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Home My WebLink About1736 MALLOW CT; ; CB112474; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-22-2011 Permit No: CB112474 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1736 MALLOW CT CBAD PME Status: Parcel No: 2155163300 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: COTTON RES-REPLACE FAU -SAME LOCATION J & J PLUMBING HEAT & AIR 2604-B EL CAMINO REAL #166 CARLSBAD 92008 619-606-8677 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: COTTON RICHARD T&WENDY S 1736 MALLOW CT CARLSBAD CA 92011 ISSUED 11/22/2011 RMA 11/22/2011 11/22/2011 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $0.00 Balance Due: FINAL AP Inspector: Date: 2.. Clearance: $150.00 NOTICE: Please take NOTICE at approval of your project includes the ~Imposition" of fe s, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pem1it was issued to protest imposition of these fees/exactions. If you protest them, you must foUow 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 NOT!Flf::D 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 wi~h this project NOR DOES IT APPLY to any f f hi h iv n N Tl E i 'I r hi r I limi i h I h <<1~ ~ CITY OF CARLSBAD JOB ADDRESS , I 7. CT/PROJECT# EXISTING USE APPLICANT NAME (Primary Contact} PROPERTY OWNER NAME ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov PATIOS (SF) DECKS (SF) Plan Check No. Est. Value Plan Ck. Deposit FIREPLACE APPLICANT NAME (Secondary Contact) STATE ZIP FAA STATE UC.# SWPP (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_rn1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor·_s License Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKJIIU' ~OMPl!l!l$ATICH,1 Workers' Compensation Declaration: / hereby affirm under penalty of petjury 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 ~ve and wil1 maintain worbrs' r;>q1pensatlo+n as :9~d by Se:tiJ1 3700 of the Labor Code, for the performance of the work~ whk:h this permit is issued. workers' compensation in ranee carri (~~~ber are: Insurance Co. n a C ~ C a_ Policy No. _.f--C,..L,4:LJ.;::.Jb,-1,,<C-"C,_:'T-'12"'--¥ ExpiratiOn Date ,. ~ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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' Compensatton Laws of California. WARNING: Fallure to secure workers' compensation covera unlawful, and shat1 subject an employer to criminal penalties and civil fines up to e hundred thousand dollars {&100,000), in addition to the cost of compensatl am ages as provided for In Sectlo 37' /I the Labor code, lntere>8nd attorney's fees. A! CONTRACTORSIGNATU :,,ta q_j-_ □AGENT 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 contrac:Ung 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. □ Yes □ No 2. I (have/ have not) signed an app(ication 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. l 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/ 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 I type of work): A! PROPERTY OWNER SIGNATURE []AGENT OATIS 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 lhe Presley-Tanner Hazardous Substance Account Act? O Yes □ No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of lhe 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. lender's Name I certify that I have read the application and state that the above infonnatlon Is correct and that the Information on the plans is accurate. I agtee ID comply with all City ordinances and State IB'IW relating to building construction. I hereby authorize representative of the Qty of Carlsbad to enteru~ the alx>ve men!Dned property for inspection ~rp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSB.AD ACAINST ALL LIABILITIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required br excavations over 5'0' deep and demolition or construction ofstrucb.Jres over 3 stores in height. EXPIRATION: Every pennit issued by the Buikling Offi::ial under the provisions of · Code shall expire by imitatK>n and become null and vokl if the buikling or'MJrk authorized by such pennlt is not commenced 'Mlhin 180days from the date ofsudl permit or if the building or'Mlrk authorized by su pe it· suspended or abancbned at anytime after the 'Mlrk is commenced for a perbd 180days {Sect' 106.4.4 Uniform Building Code) ..@S° APPLICANT'S SIGNATU J__ DATE / 2 2 City of Carlsbad Bldg Inspection Request For: 12/19/2011 Permit# CB112474 Title: COTTON RES-REPLACE FAU -SAME Description: LOCATION Type:PME Sub Type: Job Address: 1736 MALLOW CT Suite: Lot: 0 Location: APPLICANT J & J PLUMBING HEAT & AIR Owner: COTTON RICHARD T&WENDY S Remarks: CALL W/ETA PLEASE Total Time: CD Description Act Comments 44 Rough/Ducts/Dampers 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Ori,ginal PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Inspector: ---- Requested By: JANINE Entered By: JANEAN