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Home My WebLink About1733 BLACKBIRD CIR; ; CB140145; Permit01-21-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB140145 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1733 BLACKBIRD CR CBAD PME 2156018100 Lot# CORRIEA RES- REPAIR GAS LINE FROM METER TO HOUSE- LEAK- SHUT OFF BY SDG&E Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/21/2014 RMA 01/21/2014 01/21/2014 Applicant BILL HOWE PLUMBING STE A 1364 MORENA BLVD SAN DIEGO 92110 619 286 6348 Owner MAUGHAN MAUREEN C 2006 TRUST 1733 BLACKBIRD CIR CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158 00 $0 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 APPROVAL Date /'ZZ-(^/ Clearance NOTICE Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this pemiit 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 nght 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 OPLANNING •ENGINEERING •BUILDING npIRE •HEALTH •HAZMAT/APCD Building Permit Application ^w''' '^^^^ Faraday Ave , Carlsbad, CA 92008 "^'TY °f Ph 760-602-2719 Fax 760-602-8558 CARLSBAD ema.l building@carlsbadcagov A . www carlsbadca gov [J K/f^ Plan Check No. P/) / U IQ ^ Building Permit Application ^w''' '^^^^ Faraday Ave , Carlsbad, CA 92008 "^'TY °f Ph 760-602-2719 Fax 760-602-8558 CARLSBAD ema.l building@carlsbadcagov A . www carlsbadca gov [J K/f^ Est.Value ^ ' ' Building Permit Application ^w''' '^^^^ Faraday Ave , Carlsbad, CA 92008 "^'TY °f Ph 760-602-2719 Fax 760-602-8558 CARLSBAD ema.l building@carlsbadcagov A . www carlsbadca gov [J K/f^ Plan Ck Deposit Building Permit Application ^w''' '^^^^ Faraday Ave , Carlsbad, CA 92008 "^'TY °f Ph 760-602-2719 Fax 760-602-8558 CARLSBAD ema.l building@carlsbadcagov A . www carlsbadca gov [J K/f^ Date / i\ \m iswppp SLIITE#/SPACE#/UNIT# APN ' / CT/PR0JECT# LOT# PHASE # |# OF UNITS 1 # BEDROOMS # BATHROOMS TENANT BUSINESS NAIVIE CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) EXISTING USE ' PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEs[~|# No| 1 YESQNOQ YES| | NO| 1 APPLICANTNAME (Primary Contact; ts/- . APPLICANT NAIVIE (Secondary Contact) ADDRESS , , - >^ ^r^<^^ <k^U£>i>y^- B> ADDRESS CITY STATE ZIP PHONE FAX PHONE FAX EMAir EMAIL PROPERTVOWNERNA^E ^ /^R / ^/V CITY . il'^JE ZIP , CITY ' V STATE ZIP PHONE ^ » « //FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC # STATE LIC.# CLASS „ , CITY BUS LIC# , (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 Law (Chapter 9, commending with 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 / hereby affirm under penalty of perjury one of the following declarations 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 wort; for which this permit is issued ave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, fcr the performance of the work for vAich this permit is issued My workers' compensation insurance carrier and policy number are Insurance Co _ Policy No Expiration Date _ t O/ 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 perfonnance 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 Failureto secure workers' compensation coverage is unlawful, andsKill 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 37p6 of the Lab()r code, interest and attomey's fees CONTRACTOR SIGNATURE • AGENT DATE 1 hereby affirm that I am exempt from Contractor's License Law for the following reason 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 ottered 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 ot completion, the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) I I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply lo 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 I I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals tor construction ot the proposed property improvement QYes I |No 2 I (have / have not) signed 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 / phone / 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 worl (indude 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 (include name / address / phone / type of work) ^PROPERTY OWNER SIGNATURE QAGENT 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 ot 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 district or air quality management distncP Yes No Is the facility to be constructed within 1,000 feet of the outer boundary ot 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 affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 fi) Civil Code) Lender's Name Lender's Address I ceitly that I have read ttie applicaton and state thatthe above infonnaton is conect and thatthe infonnation on the plans is axurate I agree to comply with all City onjinances and State laws relating to building constmction I hereby authonze representative of the City of Carfsbad to enter upon the above mentioned property for inspection purposes 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 COMSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constmction of structures over 3 stones in height EXPIRATION Every permit issued by the Building Official under the provisions of thisCode shall exfifeiiy limitation and become null and void if the building or vmrk authonzed by such pemnit is not commenced within 180 days trom the date of such perniit or if the building or mtk authorg8d^sudj,^^rit is sus|3ended6r abandoned at any time after the wDrt( is commenced tor a penod of 180 days (Section 106 4 4 Un^ Building Code) ygS" APPLICANT'S SIGNATURE \..jL..i^-V7^^^<y5~'7^\j^^'^< 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. C E R Ti F 1 NCY {Commercial Projects Ortly| Fax (760) 602-8560, Email buildinq(S)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS PICKUP CONTACT (Listed above) ^ OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL TO CONTACT (Listed above) CONTRACTOR (On Pg 1) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE' DATE Inspection List Permit* CB140145 Type PME CORRIEA RES-REPAIR GAS LINE FROM HOUSE TO BBQ REMOVED & CAP Date Inspection Item Inspector Act Comments 01/21/2014 23 Gas/Test/Repairs PB AP Wednesday, January 22, 2014 Page 1 of 1