HomeMy WebLinkAbout2511 VIA SORBETE; ; CB100329; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-24-2010 Plumbing Permit Permit No : CB100329
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2511 VIA SORBETE CBAD
PLUM
1674002800 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: SUCHA: RE REPAIR GAS LINE
Applicant:
SUCHA JANS
2511 VIA SORBETE
CARLSBAD CA 92010
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
0
1
0
Owner:
SUCHA JANS
2511 VIA SORBETE
CARLSBAD CA 92010
Issued:
Inspect Area:
ISSUED
02/24/2010
JMA
02/24/2010
02/24/2010
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees. $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector:
FINAL APPROVAL
&-,~J---//J Date: Q_ ~ l/ 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
«~~ ~ C IT Y OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad. CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
# BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE
:t:,
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □ # --NO□ YES □ NO □ YES □ NO □
CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
ADDRESS
\~
CITY ~~ ZIP CITY STATE ZIP
'Lb\~
DC\ FAX PHONE FAX
'N'-(),.J.\. EMAIL
~
STATE UC.# STATE LIC.# 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 an~ structure, prior to Its Issuance, also requires the applicant for such permit to file a sll(ned statement that he is licensed pursuant to the provisions of the Contractor's License Law (Char,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}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declBralions:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for lhe performance of lhe wort< for which lhis permit is issued.
D I have and will maintain worbre' compensation, as required by Seclion 3700 of the Labor Code, for lhe performance of lhe work fo< which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co .. _______________________ Polley No. ______________ _ Expiralion Date _________ _
This section need not be compleled if lhe permil is fo< one hundred dollars ($100) or less. D CertHlcate of Exemption: I certify thal In the perloonance of the w011< for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the WOl1<ers' Compensation Laws of
Califo<nia. 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
addttlon to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
1i5 CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's License L8w for the following reason:
D I, as owner of lhe property or my employees wilh wages as lheir sole compensation, will do lhe work and the struclure is nol 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 wort< himself or through his own employees, provided lhat such improvements are not intended or offered for
sale. If, however, the building or improvemenl is sold within one year of completion, the owner-builder will have lhe burden of proving lhal he did not build or improve for the purpose of sale).
D . I, as owner of lhe property, am exclusively conlracting with licensed contractors to conslruct the project (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply lo 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).
t:J(. I am exempt under Section ____ __,..usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of lhe proposed property improvement D Yes D No
2. I (have/ have not) signed an application for a building permit for the proposed wort<.
3. I have contracted with the following person (firm) to provide lhe proposed conslruclion (include name address/ phone/ contractors' license number):
4. I plan lo provide portions of the work, but I have hired lhe following person to coordinate, S1Jper1ise and provide the major work (include name I address / phone/ contractors' license number):
5. I will provide some rJ the work, bul I have conlracted (hired) the following persons lo provide the work indicated (include name/ address / phone I type of wort<):
PROPERTY OWNER SIGNATURE □AGENT DATE 10
~.COMPbET'E THIS SECTION FOR NON-RESIDENTIAL BUILDIN~ PERMITS ONLV • :
Is the applicant or future buUding 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 cootrot district or air quaity management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary ol 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 haYe read the application and state that the aboYe lnlonnation IS correct and that the Information on the plans is accurate. I agree to comply with all Ctty ordinances and State laws relatlng ID bulldlng construction.
I hereby auhlrize rep,esentative ot lhe City ot Carlsbad il enter upon lhe above mentilned property for nspedi)n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required klr excavations over 5'0' deep and demolition or construction ot structures over 3 sklries il heighl
EXPIRATION: Every permit issued by the Buikling Offi:ial under the provisoos ot this Code shall expire by Imitation and become nun and void if lhe buidilg 0( won<. au1horized by sud1 permit is not corm"ellCed l'AOO
,..._ \ 1 180 days tom lhe date ot sud1 penTil or if lhe buidilg or won<. au1horized by sud1 pennit is suspended or abandoned at any line afilr lhe won<. is commenced b' a period of 180 days (Sediln 106.4.41.Jniklrm Buikli1g Code).
\ ~ A$ APPLICANT'S SIGNATURE {lvi_ DATE 2 J.. 3 ) ()
((!}[✓ Ii>
City of Carlsbad Bldg Inspection Request
For: 08/31 /2010
Permit# CB100329
Title: SUCHA: RE REPAIR GAS LINE
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
2511 VIA SORBETE
Lot: 0
Inspector Assignment: RB ---
Phone: 4153287209
Location: Inspector:
OWNER SUCHA JAN S
JANS
Total Time:
CD Description
29 Final Plumbing
-----
Requested By: EON
Entered By: JANEAN
af!-_m_e_n_ts __________________ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
ln sQection Histo[Y
Date Description Act lnsp Comments
03/03/2010 29 Final Plumbing co RB OWNER CALLED ME TO COME BACK FOR CORRECTIONS. NO
ACCESS
02/26/2010 23 Gas/TesVRepairs AP RB
02/26/2010 24 Rough/Topout PA RB SEE JOB CARD
02/26/2010 24 Rough/Topout NR RB CAME BACK PER REQUEST & NR ON CORRECTIONS
02/25/2010 23 Gas/TesVRepairs co RB NO ACCESS