HomeMy WebLinkAbout1306 BASSWOOD AVE; ; CB132518; Permit10-15-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No.CB132518
Building Inspection Request Line (760) 602-2725
Job Address 1306 BASSWOOD AV CBAD
Permit Type PME Status ISSUED
Parcel No 2050520800 Lot# 0 Applied 10/15/2013
Entered By SKS
Reference # Plan Approved 10/15/2013
PC# Issued 10/15/2013
Inspect Area
Project Title VALENT RES - ADD 3 CIRCUITS
FOR KITCHEN REMODEL AND RELOCATE KITCHEN SINK DRAIN
Applicant
LOGANS RUN CONSTRUCTION
Owner
VALENT OSCAR B&JANET I TRS
3375 GARIBALDI PL
CARLSBAD CA 92010-2157
760-814-9795
1306 BASSWOOD AVE
CARLSBADCA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$33 00
$158 00
$0 00
$0 00
TOTAL PERMIT FEES $191 00
Total Fees $191 00 Total Payments To Date $191 00 Balance Due: $0.00
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reseniations, or ottier exactions tiereafter collectively
referred to as "fees/exactions" You tiave 90 days from the date this permit vi/as 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 nght 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/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
} THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING OENGINEERING • BUILDING OFIRE •HEALTH •HA2MAT;APCD
%^cijy Of
CARLSBAD
Building Perniit Application
1635 Faraday Ave , Carlsbad, CA 92008
PIT 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov ,,.
www.carlsbadca.gov NIL^
Plan Check No.(C^ |3^S^/^
Est. Value
Plan Ck. I^eposit
Date M/^/\3 SWPPP
JOB ADDRESS . SUITE#/SPACE#/UNIT«
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-f^VQitloio o-t 3 c,>6u»/^5 -for
^iBctyitiAl
- ^'e, locate- [c-i'-tcUeln SiVi/6 \)yiKiV\
l<^i'ichet^ yeh^ ode I
EXISDNG USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ* N0| I
AIR CONDITIONING
YES ^NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANTNAME (Secondary Contact;
ADDRESS
^ . STATE, ZIB
ADDRESS
CITY _ STATE, ZIg
FAX
STATE ZIP
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAIVIE _ CONTIWCIORBUS. NAME ^ ^ . ,
• ADDRESS-, -, . - ^ . ^ n~r. H TT ^ ADDRESS
STATI STATE
PHONE
EWAIL yoCI'eh to 0 ec^y th li/i (<-i he -t
ARCH/DESIGNER NAME & ADDRESS / >| | STATE LIC #
EMAIL
STATE LIC # CITY BUS LIC#
(Sec 7031 5 Business and Professions Code Any Cily or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 with Section 7000 of Division 3 ofthe 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))
Workers' Compensation Declaration / hereby affm under penalty of perjury one ofthe following declarations
^ 1 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 performance of the work for which this permit is issued
^ 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued My workers' compensation insurance earner and policy
number are Insurance Co Policy No Expiration Date
isection need not be completed if the permit is for one hundred dollars ($100) or less
jXertificate of Exemption I certify that 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' 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 provided for m Section 3706 ofthe Labor code, interest and attomey's fees
JS^ CONTRACTOR SIGNATURE • AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason
I I 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 work himself or through his own employees, provided that such improvements are not intended or ottered 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)
1, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 I personally plan to provide the major labor and matenals for constmction of the proposed property improvement I lYes I iNo
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 / phone / contractors' license number)
4 I plan to provide portions of the work, but 1 have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
jS^PROPERVf OWNER SIGNATURE •AGENT DATE
is the applicant or future building occupant required to submit a business plan, acutely 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 pennit from the air pollution control distnct or air quality management districf 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 aflimi that ttiere 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
1 cerbfytliat I have read the application and state thatthe above informaton is conect and thatthe infoimation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
[ hereby authorize iBpiesentative of the City of Cartsbad to enter upon the above mentioned property tor inspecticn purposes 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 An OSHA pemnit is required for excavations over 5'0' deep and demolition or constmction of structures over 3 stones in height
EXPIRATION Every penmit issued by the Building Offcial under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within
180 days from the date of such permit or if the building or work authonzed by such pemnit is suspended or abandoned at any tme after the work is commenced for a penod of 180 days (Section 106 4 4 Unitbrm Building Code)
ygf APPLICANT'S SIGNATURE ^^""^^""'^^I^'^^'""'^]^^^'^ ^^^^^^^^^^^^^^^^^ / ^ ^ ^ / ,3
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 E R Tl F 1 C A P A N C Y
Fax (760) 602-8560, Email building(S).carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad CA
PHONE
EIVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB132518 Type: PME
Date Inspection Item
01/22/2014 29 Final Plumbing
01/22/2014 89 Final Combo
11/25/2013 17 Intenor Lath/Drywall
11/19/2013 14 Frame/Steel/Bolting/Weldin
11/19/2013 24 Rough/Topout
11/19/2013 34 Rough Electnc
11/15/2013 24 Rough/Topout
11 /15/2013 34 Rough Electnc
10/30/2013 92 Compliance Investigation
Inspector Act
-Rl
PB AP
PB AP
PB AP
PB AP
PB AP
PB NR
PB NR
PB AP
VALENT RES - ADD 3 CIRCUITS
FOR KITCHEN REMODEL AND RELOCAT
Comments
AM PLS
Wednesday, January 22, 2014 Page 1 of 1