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HomeMy WebLinkAbout2205 DAVID PL; ; CB163562; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-19-2016 Permit No: CB163562 Building Inspection Request Line (760) 602-2725 Job Address:2205 DAVID PL CBAD Permit Type:PME Status:ISSUED Parcel No:1675801700 Lot #:0 Applied:09/19/2016 Entered By:SLE Reference #:Plan Approved:09/19/2016 PC #:Issued:09/19/2016 Inspect Area: Project Title:WILLIS: SEWER REPAIR -NO WORK IN CITY ROW Applicant:Owner: ARS DBA RESCUE ROOTER WILLIS JOSEPH W JR&M DIANE STE B 9895 OLSON DR 2205 DAVID PL SAN DIEGO CA 92121 CARLSBAD CA 92008 858-457-6572 Plumbing Fees $163.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES $163.00 Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00 FINAL El' RO Inspector:Date:/23 Clearance: NOTICE:Please take NOTI that val of your project includes the "Imp ition" o fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.You ve 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 t fo 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 fees/exactions of which you have previously 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 El BUILDING OFIRE ©HEALTH 0 HAZMAT/APCD Building Permit Application Plan Check No.miu 55U.2< tt..•1635 Faraday Ave., Carlsbad, CA 92008 Est. ValueCITYOFPh: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date q_1Ct —It /1=111111111111. JOB ADDRESt 2.' SUITE!/SPACE!/UNIT/APN0Octx)..a p 1101 -5113 1 -7 De CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CON TR. TYPE OCC. GROUP DESCRIPTION OF WORK:include Square Feet of Affected Area(s) $523.3r R-RPLtr UV\ 5 -6.S1 eil_p_oL n 0-0.4-41-back wct.tr AicaueeFrontyard EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS j CM YESp#NOD YES ONO El YES0 Nop APPLICANT NIIME (Primary Contact)APPLICANT NAME (Secondary Contact)l) -e.In cx-cx.sr-)-Ecirnt bi-o-r) ADDRESS (gcl ADDRESS95OL5an0 c *6 CITYsck. r‘.-.STATE ZIP CITY STATE ZIP e.lc)1 ego C___A 017-‘2..t PHONE FAX PHONE FAX IS 5%.LI sn.to 512 % 5%.(o11.5 4'i9 EMAIL EMAILa e CL Mt S -k-nr:\e CIPS!C o (ICI PROPERTY OWNINgE‘e_le our CONTRACTOIIBUS. NAME ......*''.5\t 'ell F-)-e VS boit ADDRESS1.d%Z--1.C)Ocw .et PL ADDS%015 .cc Lsoy.'Dr ick 6 STATE ZIP CITY el.STATE ZIP CITYccx.\:ks bei A '9 2b0 ir Dcin Di e90 CA ck12.1 2.c PHONE FAX PHONE FAX '1100 58(e -y VI 4300.1EGA:itA 12 %SS'.4- 1 51 .io 5 Li I EMAIL EMAIL , 46 earr\Nb#OCI Ok.C5 1 COrn ARCH/DESIGNER NAME & ADDRESS STATE LIC. #STATE LIC.#CLASS CITY BUS.LIC.#1 LI 15 cS C3 (6t 1 2. 01 toLi 0 (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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .)Cave 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. ave and will maintain worketTrsati_on, as quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation in van carrier and policy number are: Insurance Co.Policy No.Ito 13 i 5C ('%©%5Expiration Date 1 0 V iLPG.__illW.Q This section need not be completed if the permit is for one hundred liars ($100) or less.0 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 compensati amages as provided for in Secti.3706 the Laborc..e,in ..-d attorney's fees. .CONTRACTOR SIGNATURE 110.44111 alh kr--Alt s' Weil 0AGENT DATE as)cal I L. OWNER -BUILDER DECLARATION I hereby affirm thatlam exempt from Contractor's license Law for the following reason: ElI,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). ElI,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 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).0 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.OYes ON° 2.1 (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): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name / address /phone / type of work): .PROPERTYOWNER SIGNATURE DAGENT DATE ffir/MPLET THIS 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 and 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 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. $T*UCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address FFLICANT CERTIFICATION Icertify thatIhave read the application and state thatthe above intimationis collect and that the information on the plans is accurate. )agree to comply with all City ordinances and State laws relating to building construction. Ihereby authorize representative of the CityofCarlsbad to enter upon the above mentioned properly 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 60' deep and demolition or constriction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the budding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for period of 180 days (Section 106.4.4 Uniform Building Code). JeAPPLICANT'S SIGNATURE \f‘k.•Z:.D DATE /el (for. ;STOPti 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@carlsbadcagovor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. COQ: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX "EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB* MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION MAIL /FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION AtcAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB163562 Type:PME WILLIS: SEWER REPAIR -NO WORK IN CITY ROW Date Inspection Item Inspector Act Comments 09/22/2016 22 Sewer/Water Service PY AP 09/22/2016 29 Final Plumbing RI 09/22/2016 29 Final Plumbing PY AP Friday, September 23, 2016 Page 1 of 1