HomeMy WebLinkAbout2815 VIA TOPACIO; ; CB122358; Permit, City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-08-2012 Permit No: CB122358
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No·
Reference #:
PC#·
2815 VIA TOPACIO CBAD
PME
1673303700
Status:
Lot#: 0 Applied:
Entered By:
Pl,m Approved:
Issued:
Inspect Area:
ProJect Ti tle. CREEDEN RES-SOG&E SHUT OFF
GAS METER DUE TO LEAK. REPLACE GAS LINE FROM GARAGE TO HOME
Applicant: Owner:
JAMES CREEDEN DEL RENO CAPITAL I.LC
2815 VIA TOPACIO
CARLSBAD CA 92010
442 333-9001
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
249 S HIGHWAY 101 #514
SOLANA BEACH CA 92075
ISSUED
11/08/2012
RMA
11/08/2012
11/08/2012
$154.00
$0.00
$0.00
$0.00
$154.00
Total Fees $1 54.00 Total Payments To Date: $154.00 Balance Due:
Inspector.
FINAL APPROVAL
Date: I l--·/O-/ 2c Clearance:
$0.00
NOTICE . Plea~e take NOTICE that approval of your proJect includes the 'Imposition' of tees, doolcations, 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
f f whi h h v VI I Tl i ii r whi h f Ii I I • ~ h •
THE FOLLOWIN.l APPROVPJ.S REQUIR~O PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING O au1Lo1NG □FIRE
«~~ ~ CITY OF
CARLSBAD
T/PR
APPLICANT NAME (Prlmery Contact)
ADDRESS
CITY
PHONE
OPERTY OWNER N~E
, tj~ '/Ill)
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www .ca rlsbadca .gov
SUITE#/SPACE#
# OF UNITS # BEDR OMS # BATHROOMS
PROPOSED USE GARAGE (SF) PATIOS (SF)
Plan Check No.
Est. Value
Plan Ck. Deposit
FIREPLACE
YES □#_ NO D
APPLICANT NAME (Secondary Contact)
ADDRESS
STATE ZIP CITY STATE
FAX PHONE FAX
MAI
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE
PHONE FAX
STATE UC.# STATE UC.# CLASS
SWPP
AIR CONDITIONING
YES O NO □
ZIP
ZIP
ITY BUS. LIC.#
.GROUP
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 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)).
Wori<m' Compensation Declaration: / hereby affirm under penait'f of perjury one of the following declarations:
D 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 won< for which this permit is issued.
D I have and wilt maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work 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 compieted tt the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certtty 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
California. WARNING: Failure to secure worlters' 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 provided for in Section 3706 of the La.bor code, interest and attorney's fees.
tf,IS~~~C~O~NT~RA~~CT~OfR~S~IG~N~AT~U~RE~~~~~~~~~~~~~~~~~i~~~~~~~=:===============~~==□~A=G=E=NT===~D=A]TE~=~E~=========:][===~============J
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 ConllaClor's
Ucense Law does not apply to an owner of property who builds or Improves thereon, and who does such work himse~ 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 contraciing with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracior's License Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contracto(~ License Law),
□ I am exempt under Section ____ Business and Professions Code for this reason:
1. I personally plan lo 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 I phone /contraciors' license number):
4. I plan to provide portions ot the won<, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address/ phone/ contractors· license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide t ame I address f phone I type of wor1<):
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention 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 district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school s~e? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information Is conectand that the Information on the plans is accurate. I agree to complyl'otth all City ordinances and State laws relating 1D building construction.
I hereby authorize representative of the City of Carlsbad to enter UIXJO the above mentioned p-operty for ilspection p;rposes. 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 PERMIT.
OSHA: AA OSHA pennrt is requred for excavations over 5'0' deep and demolrtioo or oonstruction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expre by Imitation and berome null and void ~ the building or v.or1< authorized by sudl pennit is not commenced v.ithil
180 days from the dale of sudl permit or if the buidilg or v.or1< authorized by sudl permrt is suspended or abandoned at any time after the v.or1< is commenced for a perbd of 180days (Seeton 100.4.4 Unibrm Buildilg Code).
DATE p)~ .;Jo ;J_
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE 0 F OCCUPANCY I C o m m e r c 1 <t I Proicct, 0 n I y I
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
D PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION
□ MAIL / FAX TO OTHER: □ CHANGE OF USE / NO CONSTRUCTION
A5 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB122358 Type: PME
Date Inspection Item
11/08/2012 23 Gas/T esVRepairs
11/08/2012 29 Final Plumbing
Friday, November 30, 2012
CREEDEN RES-SDG&E SHUT OFF
GAS METER DUE TO LEAK. REPLACE G
Inspector Act Comments
PB AP
PB AP OKTO REL
Page 1 of 1