HomeMy WebLinkAbout1317 BULRUSH CT; ; CB111331; Permit06-20-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No: CB111331
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
1317 BULRUSH CTCBAD
MECH
2158501400
$0.00
Lot#:
INGS RES REPLACE FAU AND A/C
Status: ISSUED
Applied: 06/20/2011
Entered By: KG
Plan Approved: 06/20/2011
Issued: 06/20/2011
Inspect Area:
Applicant:
BERCKS OLD TIME PLUMBING
38415 INNOVATION CT
STE E 92563
951 6767197
Owner:
INGS&WHEATLEY LIVING TRUST 04-09-05
1317 BULRUSH CT
CARLSBAD CA 92011
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
2
0
0
0
0
0
$15.00
$1,8.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
Total Fees:$33.00 Total Payments To Date:$33.00 Balance Due:$0.00
Inspector
FINAL APPROVAL
Date:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
Building Permit Appli<
NMJJP 1635 Faraday Ave., Carlsbad, CA
^y CITY OF 760-602-2717/2718/27
f^ARS ^RAFl Fax:760-602-8558V,/w%i\L.«,>D/TiL' www.carlsbadca.gov
JOB ADDRESS .
1317 jf?is/rt/*i* cT
CT/PROJECT* LOT# PHASE* # OF UNITS # BEDROOMS
i_. Plan Checcation
92008 Est. Value
19 Plan Ck. D
Date/^
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
th (T?/i g y- fofi CcndenSi**} Cttl ^ f/Jf
/I "T7 J / 1 "P"7 /
kHoCD//'/?3/
eposit
ft^l f SWPP
-
CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME Of Different Fom Applicant^
ADDRESS
J? "f /$" lnne?$ T.'t* c T
CITY STATE ZIP
PHONE FAX957 /^ // 71 1 7 *?^V £ 13 ?7<&
EMAIL
PROPERTY OWNER NAME _
ADDRESS
IJf7 fifJ in/Si, <-T
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE DC. #
PATIOS (SF) DECKS (SF) FIREPLACE
YES D #
APPLICANT NAME _, ___
AIR CONDITIONING FIRE SPRINKLERS
NOD YES O NOO YES O NO O
'Cte/^,
ADDRESS
CITY STATE ZIP
PHONE
ff/ C76 7/77
FAX
<£5^ ^" j f ^' & ^""^^9^* _X* / L^* r a' ^ ' ^ &&
EMAIL
CONTRACTOR BUS. NAME -^
ADDRESS
CITY STATE ZIP
/'Wt/isp-f' -c T*t <C*t **? 2$~t J^
PHONE
TM & 74 7/9 7
EMAIL
STATE LIC.#
FAX
CLASS CITY BUS. UC.#
(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 theapplicant 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 theBusiness 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 ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sect'on 3700 of the Labor Code, for the performance of the work for which this permit is issued.
[3 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co A dOrtt Policy No. O / fil-f /f /*7 I <2 t> O 1 &f7 Expiration Date ^ ££ f/
This section need not be completed if the permit is for one hundred dollars ($ 100) or less.
n Certificate 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 forir>Section/Jf06 of the Lapor code, interest and attorney's fees.
JS$ CONTRACTOR SIGNATURE _^^^ f ^ --^ OAGENT DATE ^ ^ $ / /
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
a 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 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). ~
D 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 contracts for such projects with contractors) licensed pursuant to the Contractor's License Law).
D I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes O No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (Include name address / phone / contractors' license number):
4.1 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):
5.1 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):
x€!f PROPERTY OWNER SIGNATURE OAGENT DATE / /
Wo M !PLt E T E!'-' T H f.-:S! s E cyr1 o Ml F o R|^N o ti- ft e $ ID e NT i A -L: s B u i I».:D i N G.> 'p s R M i T slro N LY
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? a Yes dNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
if ^O.Nhiif R u <?:;T I ON L e.BfrU. I N.GI; A G liN.C Y
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
mp P i«c A mm- c E:R:T i rtic A TW-N
I certify that I have read the api
I hereby authorize representative of the City of Carlsbad 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 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 permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or workautaized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE //
City of Carlsbad Bldg Inspection Request
For: 06/22/2011
Permit# CB111331
Title: INGS RES REPLACE FAU AND A/C
Description:
Sub Type:
1317 BULRUSH CT
Lot:
Type:MECH
Job Address:
Suite:
Location:
OWNER INGS&WHEATLEY LIVING TRUST 04-09-05
Owner: INGS&WHEATLEY LIVING TRUST 04-09-05
Remarks: A M PLEASE
Inspector Assignment:
Phone: 0000000000
Inspector
Total Time:
CD Description
43 AirCond/Furnace Set
Act Comments
Requested By: NA
Entered By: CHRISTINE
Com ments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments