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HomeMy WebLinkAbout1340 BULRUSH CT; ; CB121241; Permit07-02-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Piumbing/Mechanical/Electrical (PME) Permit Permit No:CB121241 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: Applicant: A J CRIBS 1340 BULRUSH CT CBAD PME 2158500800 Lot#: GRANDINETTI RES- GAS & ELECTRI TO A WATER / FIRE FEATURE UN REAR YARD - NOT IN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/02/2012 RMA 07/02/2012 07/02/2012 Owner: GRANDINETTI PHILLIP&MARIE REVOCABLE TRUST 06-01- P O 460265 92046 760 489-5120 1340 BULRUSH CT CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical 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 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 refen^ to as "fees/exactions." You have 90 days from the date this pennit was issued to protest Imposition of these fees/exactions. If you protest them, you must follow the protest procedures set fonh 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 t)ar 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/exacttons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivtee fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given ^ NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FOLLOVyiNGAPPRQVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING •ENGINEERING • BUILDING npIRE • HEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 vvww.car1sbadca.gov Plan Check No. Est. Value Plan Ck. Deposit UNIT# APN ' ^ • f SWPPP JOB ADDRESS 1340 BULRUSH CT CARLSBAD, CA 92110 SUITE*/SPACE«/UNIT* 3 G£;^D CONSTR. OCC. GROl CT/PROJECT U # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) Run and connect approximately 36 linear feet of gas line, in backyard, from house to Water/fire feature Run and connect approximately 15 linear feet of electrical line, in backyard, from house to Water/fire feature EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESn> N0| I AIR CONDITIONING YES QNO • FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) AJ CRISSIND (ANTHONY J CRI^ APPLICANT NAME (Secondary Contact; ADDRESS 1418 GOLDEN CREST DR ADDRESS CITY ESCONDIDO STATE CA ZIP 92029 CITY STATE PHONE 760489-5120 FAX 760 489-5191 PHONE EMAIL contact@ajcriss.com EMAIL PROPERTY OWNER NAME IMARIE & PHILLIP GRANDINETTI CONTRACTOR BUS. NAME AJ CRISS IND ADDRESS 1340 BULRUSH CT ADDRESS 1418 GOLDEN CREST DR CITY CARLSBAD STATE CA ZIP 92110 CITY ESCONDIDO STATE CA ZIP 92029 PHONE 760931-6674 FAX PHONE 760489-5120 FAX 760 489-5191 marieabar@yahoo.com EMAIL contact@ajcriss.com ARCH/DESIGNER NAME & ADDRESS 695830 C-27 CITY BUS. LIC.# C-1219863 E-152423 (Sec. 7031.5 Business and Professions Code: Any City or Counly which 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 sIBied statement that he is licensed pursuant to the provisions of the Contractor's License LawIChapter 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 ($500)). WORKERS' COMPENSATION Wotlters' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declaations: Bl have and will maintain a certificate of consent to self-lnsurs for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for whk:h this permit is issued, 1 have and will maintain worlteis' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensatkjn insurance carrier and poik^ number are: Insurance Co._ GRANITE STATE INSURANCE Poltey No. _ 51757474 Expiration Date . 09/06/2012 Bsection need not be compleled if the permit is for one hundred dollars {$(00) or less. 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' Compensatnn Laws of California. WARNING: Failure to secure workjtCcompensatlerTco^age Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (S100,000), in addition to the cost of compensation, damagMas^rovldedm in S^on 3706 of the Labor code, interest and attorney's fees. / / JS^ CONTRACTOR SIGNATURE •^.^L^^^^^^^/X!:::;^^^ • ^G^NT DATE y ^/ ^ '' O W NER•BUILDER DECLARATION 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 compensatton, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professkins Code: The Contractor's License Law does not apply to an owner of property who buiMs or Improves thereon, and who does such work himself or through his own employees, provkled 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-buikJer will have the burden of proving lhat he did not build or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with Iteensed 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 buiWs or Improves thereon, and contracts for such projects with contractor(s) Ifcensed pursuant to the Contractor's License Law). • I am exempt under Section _ .Business and Professions Code for this reason; 1.1 personally plan to provkle the major labor and materials for constructton of the proposed property improvement OYSS I INO 2.1 (have / have not) signed an applteatkin for a buikling pennit for the proposed work. 3.1 have contracted with the foltowing person (finn) to provkle the proposed construction (Include name address / phone / contractois' license number): 4.1 plan to provkle portions of the work, but I have hired the following person to coordinate, supen/lse and provide the major work (Include name / address / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the following persons to provkle the work indicated (include name / address / phone / type of work): >€S'PR0PERTY OWNER SIGNATURE •AGENT DATE Inspection List Permit*: CB121241 Type: PME Date Inspection Item 10/01/2012 29 Final Plumbing 10/01 /2012 39 Final Electrical 10/01/2012 39 Final Electrical 07/19/2012 23 Gas/Test/Repairs Inspector Act PD AP Rl PD AP PD AP GRANDINETTI RES- GAS & ELECTRI TO A WATER / FIRE FEATURE UN REAR Y Comments Tuesday, October 02, 2012 1 of 1