HomeMy WebLinkAbout2608 VIA ASTUTO; ; CB112586; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-08-2011 Permit No: CB112586
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2608 VIA ASTUTO CBAD
PME Status:
Parcel No: 1673000400 Lot #: 0 Applied:
ISSUED
12/08/2011
LSM
12/08/2011
12/08/2011
Reference #:
PC#:
Project Title:
Applicant:
GRANIER RES-REPAIR GAS LINE
GOING TO HOME SDG&E LOCKOUT
BILL HOWE PLUMBING
STEA
1364 MORENA BL VD
SAN DIEGO 92110
619 286 6348
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
GRAN IER FAMILY LIVING TRUST 11-05-05
6895 E LAKE MEAD BL VD #172
LAS VEGAS NV 89156
$1 50.00
$0.00
$0.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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.
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
• n f w • h h v r vi N Tl E • mil r • whi h Iii • i •
/4'~' ~ ... / ~ C I TY OF
CARLSBAD
EXISTING USE
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2119
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
GARAGE (SF) PATIOS (SF) DECKS (SF)
Plan Check No. (28 I
Est. Value
Plan Ck. Deposit
Date (J21 ~
APN
FIREPLACE
YES □#_ NOD
SWPP
AIR CONDITIONING
YES □ NO □
APPLICANT NAME (Second1,y Conr,cl)
ADDRESS
CITY CITY STATE ZIP
FAX
PR0PE 0WNE~E I?, D ~. r wo,...._
ADDRESS
:l-l:, D 't:, U t ft; A..STv l 0 ~
CITY
IL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATELIC.# ~ 4-r CIASS
(!-s Ca
FIRE SPRINKLERS
YES D NOD
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit lo file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Cha'f.ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Worker1' Compensation Declaration: I hereby affirm under penalty of pe<jury one of the following declaratJons:
D I have and will maintain a certlficate of consent to self-insure for wor1(ers' compensalion as provided by Section 3700 of the Labor Code, for the performance of lhe work for which this permit is lss
ISl[_1 have and will maintain wor1(e!'5' co tnHu=<=-=111 Section 3700 o Code, for the performance of the work for w~lhis _,Qe~~sued. My wor1(ers' compensalion lns~nce 1amer and po icy
number are· Insurance Co. __ ....f:.:!_!!~~~~~...k~~~~~~~:_ ___ Policy No. ·z; /µti' 4 I_ 2-'i' 'l'_L Expiration Date /0 L I fF2w
This section need not be completed ~ the permit is one hundred dollars (S 100) or less.
D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1(ers' Compensation Laws of
California. WARNING: Failure to secure wor1<er1' compensation coverage Is unlawful, hall subject an employer to criminal penattles and civil fines up to one hundred thousand dollar$ (&100,000), In
addition to the cost of compensation, damages as rovided f • Ion 3706 of th abo,: ode, Interest and attorney's fees.
_I! CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempl from Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the wor1( and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code· The Contractor's
License Law does not apply lo an owner of property who builds or improves thereon, and who does such wor1( himseH 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-buildef will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of lhe property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Conlractor'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).
D I am exempt under Section ____ Business and Professions Code for lhis 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 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. I plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise and provide the major wor1( (include name/ address I phone / contraclors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wor1( indicated (include name / address / phone I type of work):
_I! PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required ID submit a business plan, acutely hazaldous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 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
I certify that I have read the application and state that the above infonnation Is oorrect and that the infollllation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad lo ener upon the above mentilned propel1y br inspedion pulJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY 0: C~SSAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEQUENCE 0: THE GRANTING 0: THIS PERMIT.
OSHA lvl OSHA permtt is required br excavations over 5'0' deep and demolition or 0011Struction of structures over 3 slor'es in height.
EXPIRATION: E'lllry perm ii issued by the BJik!ing Offcial under the provisions of this Code shal e • imitaton and become nul and void tt the buik!ing or v.or1< authorized by such permtt is not commenced v.ilhin
100days from the da1e of such permijor if the bulJf orl'AXI< au • abandoned al any time after the v.or1< is oommenced klr a perm of 100days (Section 100.4.4 Unitxm BJildilg Code).
,,6 APPLICANT'S SIGNATURE DATE /). -I
.. .
City of Carlsbad Bldg Inspection Request
For: 12/09/2 011
Permit# CB112586
Title: GRANIER RES-REPAIR GAS LINE
Description: GOING TO HOME SDG&E LOCKOUT
Type:PME Sub Type:
Job Address:
Suite:
Location :
2608 VIA ASTUTO
Lot:
APPLICANT BILL HOWE PLUMBING
0
Owner: GRANIER FAMILY LIVING TRUST 11-05-05
Remarks:
Total Time:
CD Description Comments
23 Gas/Test/Repairs
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: -¥
Phone: 6199542773
Inspector: ----
Requested By: DOUG
Entered By: JANEAN