HomeMy WebLinkAbout2687 WATERBURY WAY; ; CB151357; Permit05-05-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB151357
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2687 WATERBURY WY CBAD
PME Status: ISSUED
05/05/2015
RMA
05/05/2015
05/05/2015
Parcel No: 1674412000
Reference #:
PC#:
Project Title: MEYER RES-REPLACE FAU
Applicant:
MOOR CO SERVICE INC
STE A
3239 ROYMAR RD
OCEANSIDE CA 92058
(760) 722-154 1
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MEYER ALEX R&ELIZABETH L
2687 WATERBURY WAY
CARLSBAD CA 92010
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: S--7 -/~ 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 332.030. 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
fees/ex ti ns f which u have reviousl be n iven a N TICE imilar t thi r as t whi h the tat le of limitations has reviou I therwise x ir d.
~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
<_city of
Carlsbad
JOB ADDRESS
EXISTING USE
APPLICANT NAME
Pr/mar Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITH/SPACEf/UNIU
Plan Check No.
Est. Value
Plan Ck. Deposit
DateJ 5
APN
TENANT BUSINESS NAME
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
STATE ZIP
FAX
STATE ZIP
FAX
STATE LIC. #
SWPPP
CONSTR. lYPE
FIRE SPRINKLERS
vEsO NoO
(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 i suance. also requires th 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 Chat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Wori<ens' Compensation Declaration: / hereby affirm unde, penalty of petjury one of the lo/lowing declarations:
~ I 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 perfonnance of the won< for which this permtt is issued.
~ I have and will maintain worl<ez}omp~nsatiz: as required by Section 3700 of the Labor Code, for the performance of r;; wor1<. for~ permtt is issued. My wor1<.ers' compensation insurance e<mer and policy
number are: Insurance Co. U h-J 't // Policy No. ) b~jf ( f'2: ,(,2.. Expiration Da~ -J..o -/,C
~section need not be completed W the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify thal 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 Workers' Compensalion Laws of
California. WARNING: Failure to secure workens' compensation coverage Is unlawful, and shall subject an employer to criminal penatties and civil fines up to one hundred thousand dollans (&100,000), In
addition to the cost of compensation, damage as pr vided for in Section 3 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contracfors 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 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 won< himsett 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, and conlracts 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 lor construction of the proposed property improvement. O ves ONo
2. I (have/ have nol) 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 the following person to coordinate, supervise and provide the major work (include name /address/ phone/ contractors· license number):
5. I will provide some of the wor1(, but I have contracted (hired) the foHowing persons to provide the work indicated (include name/ address/ phone I type of work):
~ PROPERTY OWNER SIGNATURE DATE
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 Ac(I Yes No
Is the applicant or Mure building occupant required to obtain a permit from the air pollution control district or air Quality management distric(I 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 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 stile that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereb't authorize representative of the City of Car1sbad _, enter upon the atxwe menooned property b" ~ purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSIWJ
AGA.INST ALL l.JftBIUTIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN NIV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: lv1 OSHA perml is requred b" excavations over 5'0' deep and demoitiln or construcoon of slructures over 3 sbies ri height.
EXPIRATION: Every permit issued by the ~kling Offcial under the provisoos of this Code shan expire by linitaoon and bealme nul and -.oo W the ooiklilg or v.ori( authorized by such penm is not CXllM1eOOld v.11hil
100 days from the daE of sldl permit or ij ~ilg or v.ori( authorized by permit is suspended or almdoned at anytime afterthev.ori( is commenced b" a peood of 100 days (Secoon 100.4.4 Unrorm aJiking Code).
,g APPLICANT'S SIGNATU ~
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C I II r I F I C A I I: 0 F 0 CCU r' ANCY 1 C o rn rn I r ( 1 ,,. I 1' r o l e c t '. 0 n I y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, 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. UC. No.
DELNERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
ASSOCIATED CB#
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
..IS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB151357 Type: PME
Date Inspection Item
05/06/2015 25 Water HeaterNents
05/06/2015 29 Final Plumbing
05/06/2015 43 AirCond/Furnace Set
05/06/2015 49 Final Mechanical
Thursday, May 07, 2015
Inspector Act
PB
PB
RI
RI
AP
AP
MEYER RES-REPLACE FAU
Comments
LOCK BOX 1227947/ VACANT/ WH IN
GARAGE
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