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Home My WebLink About2412 BADGER LN; ; CB150666; Permit03-03-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 50666 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2412 BADGER LN CBAD PME 2091100700 BRIDGE: INSTALL NEW A/C Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/03/2015 JMA 03/03/2015 03/03/2015 Applicant: BRIDGE ROBERT J REVOCABLE TRUST Owner: BRIDGE ROBERT J REVOCABLE TRUST 2412 BADGER LN CARLSBADCA 92010 2412 BADGER LN CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Paynnents To Date: $160.00 Balance Due: $0.00 Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit 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 infonnation 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: nPLANNING OENGINEERING OBUILDING OFIRE DHEALTH DHAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building(gcarisbadca.gov www.carlsbadca.gov PlanCheckNo. CBIS- 0(pQ?h Est. Value Plan Ck. Deposit Date SWPPP CA SUITE*/SPACEf/UNIT« APN - CT/PROJECT # LOT# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ# NOj I AIR CONDITIONING YES I |NO| I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE CA ZIP,- PHONE FAX PHQME ^ Oie, IC) EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL CLASS CITY BUS. LIC.# (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 the applicant 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 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)). vilonKmns' COMPENSATION Workers' Compensation Declaration: / hereby affinn under penalty of perjury one ofthe following declaratbns: ^ I have and will maintain a certificate ot consent to selMnsure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ^ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the woh< for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date 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 performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers'compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&iOO,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees. CONTRACTOR SIQNATURE IO WHMUBUtt O 6 R oeCLAR ATiOH • AGENT DATE / hereby affirm that I am exempt fmm Contractor's License Law for the following reason: I, as owner of the ptoperty or my employees with wages as their sole compensation, will do the work and the stnicture 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 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). Business and Professions Code for this reason: I am exempt under Section 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. •Yes I INO 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 constaiction (include name address / phone / contractors' license number): 4.1 plan to provijieliorticyis of the work, bj>+1isve hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provi^l^ome qj^he ^k, but Miave liDntracted^(hired) the following persons to provide the wort indicated (include name / address / phone / type of work): vefpROPERTY OTVNER SIGNATURE •AGENT DATE COMPLSTE 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 prevenlion 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 disthct or air quality management district? Yes No Is the facility to be constmcted 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 CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a constmction lending agency for the perfomiance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that 1 have read the applteatton and slate thatthe above infomiation is correctand thatthe inlbmiation on the plans is accuiate. I agree to compiywith all Ctty ordinances and Slate lave relating to bulldlng constniction. I hereby authorize representative ofthe Gity of Carisbad to enter upon the above mentioned property for inspectton 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 PERMfT. OSHA: An OSHA permit is required for exca\raSofSo^5'0' deep and demolition or construction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the \ 180 days from Ihe date of such pennit o^,if Ihe buildini '~Y""^>€ir APPLICANT'S SIGNATURE \^ ll under lhe provisi Ithoi lis Code shall expire by limitation and become null and void ff the building or wxk. authorized by such permit is not commenced wilhin penDl is suspended or abandoned at any time after Ihe v«jrt< is commenced fer a period of 180 days (Section 106.4.4 Uniferm Building Code). DATE MMpI 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 buildinQ(5)carlsbadca.qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: 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 jeSAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB150666 Type: PME BRIDGE: INSTALL NEW A/C Date Inspectjonjtem Inspector Act Comments 03/17/2015 43 AirCond/Furnace Set - Rl GC 3007/PM PLEASE 03/17/2015 43 AirCond/Furnace Set SP AP 03/17/2015 49 FinalMechanical SP Fl Tuesday, March 17, 2015 Page 1 of 1