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
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