HomeMy WebLinkAbout2821 VIA PAJARO; ; CB153897; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11 -10-201 5 Permit No: CB1 53897
Building Inspection Request Lin e (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2821 VIA PAJARO CBAD
PME
1673301100 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/10/2015
SLE
11/10/2015
11/10/2015
Project Title: NARDl:GAS LEAK REPAIR AT PATIO
Applicant:
ASAP DRAIN GUYS & PLUMBING
STE J1
120 N PACIFIC ST
SAN MARCOS CA 92069
760-721-2904
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
NARDI FAMILY DISCLAIMER TRUST 05-03-01
2091 TREVINO AVE
OCEANSIDE CA 92056
$163.00
$0.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 3 --/~ "'/? Clearance: ------
$0.00
NOTICE: Rease ta<e NOTICE that~ cl yar ix-qed irdudes tre "lni:n;itiori' cl fees, dooc.tions, resavcticrs, cr cther exa:tions l'a'eeiter ooledively
ra'errerl to as "fees/exa:ticrs." You have 00 day.; fron tre date t!is pemit = iss.s:l to prctest irrµ:sitio, cl these fees/exa:tions. If~ prctest trem, ~ rrust
fdlo,v the prctest proced,res set forth in <?o.la'nTai Code Sedi01 60020(a), a-'d file Ire putest a-'d any cther rEQ.ired infom=.ii01 wth Ire Oty ~ fa
p-ooossirg in OOD'da1ce wth Ca1sboo M.ridpal Code Sedi01 3.32.030. FailLJ'e to tirrely fdlON thci p-oonre wll 1:8' any~ legal octjo, to attcd<,
review, set aside, -.tid, cr anJ their il'l"pa3itim
You -herel:'f F\.RTI-ER J\OTIRED that yar rigt to 17ctest Ire spocified feeslexa:ticns OCES NOT APPLY to v.ata-a-'d seNel: oonnedi01 fees ard ~
cta,ges, na plmrg, zcrirg, gmrg or cther sinilar ~iecti01 p-ooossirg cr sel"lioo fees in oonnedi01 wth t!is ixtjed. I\CR OCES IT APPLY to any
f exadionsclv.hch have ·rus1 CE 'nilcl' oths cr tov.hchtrestat e linitcii has • cthel'll1 •
THE FOLLO\.)'ING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
~ ( Cicyof Building Permit Application Plan Check No.('~ fc') ~gq ~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date ~\ I ,a /\5 lswPPP
JOB ADDRESS SUITEt/SPACEt/UNITI IAPN 2-'2>2\ ✓\'4-Q~~'A-(lo ---
CT/PROJECT # I LOT# I PHASE# I # OF UNITS I # BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) \NS1"'\\\ \t-.J\o N ON .Sl(.,Tl o('-)C9f-1l,"G"" '=>-AS p, y~ U"10t-l-6 ~vrJ D
f\-T f A-T\0 A~v'\--
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES[]# I
AIR CONDITIONING IFIRE SPRINKLERS
No[] YES □No□ YES□ ND□
APPLICANT NAME PROPER~~l
-
\':)( '::,c l c-i l 11\P r Primary Contact f'(\J'(\i\u
ADDRESS ADDRESS 20=\ \ .
T rQ..V\ fiJ flNL
CITY STATE ZIP c1TY rl STATE q26~ C':0 ()(\.('6 \ D ( r-f\
PHONE I FAX PHONE I FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~iAf O~~NloV\llS. Q:. f \\Jf-A~1t-J~
ADDRESS ADDRESS
170 1---1 · ~A.C\f.'-t
CITY STATE ZIP CITY STATE '\~ct S,v-,,~ t-Av-..k.x>~ CA-
PHONE IFAX PHONE I FAX ·7~e1-77 \ -?. ~ D\\
EMAIL EMAIL
I STATE UC.# STATEef ~ ~ L ?..-0 I CLASS 1c
1Tt ~r2'-12z.
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair an~ structure, prior to ,ts 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 fhat 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}}.
1 1 have and will maintain a certificate of consent to self-Insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the perfonmance of the wor1< for which this penmit is issued. '7sl I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, fo.'.,.:he perfonmance of the wor1< for which this penmit is issued. My wor1<ers' compensation insura~ =~rand policy
number are Insurance Co. $f;C\ }'2-)i.~ N 4-Tl0N'A\, 1t-!$\UNliPolicy No '.:>½,( I 0893 I 3 Expiration Date lo/0 I __ 'ZQ_f,b \ Th<. section need not be completed~ the permit is for one hundred dollars (S1CJO) or less.
Certificate of Exemption: I certify that in the perfonmance of the work for which this penmit 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 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 compensation, damages as providea,Sectio,p 3706 of the Labor code, interest and attorney's fees.
,K) CONTRACTORSIGNATURE t> ~ □AGENT DATE II \\.0 \\<:;
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 wor1< himseff or through his own employees, provided that such improvements are not intended or ottered for
sale. It, 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 lo 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).
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. 0 Yes 0 No
2. I (have/ have not) signed an application for a building penmil for the proposed wor1<.
3. I have contracted with the following person (finm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone/ contractors' license number):
5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name/ address / phone/ type of wor1<):
,K) PROPERTY OWNER SIGNATURE □AGENT DATE
',.
Inspection List
Permit#: CB153897 Type: PME
Date Inspection Item
11/13/2015 23 Gas/T esURepairs
Tuesday, March 15, 2016
Inspector
PB
Act
AP
NARDl:GAS LEAK REPAIR AT PATIO
Comments
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