HomeMy WebLinkAbout1220 CHESTNUT AVE; ; CB132913; Permit11-22-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 32913
Building Inspection Request Line (760) 602-2725
Job Acidress
Permit Type
Parcel No
Reference #
PC#
Project Title
1220 CHESTNUT AV CBAD
PME
2051203200 Lot#
CROMIEN RES- REPLACE LEAKING
GAS LINE FROM GARAGE TO CRAWL SPACE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
11/22/2013
RMA
11/22/2013
11/22/2013
Applicant
BENNETT PLUMBING
Owner
RAYES RAYMOND N TR
3031 VIA SABINAS
CARLSBAD CA 92010
760-458-1824
1220 CHESTNUT AVE
CARLSBAD CA 92008
Plumbing Fees
Electncal Fees
Mechianical Fees
Other PME Fees
$158 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Totai Payments To Date $0 00 Balance Due: $158.00
Inspector
FINAL APPROVAL
Date //-2^S'/J Clearance
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
fees/exactinns nf which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenivise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: OPLANNING OENGINEERING • BUILDING •FIRE OHEALTH •HAZMAT/APCD
Building Permit Appiication
^ CITY OF
CARLSBAD
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov
Plan Check No.
Est. Value
I Plan Ck. Deposit ^
nwf# APiij
SWPPP
JOB ADDRESS SUiTE#7SPACES7UlWf#
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected AreaTs; , ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES I |# N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact;
ADDRESS ADDRESS
Q^i%rS/ho
STATE ZIP
PHONE FAX PHONE
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY ZIP CITY
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS CITYBUS LIC#
(Sec 70315 Business and Professions Code Any City or County vvhich requires a permit to construct, alter, improve, demolish or repair any strucfLTrBrpfior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending VKith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption Any violation of SecUon 7031 5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$5O0))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
• 1 have and will maintain a certificate of consent to self-msure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the v»ork for which this pemiit is issued
I 1 have and will maintain woricers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued My workers' compensation insurance camer and policy
numberare InsuranceCo PolicyNo Expiration Date
•gj^section need not be completed if the permit is for one hundred doilars ($100) or less
pQ Certificate of Exemption' I certity that in the perfonnance ofthe work for which this pemiit is issued, 1 shall not employ any person in any manner so as to become sub/ectto the Workers' Compensation Laws of
California WARNING. Failure to secure workers' compen»tion coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand doliars (&100,000), in
addition to the cost of compensation, damages as provid^for in Section 3706 of the Laborjrofje, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE /I
I hereby affirm that I am exempt from Contractor's License Law for the following reason
I I 1, 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 fcr 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 work himself 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 I I, as owner of the property, am exclusively contractng 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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
• 1 am exempt under Section _ .Business and Professions Code for this reason
1 1 personally plan to provide the ma)or labor and matenals for construction of the proposed property improvement I IVes •NO
2 1 (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (fimi) to provide the proposed constmction (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, supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some of the work, but 1 have contracted (hired) the following persons to provide the wori< indicated (include name / address / phone / type of work)
/gS'pROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business pian, acuteiy hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP _ Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP 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 state that the above infonnation is conect and that the infbnnaton on the plans is accuiate. I agiee to complywith all Cityordinances and State laws relating to building constnicbon.
I hereby authonze representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CflY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pemiit IS lequiied fbr excavafions over 5'0' deep and demolition or constmclion of staictures over 3 stones in height
EXPIRATION Every pennit issued by the Building Official under the provisions ofthis Code shall expire by limitation and become null and void if the building or wori< authonzed by such pemnit is not commenced within
180 days fiom the date of such pemiit or if the building or v^rk authonzed by such permit is suspendgdor abandoned at any time after the woik is commenced for a penod of 180 days (Seclion 106 4 4 Unifomn Building Code)
^APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
OCCUP Commertial • o J e c t s
Fax (760) 602-8560, Email buildinq(5)carlsbadca QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
. MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL / FAX TO OTHER:
\ ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
-gf APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB132913 Type: PME CROMIEN RES-REPLACE LEAKING
GAS LINE FROM GARAGE TO CRAWL SP
Date Inspection Item Inspector Act Comments
11/22/2013 23 Gas/Test/Repairs PB AP
IVlonday, November 25. 2013 Page 1 of 1