HomeMy WebLinkAbout1669 AMANTE CT; ; CB121954; Permit10-02-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB121954
Building Inspectton Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1669AMANTE CT CBAD
PlVlE
2159003100 Lot#
EUFAMI REPLACE WATER HEATER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/02/2012
jma
10/02/2012
10/02/2012
Applicant
UNItVIASTER, INC
#D
301 E WASHINGTON
ESCONDIDO CA 92025
760-480-0832
Owner
EUFEMI JOYCE TRUST 01-03-01
1669 AlVIANTE CT
CARLSBAD CA 92011
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$31 00
$0 00
$0 00
$64 00
TOTAL PERMIT FEES $95 00
Total Fees $95 00 Total Payments To Date $95 DO Balance Due $0 00
Inspector
FINALAPPROVAL
Date ^JLHILLL? Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition" of tees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions' You have 90 days from the date this perniit was issued to protest imposition of these fees/exactions If you protest them you must
follow the protest procedures set forth in Government Code Section 65020(a}, and file the protest and any other required information with the City Manager for
processing in accordance witti Caristiad t^unicipat Code Section 3 32 030 Failure to timely follow that procedure will bar any sutsequent legal action to attack
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
feg$/exactions of which you have prevmuslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
TliE FOLLOWING AWROVALS REQUIRED PRIORTO PERMfT ISSUANCE • PUNNING • ENGINEERING • BUILDING • FiRE • HEALTH • HAZMAT/APCD
CITY OF
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Pti 760-602-2719 Fax 760-602-8558
email buidling@carlsbadca gov
www carlsbadca gov
Plan Check No. CZB^ |2 ' ^ ^
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADD
CT/PROJECT # ' ' I LOT fl | PHASE fl fFO PHASE fl # OF UNITS fl BEDROOMS
SUITEfl/SPACEfl/UNITff
fl BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OFWORK Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS {SF) DECKS (SF| FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NO •
APPLICANT NAME (Primary CodtactJ APPLICANT NAME (Socorttfary Conlact)
ADDRESS
STATE ZiP
PHONE
EMAIL
FAX
CONTRACTOR BUS NAME
ADDRi ADDRESS
p|j«rRE ~ l-l—TTFAX
CITY STATE ZIP
7^
J
PHONE FAX
EMAIL
• STATE LicVs r / _ '7~/ jOASS o ^c!l^Ty gus Lig^' ~ — ARCH/DESIGNER NAME & ADDRESS
{Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure pnor to its issuance, also requires the applicant for such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Lav^i (Cnapter 9 commending with Section 7000 of Division 3 of the
Business anfl 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 Declaration I hereby affirm under penalty of pequry one of the following declarations
m 1 have and will maintam a certificateof consent to self insure tor worlters compensation as provided by Section 3700 of lhe Labor Code forlhe perfonnanceof the v^orl( tor which this penrit is issued
I have and v*ill mamtain workersliflmpensation, as requireclj^y Section 3700 of ihaiabor Code forthe perlomiaoE^of the work lor which thisRg[mjlji;ssugc| Wy vwrkers compensation insuranc* earner anjf'iralicv
number are InsuranceCo .^Z^W'y^^-^^^.^^ PolicvNojg^^^S^* E^DiralQ" Da'e ^/02^// ^
This section need not be completed it the permit is tor one hundre^/lQllars ($1 DO) or less / /
n Certificate of Exemption I certify that in lhe performance of the work for which this pennit is issued I shall not employ any person In any manner so as to become subject to the Workers Compensation Liv^s of
California WARNING Failure to secure workers' compensation oCVerage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&10[l,000), in
addition to thecost of compensation, ttam/g^ as provided for /Section 3706/f tE> Labor code, interest and attorney's fees
JS^ CONTRACTOR SIGNATURE
\) Labor code, interest and attomey s tees /
I hereby afSrm that I am exempt from Contractor s bcense Law for the following reason
• I as owner of the properly or my employees with v^ages 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 nol apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided tfiat 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 lhat he did not build or improve for the purpose of sale)
• I, asownerof 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 buiWs or improves thereon and contracts for sucfi projects wilh contractor[E) licensed pursuant to the Contractor's License Law)
• I am exempt under Section .Business and Professions Code for this reason
1 1 personally plan to provide the major labor ant) matenals for constructon of the proposed property improvemenl • Yes • No
2 I (have / have not) signed an application lor a building permit for Uie proposed work
3 1 fiave contracted with the following person [firm) to provide the proposed construction (include name address / phone / contactors license number]
4 I planlo provide portons of the vrork bull 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)
>€fpROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupantrequired to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the
Presley-Tanner Hazardous Substance Aaount Acf? • Yes • No
Is the applicant or future building occupant required to obtain a perniit trom the air pollution control distnct or air quality management distncP • Yes • No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site'' • Yes • No
IF At*Y 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
m3J
I hereby affirm that there is a constuction lending agency for the performance of the work this permit is issued {Sec 3097 (i) Civil Code)
Lender's Name Lender s Address
I certify ttiati have read the application and state that the above information is conect and lhat the Informabonon the plans Is accurata I agiee to complywith all City ordmances and State lavs relating 0) building construction
I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property fer inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSEWD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constructon of stnjctures over 3 stones in height
EXPIRATION Every permit issued by ttie Building Ofliaal underthe
\^ days from the date of such permit or if MuMmg or viortt authoi
jS^APPUCAUVS SIGNATURE 7^^^^^^^
,all expire by limitation and become null and void it the building or vmrk authonzed by such pemiit is not commenced vnthn
ispended orabandonedatanytime allerfievwrk is commenced forapenod of 18{klays (Sepflbn 1(3644 Unifomi Building Code)
DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY j C o m m e r c f a I Projects Oniy|
Fax (760) 602-8560, Email www buiiding@carlsbadca,9pv or Mail the completed fomi to City ofCarlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008
C0# (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
cinr STATE ZIP CiTY STATE
Carlsbad CA
FAX
ElVIAIL OCCUPANTS BUS LIC No
DELIVERY OPTIONS
• PICKUP • CONTACT (Listed above) n OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
O MAILTO • CONTACT (Listed above) • OCCUPANT (Listed above)
n CONTRACTOR (On Pg 1)
• MAIL / FAX TO OTHER
• ASSOCIATED CB#-.
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^APPLICANTS SIGNATURE DATE
Inspection List
Permits CB121954 Type PME EUFAMI REPLACE WATER HEATER
Date Inspection Item Inspector Act Comments
10/17/2012 25 Water Heater/Vents PD AP
10/17/2012 29 Final Plumbing PD AP
Tuesday, February 12 2013 Page 1 of 1