired) the tollowing persons to provkle the worit indicated (include name' address I phone / type of worit): ^PROPERTY OWNER SIGNA' \^<Q<T DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the appikiant or futuie buikiing occupant requited to submit a business plaii. acutely hazardous materials registration fbrni or risk management and preventton program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? j I Yes I iNo Is the applicant or future buiWing occupant required to obtain a pemiit from the air pollution control district or airaualitv management district? I Ives I I No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? ClYes I I No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTiON LENDING AGENCY I hereby affirm that there is a constmction lending agency for the perlmnance of the work this perniit Is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitl^ that I have read the applicafion and state that the abate infonnation is conect and that tlie inlbmiati I hereby authorize representative of the Oty of Carlsbad to enter upon the above mentioned property Ibr inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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 pemiit is fet^uired for excavatbns over S'O' deep and denxilition or constrtJcSon of structures over 3 stories in height EXPIRATION: Every pemit issued by the Buikiing OfSdal under the pnovisions of this Code shall expire by Watkin and become null and void if the bulWing or worit authorized by such pernt is not commenced within 180 days liDm the date of such penmit or if the buikiing or work authorized by such pemiit is suspended or abandoned at any time after the worit is commenced for a period of 180 days (Section 106.4.4 Unifomi Buikiing Code). jgS"APPLICANT'S SIGNATURE OATE City of Carlsbad BIdg Inspection Request For: 04/23/2012 Permits CB120276 Inspector Assignment: PB Title: VOSS/MORGANS RES- Description: REPLACE FAU Type: PME Sub Type: Phone: 7604589379 Job Address: 1564 CORMORANT DR Suite: Lot: 0 Location: Inspector: APPLICANT ASI HASTINGS Owner: VOSS MICHAEL P&DONNA P Remarks: PM PLEASE GATE CODE 4317 CALL 15 MINS PR Total Time: Requested By: JULIE Entered By: JANEAN CD Description Act Comments 44 Rougli/Ducts/Dampers 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments 03/27/2012 43 AirCond/Furnace Set NR PB