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
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