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Home My WebLink About2687 ROOSEVELT ST; B | D; CB142372; Permit' 09-16-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB142372 Building Inspection Request Line (760) 602-2725 2687 ROOSEVELT ST CBAD St: B&D PME 2031010200 Lot#: PROPERTY MANAGEMENT-GAS LINE 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: REPAIR-20 FT SECTION UNDER SUBFLOOR-SHUT OFF BY SDG&E DUE TO GAS LEAK-UNITS A, B & D Owner: ISSUED 09/16/2014 RMA 09/16/2014 09/16/2014 ASAP DRAIN GUYS & PLUMBING STE J1 CARLSBAD VILLAGE TOWNHOMES L LC 120 N PACIFIC ST SAN MARCOS CA 92069 760-721-2904 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 4444 ADAMS ST CARLSBAD CA 92008 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Date: Clearance: $0.00 that approval of your project includes the "Im sition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 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 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. ' f THE FOLLOWING APPROVALS ~EQU1REO PRIOR TO PERMIT ISSUANCE: 0PLANN1NG □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPC0 Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No. JOB ADDRESS CT/PROJECT# EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONA1 ADDRESS CITY PHONE EMAIL PROPOSED USE STATE '"" STATE '"" GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER ZIP CITY PHON ZIP STATE LIC. # STATE LIC.# Est. Value CLASS u SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES □No□ (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 iss ce, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comme_ndingwith Section 7000 of Division 3 of the Business and Professions Code) or that he is exemP.t tl'lerefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1'031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· B 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 pertormance 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 pertonnance of the work for which this permit is issued. My workers' compensation insurance carrier ar.d policy number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure to secure workers' com ·on 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 compensation, damages as , _,,___ 3706 of the Labor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 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, ar.d 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 ar.d materials for construction of the proposed property improvement. OYes 0No 2. \ (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foliowing person (firm) to provide the proposed construction (include name address I phone I 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 ma}Or work (include name I address/ phone I 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 I address I phone/ type of work): ,i6 PROPERTY OWNER SIGNATURE □AGENT DATE !s the applicant or future building occupant required to submit a business plan, acutely hazardous m,;1terials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account ActJ Yes No Is the applicant or Mure building occupant reQUired to obtain a permit from the air pollution control district or air quality management distlictJ 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. I certify that I have read the application and state that the above lnfonnation Is correct and that the information on the plans Is aa:urate. I agree to comply with all Cily ordinances and State laws relating ID building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aOOve mentioned property for insJ)9Ction purposes. l ALSO AGREE TO SAVE, INDEMNIFY .A.ND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is requred for excavations over 5'0' deep and demo!ltbn or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisK)ns of this Code shall expire by limrtation and become null and vokl W the building or'M:lrk authorized by such permit is not oommenced 'Mthin 180 days from the date of sldl pennrt or if the building or'M:lrk authorized by sud'! parmrt is suspended or abandoned at any time after the 'M:lrk is a:immenced for a pericxl of 180 days (Section 100.4.4 Uniform Building Code). _85 APPLICANT'S SIGNATURE 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP «1~ ~ CITY OF CARLSBAD Building Department INSPECTION RECORD To Reinstate Your Utility: 3. As soon as the repair is completed call the City for an Inspection at 760-602-2700. 4. After the Inspector approves the repair call SDG&E at 1-800-411-SDGE. (GAS REPAIR ONL"{) CB142372 2687 ROOSEVELT ST B&D PROPERTY MANAGEMENT-GAS LINE REPAIR-20 FT SECTION UNDER SUBFLOOR-SHUT OFF BY SDG&E DUE TO GAS LEAK-UNITS A, B & D PME' Lot# ASAP DRAIN GUYS & PLUMBING REt.~ .. )RD COPY APPROVED TO COVER DATE: Type of Inspection Date Inspector Notes BUILDING FOUNDATION REINFORCED STEEL MASONRY 0 GROUT O WALL DRAINS TILT PANELS POUR STRIPS COLUMN FOOTINGS SUBFRAME O FLOOR O CEILING ROOF SHEATHING EXT. SHEAR PANELS FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL FINAL PLUMBING 0 SEWER AND Bl/CO O Pl/CO UNDERGROUND O WASTE O WATER TOP OUT O WASTE O WATER TUB AND SHOWER PAN TEST □GAS PIPING □ WATER HEATER 0 SOLAR WATER FINAL ELECTRICAL 0 ELECTRIC UNDERGROUND O UFER ROUGH ELECTRIC WALLS ROUGH ELECTRIC CEILING □ ELECTRIC SERVICE O TEMPORARY 0 BONDING D POOL PHOTOVOLTAIC FINAL MECHANICAL UNDERGROUND DUCTS & PIPING 0 DUCT & PLEM. 0 REF. PIPING HEAT-AIR COND. SYSTEMS ---------------- .. . . Inspection List Permit#: CB142372 Type: PME Date _ _ Inspection Item __ 02/24/2015 23 Gas/Test/Repairs 02/24/2015 23 Gas/Test/Repairs 02/24/2015 29 Final Plumbing Thursday, February 26, 2015 Inspector Act PY AP PY PY AP AP PROPERTY MANAGEMENT-GAS LINE REPAIR-20 FT SECTION UNDER SUBFLO Comments Page 1 of 1