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HomeMy WebLinkAbout1659 CALLIANDRA RD; ; CB140478; Permit02-28-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Piumbing/iVlechanical/Electrical (PIVIE) Permit Permit No CB140478 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1659 CALLIANDRA RD CBAD PME 2159001100 Lot# GRAY RES- REPLACE WATER HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/28/2014 RMA 02/28/2014 02/28/2014 Applicant CARLSBAD PLUMBING COMPANY Owner GRAY SHARON 6438 LIVE OAKS DRIVE CARLSBAD CA 92009 760 603-1299 1659 CALLIANDRA RD CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $33 00 $0 00 $0 00 $62 00 TOTAL PERMIT FEES $95 00 Total Fees $95 00 Total Payments To Date $95 00 Balance Due. $0.00 Inspector yA FINAL APPROVAL Date 3 'P^'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 perniit 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 IVIanager 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othew/ise expired C0 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE OPLANNING nENGINEERlNG •BUILDING QFIRE • HEALTH •HAZMAT/APCD Ah ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov tv K v- www carlsbadca gov //| /\ Plan Check No. Est. Value Plan Ck. Deposit Date tm33. SWPPP JOB ADDRESS CT/PROJECT # PHASE # #ul-ui»iiS # BEDROOMS SUITE#/SPACE#/UNff# # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# NOj I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE (Primary Contact) APPLICANTNAME (Secondary Contact) ADDRESS US;E Qv^^s 'giOwz-S ADDRESS CITY STATE ZIP FAX PHONE PROPERTY OWNER NAIVIE CONTRACTOR BUS NAIVIE ADDRESS ADDRESS fcMf38 UsJB €1^^ Q<2^Nve CITY STATE ZIP STATE ^ ZIP CPhzjcPSm CP) yz^Q!^ ~, [FAX FAX PHONE EMAIL ARCH/DESIGNER NAME Si ADDRESS cuss (Sec 70315 Business and Professions Code Any City or County v^tiich requires a permit to construct, alter, improve, demolish or repair any structure, pnorto its issuance, also requires ttie applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Lavi/(Chapter 9, commending v^ith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any vioiaUon 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 ofpeijuiy one ofthe following declarations ZD I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued HI I have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the pertormance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are Insurance Co Policy No Expiration Date Tte section need not be completed if the permit is for one hundred dollars ($100) or less Pj5.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 cnminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attorney's fees JS^ CONTRACTOR SIGNATURE ""^^ 33^pt^,. ies • AGENT DATE "2-j"7-4S \ I hereby affirm that I am exempt from Contractor's License Law for the following reason I I I, as owner of the properfy 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) I I 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law) I [ I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement [^Yes j iNo 2 I (have / have net) signed an application tor a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number) 4 I plan to provide portions of the work, but I have hired the following 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) PROPERTY OWNER SIGNATURE QAGENT DATE mm^'7i ^ 1 Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account AcP Yes J" No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncP Yes ' No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes 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 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 i Lender's Address I cerbfy that I have read ttie application and state thatthe above intbnnation is conectand thatthe infoimation on the plans is accuiate I agree to comply with all Ci^ ordinances and State laws relatngto buildmg constmction I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property lor inspection purposes I ALSO AGREE TO SAVE, INDEIVINIFY 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 PERIiflIT OSHA An OSHA pemnit is required for excavations over 5'0' deep and demolition or constnjction of staictures over 3 stones in height EXPIRATION Every pemiit issued by the Building Official under the pnDvisions 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 pennit or if the building or work authonzed by such pemnit is suspended or abandoned at any time after the wik is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code) >£S'APPLICANT'S SIGNATURE DATE "T^^l.^'^Y.^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the followmg ONLY if a Certificate of Occupancy will be requested at fmal inspection. CERTIFICATE OF OCCUPANCY {Commercial Projects Only) Fax (760) 602-8560, Email bUildina(S)carlsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY Carlsbad CA PHONE EMAIL OCCUPANT 5 BUS LIC No DELIVERY OPTIONS ' PICKUP CONTACT (Listed above) ^' OCCUPANT (Listed above) ' CONTRACTOR (On Pg 1) IVIAIL TO CONTACT (Listed above) T> OCCUPANT (Listed above) CONTRACTOR (On Pg 1) , MAIL/FAX TO OTHER ' '' ASSOCIATED CB#_ .C' NO CHANGE IN USE / NO CONSTRUCTION V, CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permits CB140478 Type PME GRAY RES-REPLACE WATER HEATER Date Inspection Item inspector Act Comments 03/04/2014 25 Water HeaterA/ents - Rl CALL W/ETA PLS 03/04/2014 25 Water HeaterA/ents PB AP 03/04/2014 29 Final Plumbing - Rl 03/04/2014 29 Final Plumbing PB AP Wednesday, March 05, 2014 Page 1 of 1