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Home My WebLink About167 CHERRY AVE; ; CB121210; Permit06-26-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA'92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 21210 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 167 CHERRY AVCBAD PME 2042321800 Lot#: ROY RES- REPAIR 3/4 GAS RISER OFF METER. SDGE RED TAGGED Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: ASAP DRAIN GUYS & PLUMBING 120 N. PACIFIC ST. STE.J1 SAN MARCOS, 92069 760-721-2904 Owner: ROY SUBIR TRUST 11-16-94 470 LAKEVIEW RD PASADENA CA 91105 ISSUED 06/26/2012 LSM 06/26/2012 06/26/2012 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^'2^-f2^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition'' of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as "fees/exactions.'' You have 90 days from the date this pennit 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 CHy Manager for processing In accordance with Carisbad 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 sen/ice 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 othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING DBUILDING DFIRE DHEALTH •HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, OA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.ca risbadca .eov Plan Check No.^fjl'^, I Est. Value Plan Ck. Deposit Date SWPP JOB ADDBESS ecnr ' ^ triT# j i PHASE # i # OF UNIT; SUITE#/SPACE#/UNIT# CT/PROJECT PHASE* I # OF UNITS j # BEDROOMS # BATHROOMS TENAfJT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Squafe Feet Of Affected Areafs; _ „ ~l _ ^ ; 7 7^ 7 , EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES D NOD APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL FAX EMAIL PROPERTY OWNER NAMI CONTRACTOR BUS. NAME PHONE , , I . . (TAX CITY ^ Ai . STATE _ ZIP E ! fwx /, ! PHONE t^-bOM^-X ARCH/DESIGNER NAME & ADDRESS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any Cily 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 pursuantto the provisions ofthe Contractor's License Law (Chapter a, 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)). •W O ilH E Bt i • C d;M> EW $ A T I 6 N 1—1 I nave ana win maintain a cenincaieor consent to seir-insure Tor worKers compensaxion as provioeo oy ^eciion jruuonne Laooruooe, Torino penorTTTance oTine woTKTorwnicn inis POTTTTIIIS issueu. ^;3^have and will maintain workersVtompensatlon, as retired by Section 3700 of the Labor Code, for the perfomiance of tjae work for which this permitis issued. My workers' compensatigjunsurarice camgund number are: Insurance Co. J^AQOV^^^^ ^o. TWAJOCJC) | S^~00 Expiration Date KJ— / " i^ Woriters' Compensation Declaration: / hereby alUmi under penalty of peijury one ofthe lollowing declarations: O I have and will maintain a certlflcateof 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 permitis Issued. My workers' compensajjgp^nsurance carrigc^nd policy Expiration Date. This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the performance of the work 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 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 asprovlded for InSection 3706 of the Labouo^«nlnterest and attomey's fees. JS^ CONTRACTOR SIGNATURE^^^^^^^ J^^^y^^^-''^^''''^^'^^^ gAGENT DATE "^-^-^ / ,|> w ||:^R BUILDER D;E C L A R A11,O N / hereby affimi (hat / am exempf from Confractor's Ucense Law for f/ie 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 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 contracting w\h 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). n I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes D 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 (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following pereon to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number); 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): yCfpROPERTY OWNER SIGNATURE •AGENT DATE •IIETIE tHiS SiCTION eon HON-kESlOWHTtAL BUiLOiM0 PEttMiTS ONLY 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? O Yes • No Is the applicant or future building occupant required to obtain a pemiit from the air pollufion control district or air quality management district? • Yes DNo 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. low LE A,«ENCV i I hereby aflinn that there is a construdion lending agency for the performance of the worit this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address PLICA N.T ,::,C;i R)tt FICA t tO I certify that I have read the applicat'on and state that the above Infomiation Is conect and that the information on the plans is accurate. I agiee to comply wHh aN Chy ordinances and Slate laws relating to building construction. i hereby authorize representative of the City of Cailsbad to enter upon the above mentbned piopeity for inspection purposes. I ALSO AGIREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH I^AY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height EXPIRATION: Every pemiit issued by the Building Official under the provisions of this Code shall expire by limitatbn and become null and void if the buikJing or worit authorized by such pemiit is not commenced within 180 days fern the date of such pemiit orifMpuilding or vwrtt authorized by such pemiit is suspended or abandoned at any time afler the work is commenced for a period of 180 days (Sectbn 106.4.4 Unifbmi BuikJing Code). yfiTAPPLICANT'S SIGNATURE O^^^^^ " 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 www.buildinq(5)carisbadca.oov or Mail the completed fomi to City of Cartsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (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) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121210 Type: PME Oate Inspection Item Q6/28/2012 23 Gas/Test/RepaIrs Inspector Apt Rl ROY RES- REPAIR 3/4 GAS RISER OFF METER. SDGE RED TAGGED Comments 06/28/2Q12 23 06/28/2012 29 06/28/2012 29 06/27/2012 29 06/27/2012 29 Gas/Test/RepaIrs Final Plumbing Final Plumbing Final Plumbing Final Plumbing PB PB PB AP Rl AP Rl NR Tfiursday, June 28, 2012 Page 1 of 1