HomeMy WebLinkAbout1332 BULRUSH CT; ; CB120197; Permit02-01-2012
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBl20197
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1332 BULRUSH CT CBAD
PME
2158501000 Lot#:
BELSHER: GAS & ELEC TO BBQ &
FIREFALL
Status: ISSUED
Applied: 02/01/2012
Entered By:
Plan Approved:
Issued:
Inspect Area:
JIVIA
02/01/2012
02/01/2012
Applicant:
WOLVERTON LANDSCAPE
Owner:
BELSHER ROBERT
830 SUNRISE DRIVE
VISTA 92081
760 535-8121
1332 BULRUSH CT
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
IVIechanical Fees
Other PME Fees
$150.00
$30.00
$0.00
$0.00
TOTAL PERMIT FEES $180.00
Total Fees: $180.00 Total Payments To Date: $180.00 BalanceDue: $0.00
Inspector?
FINALAPPROVAL
Date: S ^2- / 7^ 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. Faiiure 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oteviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No.(C^ (2.(0(^7
Est. Value
Pian Ck. Deposit
Dateg/
yl 1.^ SWPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
TENANT BUSINESS NAME CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCCGROUP
DESCRIPTION OF WORK: Inc/ude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS
YES • # NO • YES • NO • YES • NO •
APPUCANT NAME rPW™. C.„.C. J^^jj^^^^^ U^A/I^ APPUCANT NAME (Secondary Contact)
ADDRESS
CITY ~ • . STATE ^ _ . CITY STATE ZIP
PHDNS FAX ' • PHONE FAX
''''' 1^(5\neJl^ (5) UJobjiU+o^ IOLWI>-^00<
EMAIL , ,
PROPERTVOWNERNAME CONTRACTOR BUS. NAME A 1 . /I 1 . _
ADDRESS ADDRESS ^. ' ~ I 1
«?>0 5u^<fiJt- Sir CITY STATE ZIP
PHONE FAX FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE UC.# _ , 1 , t^j^ CLASS CITY BUS. UC.(L '
(Sec. 7031.5 Business and Professions Code: Any City or County whioh requires a permit to construct, alter, improve, demolish or repair any structure, prior 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 LawlChapter a, commenaing wjith 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
ance ot the won tor wtiich this pennn is issued. My worxets compensation insurance camer and pom
mWC00lZ>4irSO| MnDate i^.^^C{^il,
Workers' Comp«nsatlon Declaration: / heretiy affim) under penatty ofpeijury one ofthe fbllowing declarations:
O Xtiave and will maintain a certificate of consent to self-Insure for workers' compensation as piovided by Section 3700 of the Labor Code, for the perfonnance of the woik for which this pemiit is issued.
yfl have and will maintain workaii' canpensatkin, as rtquiied bv Sectiop 3700 of the Labor Code, for the peifoimancj ofjthe woik for which this peimit is issued. My woikeis' compensation insurance earner and policy
^ number are: insurance Co. ' V (ft^VM^^ { ^ V » ^ ^ PolicyNo.. " ' " " ^
This section need not be completed if the pennit is fbr one hundred doiiars ($100) or iess.
Certificate of Exemption: I certify that in the perfomiance of the woiklft whfch this pennit is issued, I shall not employ any person in any manner so as to become subject to the Woikeis' (impensation Laws of
Caiifomia WARNING: Failure to secure workeijl compensation covAige li unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages aflprovided forln Sedbn vj^ of the Labor code. Interest and attomey's fees.
CONTRACTOR SIGNATURE I J vtAX^ v/v^^^"" OAGENT DATE '2-'\'^^'^
OWNBfi-BUILDEtt DeCLAtt ATION
I hereby affimn that I am exempt from Contractor's Ucense Law for the following reason:
• i, as owner of the property or my employees with wages as their sole compensatnn, wiii do the work and the stnicture is not intended or offered for saie (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who buikis or improves thereon, and who does such woik himself or through his own employees, provided that such improvements are not intended or oflered for
saie. if, however, the buiiding or improvement is sokl within one year of completion, the owner-buiider wiii have the bunjen of proving that he did not buikl or improve for the purpose of sale).
O i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prafesstons Code; The Contractor's License Law does not appiy to an owner of
property who buiids or improves thereon, and contracts for such prejects with contractor(s) licensed pursuant to the Contractor's License Law).
O I am exempt under Sedton Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materiais for construction of the proposed property improvement. • Yes OHo
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following peison (firni) to pravide the proposed construction (include name address / phone / contractors' license number):
4. i pian to provide portions of the work, but i have hired the tollowing 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 I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
yeTPROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETB THIS SECTION FOR N O N • |{ £ S t 0 E N Tl A L BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous mateiials registration tomi or risk management and prevention program under Secttons 25505,25533 or 25534 of fhe
Presley-Tanner Hazardous Substance Account Act? OYes DNo
is the appiicant or future buiiding occupant required to obtain a pennit from the air pollution control district or air quaiity management district? O Yes • No
is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ClYes HHo
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.
CONSTRUCTION LENDING AGENCY
i hereby affirm ttiat there is a construction lending agency for the perfbrmance of ttie work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
PPLICANT CERTIFICATION
I certif thati have read the applicatton and state that theabove Informatton Is conect and thatthe Infbnriat^
i hereby authorize representative of lhe Oty of Cartsbad to eriter upon Ihe above nnentioned property for inspeciion puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAiNST ALL UABILITIES, JUDGMENTS, COSTS ANDBffENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSECaJENCE OF THE GRANTING OF THiS PERMIT.
OSHA An (DSHA pennit is required for excavations oveoffO' qeep and demdijifli or construction of stnjctures over 3 stories in height.
EXPiRATiON: Eveiy pemilt issued by the Buiiding Ofliolai undfer the provisbnim this Code shali expire by irnitatbn and beconne null and void if the buiiding or wortc aulhorized by such pennit is not commenced wllhin
180 days from the date of such pemiit or if the buikJingfcr vK)rt< aulfSiftd tw4uch pemK is suspended or abandoned at any time after the wort< Is commenced for a period of 180 days (Section 106.4.4 Unifomn Buikling Code).
i APPUCANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 05/02/2012
Permit* CB120197
Title: BELSHER: GAS & ELEC TO BBQ &
Description: FIREFALL
Inspector Assignment: PD
1332 BULRUSH CT
Lot:
Type: PME Sub Type:
Job Address:
Suite:
Location:
OWNER BELSHER ROBERT
Owner: BELSHER ROBERT
Remarl<s:
Phone: 7605358121
Inspector:
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
Act Comments
*
Requested By: LOREN
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
SW120001 ISSUED BELSHER: 370 SF POOL/SPA;
Inspection Historv
Date Description Act Insp Comments
02/22/2012 31 Underground/Conduit-Wiring AP PD
G>Ml?^Ae{^4"
APffROVED
FEB 01 2012
City of CARLSBAD
BUILDING DEPT
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