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Home My WebLink About2312 DANA CT; ; CB121303; Permit07-11-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl21303 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2312 DANA CTCBAD PME 1675323400 Lot#: PETERSEN RES- COPPER RE-PIPE HOT & COLD WATER Status: ISSUED Applied: 07/11/2012 Entered By: RMA Plan Approved: 07/11/2012 Issued: 07/11/2012 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL Owner: KOENIGS LIVING TRUST 03-07-02 SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 10420 MESA MADERA DR SAN DIEGOCA 92131 Plumbing Fees Electrical Fees Mectianical Fees Ottier 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: 1' I 3 ' ! 1^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, resenrations, or other exactions hereafter collectively referred to as lees/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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accoidance with Carlsbad Municipal Code Section 3.32.030. Failure to timely folbw that procedure will bar any subsequent legal actton 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 vou have oreviouslv been given a NOTIQE similar to this, or as to which the statute of limitations has previousiv othenwise expired. ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., (Darlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit (/UNIT# ApFi ' SWPP SUnE#/SPACE#/UNIT# CT/PROJECT # # BEDROOMS 3. # BATHROOMS TENANT BUSINESS NAME CONSTR, TYPE OCC. GROUP DESCRIPTION OF WORK: /ncfiiita Square Feet OfAlfeetad Areafs) ^ Copped ae h ( pe EXISTING USE 7^ n j n PROPOSED USE GARAGE (SF) 1 PATiOS (SF) DECKS (SF) FIREPLACE AIR CONDiTIONING FiRE SPRINKLERS YES)X# NOO YES B NOG YES • Noaf CONTACT NAME (W Different Fom Applicant) APPLICANT NAME j • . /\ i T i « ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS L2 c Car ADDRE CITY mm 000^ ISTAl&ue.io : ARCH/DESIGNER NAME & ADDRESS ;LASS'7 cnYBUs. Lic.# „ . (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pernnit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the appllcantfor such pernnit to file a signed statement that he Is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, connmending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefronn, and the basis for the alleged exemption. Any vioiation of Section 7031.5 by any appiicant for a permit subjects the appiicant to a civil penaity of not more than five hundred doiiars ($500)). WOnKEnS- COMPENSATION Workers' Compensaticn Declaration: / hereby aflinn under penelty <^ peijuiy one ofthe foiiowing declarations: O I have and will maintain a certificate of consent to self-Insure for workers' compensation as pmvided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. O I have and will maintain woriters' canpepsation, as required by Section 3700 of the LdUor Code, for the perfonnance of the vprkfor wUch this pemilt is issued. My workers' compensation inwance carrier and policy numhefarR:lnsiirani»Co. ^ r <::^ •~-f~l^ -i;— [jl 'X^ Ci^ Policv No. ( ^ *? 2, _g' Expiration Date O^l O { I (? This section need not be completed 11 the pemiit Is fbr one hundred doiiars ($100) or less. G Certiflcate of Exemption: I certify that In the perfonnance of the work for whteh this perniit Is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Caliibrnia. WARNING: Failure to secure workers' compensatian coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensatian, damaoas as provided for \nfSI6m 3706 of the LAor code, interest and,attomev,'s fees. / CO-n^H^M/^ (JUr>\9-^4¥^^-^ "ATE y / /(/ 2(9 (2. CONTRACTOR SIGNATURE OWNER-BUILOER DECLARATION / tereby affirm f/iaf / am exempf from Contractor's Ucense Law for the foiiowing reason: O 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 thmugh his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is sokl within one year of compietion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). • 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's Lteense Law). • 1 am exempt under Secfion Business and Professions Code for this reason: 1.1 personally plan to provkle the meyor labor and materials for constraction of the proposed property improvement OYes ONo 2.1 (have / have not) signed an application for a building pennit lor the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (Include name address / phone / co ntractors' lteense number): 4.1 plan to provide portions of the work, but I have hired the folkiwing person to coordinate, supenrise and provkJe 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 (Inciude name / address / phone / type of woik): vCfpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY is the applicant or future building occupant required to submit a business plan, acutely hazaidous materials registrafion form or risk management and prevention program under Sectbns 25505,25533 or 25534 of the Presley-Tanner hiazardous Substance Account Act? OYes OUo Is the applicant or future building occupant required to obtain a pennit from the air pollufion control district or air quali ty management district? • Yes ONo Is the facility to be constracted wilhin 1,000 leet of Ihe outer boundary of a school site? • Yes ONo 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 aflimi that there is a constmction lending agency for the perfomiance of the woric this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceili^ that I have lead the application and state that ttie above infonnation is conea and thattte I hereby aulhorize repfesentative of the Qty of Cailsbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA' An (3SHA pemilt is requiied for excavations over SO deep and demolition or constmction of structures over 3 stories In heighL EXPIRATION: Every pemilt issued 1^ the Building Ofliciai under the pmvisions of this Code shall expire by imitation and become nuH and void if the building or v«orl< aulhorized by such peimit Is not commenced vMlhin 180 days from the dale of such peimit or If Itie buiding orworicautti^ii^^suchpennn 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE Inspection List PermiW: CB121303 Type: PME PETERSEN RES-COPPER RE-PIPE HOT & COLD WATER Date Inspection Item Inspector Act Comments 07/13/2012 29 Final Plumbing - Rl AM PLEASE 07/13/2012 29 Final Plumbing PD AP Friday, July 13, 2012 Page 1 of 1