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HomeMy WebLinkAbout1337 OAK AVE; MULTI-PERMIT FILE; CB130235; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-28-2013 , . Permit No: CB130235 Building Inspection Request Line (760) 602-2725 Job Address: 1337 OAK AV CBAD S Permit Type: PME Status: ISSUED Parcel No: 2050201500 Lot #: 0 Applied: 01/28/2013 Entered By: SKS Reference #: S Plan Approved: 01/28/2013 PC #: I Issued: 01/28/2013 Inspect Area: Project Title: JENSEN RES -.SEWER REPAIR 37' LINER FROM CLEANOUT TO STREET. Applicant: / :Owner: - 7, A R S AMERICAN RESIDENTIAL SERVICES OF CALlFORNI KOZAK JAMESJ&DONNA R STE A 9895 OLSON DR / \) 1011 TURNSTONE.Dç' SAN DIEGO CA 92121 / \ CARLSBAD CA 92011 858-457-6572 \ - Plumbing Fees j$154.00 Electrical Fees / \ VsOO Mechanical Other PME ::: / r\ 0.00 N -\ TOTAL PERMIT FEES j\"\ / $15400 1 11 ( Total Fees: $154.00 - \ / / Total Payments-To Date: $154.00 .5Balance Due / ' / _•_S _ - INCORPORATED 1952 $0.00 FINAL APPROVAL Inspector: YlILtDL.14.s Date: 6L/3c( t! 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 Cartsbad 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 seer 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 ;i:- 3ecJtsY1 Building Permit Application Plan Check No CA 1 32-3c " - 1635 Faraday Ave., Carlsbad, CA 92008 . Est. Value "' CITY OF ' 760-602-2717/2718/2719 ., Fax: 760-602-8558 Plan Ck. Deposit CAR LSB1AD - - www.carsbadca.gov Date ' JOB ADDRESS SUITEY/SPACEA/UNITA APN - CT/PROJECT - LOT .. PHASE A 4 OF UNITS v BEDROOMS # BATHROOMS TENANT BUSINESS NAME . CONSTR. TYPE ccc. GROUP DESCRIPTION OF WORK: Include Square Feet of 4ffected.4rea(s) L?cx_cm __Cl_oct4o EXISTING USE - PROPOSED USE ' GARAGE (SF) PATIOS (SF) DECKS (SF) ___- _FIREPLACE YES 0 il..,_. NO 0 _AIRCONDITIONING___FIRESPRINKLERS YES 0 NOD . YES 0 NO 0 CONTACT NAME (if Different Fom Applicant) - . . APPLICANT NAME rr ADDRESS ADDRESS . CD SOY A. CITY ZIP -. CI_ SE _____P PHONE ' • : PHONEFAX' j ,, l__ 56 5W) EM-' . , . EMAIL ' . ' .• . _-t-cflQf5 C -r- PROPERTY OWNER NA . . , CONTRACTOR BUS. NAME P; RS -c DRS5 _ OL&r_ Cir STATE ZIP CITY STATE ZI ai ADD ____-•..., _ __AD 01 ONE a FAX _________ - _-• PHONE 'IFAX EMAIL • - - ' • - - - __ - EMAIL ' ,. — • ., • - - d_e ARCH/DESIGNER NAME &-ADDRESS • - • - STATE LiC. e • _• STATE LIC.II , l'O '•'LC(chO3bjOO'' CLASS CITY BUS. LIC.e ISeC. 7031.5 business and prOtessions Code: Any City or County which requires a.permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requiresthe 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 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 1$50011. - , . - tc TI. Workers' Compensation Declaration: I hereby affirm under penally of erjury one of the following declarations: . I •, . - have and will maintain a certificate of consent to self-insure for, workers' compensation as provided by Section 3700 of the Labàr Code, for the perlormane of the work for which this permit is issued. .1 have and will maintain workers compen ation, as req red by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensation in ranc carrier and policy number are: Insurance Co. \_h (TE' r"-'i1 ' PotiyNo.'J t..p3 (5O (o3 I (3 I i . Eupiration Dale (3 /1 This section need not be completed if the permit is for one hundred dollars )$100) or less. Certificate of Eaemptioir: I certity 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 t Iona hundred t ousand dollars (&100,000),in addition to the cost.of coni ages as provided forrn ction 370 bor code, Interest and attorney's fees. . DATE ' ,- .' . .•' - CONTRACTOR SIGN, IRE G NT * thereby affirm that lam exempt from, Contractor's License Law for the following reason: . . . I. as owner of the property or my employees with wages as their sole compeOsation. will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Profession's Code7 The Contractor's -t License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through hisown employees, provided that such improvements ale not intended or offered for sate. It, 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 sate). - I, as owner of the properly, arn eoctusivetycontiacling with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doss not apply to an owner of .. property who builds or improves (hereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law). r. - . . • -'I! - J 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 properly improvement. - .3 Yes •J No -. . .2.1 )have I have not) signed an application for a building permit for the proposed work. - . . - •....; . ' . - 3.1 havconlrcled with the following person (firm) to provide the proposed Construction (include name address I phone I contractors' licens4 number): . - •. - . . I plan to provide porliOns of the work, but I have hired the following person to coordinate, suervise and provide the major work (include name I address/ phone / contractors' license number):, I will provide some of the work, bull havO contracted )hired( the following persons to provide the workindicated (include name I address I phone / type of work): 4' '-- ..PROPERTY OWNER SIGNATUR: OAli ENT DATE ' zti 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?, 3 Yes 0 No Is the applicant or Future building occupant required to obtains permit From the air pollution control district or air quality management district? - 0 Yes 0 No * Is the Facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes J 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. L 13 it ?TF 1IF 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). - - - Lenders Name Lender's Address - -. - certify that t have mad the application and state that the above information is correct and that the information on the plans is accurate. I agree to comptywith all City ordinances and State laws relating to building cànstruction.' 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 ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF TH6 PERMIT. OSHA: An OSHA permit is required for excavations over 50' 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 orwork authorized by such permit is not commenced within - l8odays from the dale of such permit or it the butding or work authorized by such permit is spended or abandoned at any time after the work is commenced ction 106.4.4 Untform Building Code). bra pa' 'd of 180 days) 8 0.0 DATE 7 455 8 - • '5 - ,_ . S - .' - ' '.5-. 5 '4 4 'a 555 , .. . .. 5 •, .' .' . . ''4 -. - 5. .- 5 c - ' '4 u''. , . : - •, .4 -5. 4.. * -. 5 - , - - . . . . 54 ' .4' -. ;,1•. • 4' J ''' 'S - . - , ' . , . . , - ', , '' - . - ', 44 J, - C , ' 5 ,•55 •• 'S •, , ,, - - S '," •' • ' . - -' 0, - -: - • , ' ,S , - , - : S .5 414 -, 5 ' 5' .4. I • -:-'. 4 c_ low - -. -- ' - 4" -i.'- 4, - . -, ' • . ' C C 4 1 k'' •.,,.•. .. - S - '-' '-S - 4' -' ,, S •, -S .. -. .'- . F - Inspection List Permit#: CB130235 Type: PME JENSEN RES - SEWER REPAIR 37 LINER FROM CLEANOUT TO STREET. Date Inspection Item InspectorAct Comments 01/30/2013 22 Sewer/Water Service MC AP PROPERTY LINE CLEANOUT TO POC 01/30/2013 29 Final Plumbing • - RI 01/30/2013 29 Final Plumbing - RI O1/30/2013 29 Final Plumbing . MC Fl .4 - a Wednesday, January 30, 2013 . . Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-07-2003 Plumbing Permit Permit No: CB030987 Building Inspection Request Line (760) 602-2725 Job Address: 1337 OAK AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2050201500 Lot #: 0 Applied: 04/07/2003 Construction Type: NEW Entered By: MDP Reference #: Plan Approved: 04/07/2003 Issued: 04/07/2003 Project Title: KOZAK RESIDENCE Inspect Area: REPLACE EXISTING CAST IRON WITH ABS Applicant: Owner: JENNINGS CONSTRUCTION, DAVID - KOZAK JAMES J&DONNA R 3256 GARFIELD ST 1011 TURNSTONE RD 'a 04/07/03 0002 01 02 CARLSBAD, CA 92008 CARLSBAD CA 92009 COP 35 00 619-434-9549 Plumbing Issue Fee / $20.00 Fixture or Trap . 0. $0.00 Building Sewer / 1 $1500 Roof Drain 0 $0.00 Install/Repair Water Line 0 - $0.00 Water Heater and/or Vent ' 0 Gas Piping System 0 $0.00 Vacuum Breaker 0 '$0.00 Other Plumbing Fees . ) $0.00 Master Drainage Fee $0.00' Sewer Fee ."- I --, $0.00 Additional Fees $0.00 - TOTAL PERMIT FEES - $35.00 Total Fees $35.00, Total Payments To Dat $0.00 Balance Due $35.00 / N / Di l.I1sII.(s]~1 ------ Date: JI/t I][*11!iliiI_ NOTICE: Please take NOTICE that 4prova1 of your project includes the "Imposition" of Mes, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You hkve 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 - t FOR OFFICE USE ONLY¼ PERMIT APPLICATION PLAN CHECK NO T7 CITY OF CARLSBAD BUILDING DEPARTMENT EST VA1. L. 1635 Faraday Ave. Carlsbad, CA 92008 Plan Ck Depos Validated By ¼ - Date. - ::i A dress (include Bldg/Suite #) . , . - . . . Business Name(at this address) . . . T. II Legal Description . -: LotNo. Subdivision Name/Number , • Unit No. Phase No. Total # of units - .- -, • - -. - . . .- 4 .. ,r," Assessor's Parcel # , .. Existing Use . •. 0 . Proposed Uses: .' . .1 . 0 - - ascription of Work . SQ. FT .- #of Stories # of Bedrooms # of Bathroms -i- 2. QTAc Q(ittereiit tro.!J1 apint) . ,. t,ed -_.... ¼ . . 0• . Name •• Address . City State/Zip TIephone #, Fax.# ctor Name Address City 1 State/Zip Telephone # NEI ir r!i ,g';.z.4t_,( ' •0 • . * Name' - Address . ' City State/Zip -- .'Telephone # ' (Sec.,-7031.5 Business and Professions Code: Any City. r County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its i s suance, also requires the applicant for such permit to file-a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law c IChapter 91.commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged emption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant t a civil pe alty of not more than five hundred doll rs ($500)). -:Y' .. .• zy/-O 1 6 Name Address - City State/Zip Teletone # / State License # CJ7 License Class City Business License # 7 Designer Name . ' . -.. Address . City State/Zip . Telephone State License # 'RKF, * Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations JI 0- I have and will maintain acertificate of coisent to selfinsure for worke'rs'- compensation as provided by Section 3700 of the Labor, Code, for the performance V.¼ of the work for which this permit is issued 0 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 worker's compensation insurance carrier and olicy number are: . . . • ' . 0•, . .-• ' . insurance Company' . . . . . . Policy No: . .''-' 'Expiration Date '- S . •, i (THIS SE9IarrrEED NOT BE COMPLETED IF THE PERMIT IS FOR, ONE HUNDRED DOLLARS ($1001 OR LESS) ' --- tTIFICATE OF EXEMPTION: ii certify that in the pe . f the work for which this permit is issued,-) shall not employ any person in any manner so as - to become subject to the Workers' Compensation L of California. WARNING: Failure to orkers' cam sation coverage is lawful, and shall èubJect an employer to criminal penalties and civil fines up to one hundred thousand dollars 0,00 - n a ' ' the cost o compe tion, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . - - 0 • . - * . DATE •-47 -•' . irw ___ I hereby affirm that [am exempt f m t ontractor s License Law for the following reason 4 0' I, as owner of the prop&. or my-employees with wages as their sole compensation, will do the work andthe 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 -- ¼,such work himself or. through his own employees, provided-that such improverents are not intended or offeredfd sale. If, hoever, the building or improvement is sold within one year of completion the owner builder will have the burden of'proving that he did 1. not build or improve for the 11 1 purpose of sale) 0 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 suchprojects with contractor(s) licensed pursuant to the Contractors License Law) •- ' 0 I am exempt under Section Business and Professions Code for this reason ' - ¼ - • - - - - - • - -: • 0 - ' ' - - ' " 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES ONO ' . 2. '".I (have I have hot) signed an application for a building permit for the proposed work.- - 0 • - ,: .'' • . - -. - - • - • • 0 3 I have contracted with the following person (firm) to provide the proposed construction (incIud name / address I phone number / contractors license number): k 4_ • '-S -S 5• -- .. -, 500 . ••• - - 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 nani'w / address / phone number / contractors license number): - 5., he will provide some of the work, but I have contracted (hired) the following persons to provide t work indicated (iclude name / address / phone number'/ type ' of work): r. - - . - 0 - - - - •_ ----4 . - •- V. . . - - .' -- - - ' ' 4 -' PROPERTY OWNER SIGNATURE . _-'.-• DATE ••0 _4 *0 _, - . - - ¼ ' Is the applicant or future building occupant required to submit a business plan 9acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES 0 NO, -, Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 . ¼ - REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. IO G Y ' I hereby affirm that there is a Construction lending agency for the performance of the work for which this permit is issul (Sec.- 3097(i) Civil Code) 1' 0 . -. . , - -• ¼ *•.• 0 LENDER S NAME LENDER'S ADDRESS_____________________________________________________________ *•. :i I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all - -' 4City ordinancesand State laws relating to building construction. I hereby authorize representatives of the Cit, of Carlsbad to-enter upon the above mentiàed '.• - 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 MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - '• - OSHA: An OSHA permit is required for excavation -- - '0" deep and demo' constructioh of structures over 3 stories in height. - • - - *1 EXPIRATION Every permit issued by th ilding Offici u r th visions of is Code shall expire by limitation and become null and void if the building or work authorized by such permit is not corn ced within s f e date of s permit or if the buildind or work authorized by such permit is suspended or abandoned at any time after the work is corrim APPLICANTS SIGNATURE c to of days on .4 .4 Uniform Building Code). DATE HITE File YELLOW Applicant PINK Finance - ' I r' - -- . -• - - - - -, - ' - - ' - - - -. - t' -. -w - -& • ..\ •' "