HomeMy WebLinkAbout1708 BLACKBIRD CIR; ; CB101722; Permit09-20-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB101722
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1708 BLACKBIRD CR CBAD
PLUM
2156026500 Lot#: 0
Construction Type: NEW
BRAR: OUTDOOR SHOWER DRAIN
INTO?
Status: ISSUED
Applied: 09/20/2010
Entered By: JMA
Plan Approved: 09/20/2010
Issued: 09/20/2010
Inspect Area: RB
Applicant:
BRARDEVA&LAURAK
1708 BLACKBIRD CIR
CARLSBAD CA 92011
Owner:
BRAR DEV A&LAURA K
1708 BLACKBIRD CIR
CARLSBAD CA 92011
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
0
0
0
1
0
0
0
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees:$27,00 Total Payments To Date:$27.00 Balance Due;$0.00
Inspector:ZJL 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
referred to as "fees/exactions." You have 90 days from the date this permit 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 Manager 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
* , V
yjy
^* wt ' Building Permit Appli
^uf^ ' 1635 Faraday Ave-> Carlsbad, CAN?" CITY OF 760-602-2717/2718/27
f~*ARI ^RAO Fax:760-602-8558V«T\r\L.«3DS>\Lx www.carlsbadca.gov
•_ JQB ADDRESS ^--j -i // / I s /
,.' OOK CJO-CJC'^ <~d Circle
CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS
mKnn Plan Check No. (— CMOv / 2-Z.Cucion
92008 Est. Value
19
Plan Ck. Deposit
Date 3 l£fi ///} SWPP
SUITE#/SPACE#/UNIT# 1 APN
# BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP
DESCRIPTION OF WORK: tocJude Square Feet of Affected Area(s)
_ / t^^ ^~ u DO ^~ f^K.6 L-xj^r""
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY QWNER NAME „,UtL-ti ro^. pro^f-
ADDRESS IS/ 1 ' /
CITY / 7 • STATE ZIP
PHONE . . FAX. 74>c> VP6 9<?3"7
T EMAiL / / / — "NICL&rG- £?f~&-./^ ( 0 j^l S/7 • C.yv>^)
ARCH/DESIGNER NAME & ADDRESS L^' STATE LIC,#
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES D NO D YES D NO D
APPLICANT NAME ,,L^O-^U CQ~~ i~}(~*<y^f~
ADDRESS ^ / - / v f.
CITY / / STATE ZIP
PHONE FAX
~7k) 430 qq^7
EMAIL i
1 G^OtfYL^ V3ir&-/^ /() \ ^Y]_ S/7 ' <~ f}s\s*-~
CONTRACTOR BUS. NAME ^(^^
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC.# CLASS CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions. Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theappjicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 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 acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declarationrf/iereoy affirm under penalty ofperjury one of the following declarations:
D 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 perm it is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Ca "' Policy No. "Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less.
O 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 criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
VST CONTRACTOR SIGNATURE OAGENT DATE
/ hereby affirm that I am exempt from Contractor's License Law for the following reason:
D I, as owner of the property 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
K 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, as owner of 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 builds or improves thereon, and contracts for such projects with contractorjs) licensed pursuant to the Contractor's License Law).
• a I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, n Yes O No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 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):
/I
xfifpROPERTY OWNER SIGNATURE DAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? CD Yes n No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes G No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No
IF ANY OF THE ANSWERS ARE YES, t
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 Lender's Address
I certify that I have read the application and state that Die above information is correct and that the information on the plans Is accurate .1 agree to comply with all City ordinances and State laws relatingto building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null ai
180 days from the date of such permit or if the buifding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
^APPLICANT'S SIGNATURE V/XA, / a A/T, A/T^/"}/ - DATE
Inspection List
Permit*: CB101722 Type: PLUM BRAR: OUTDOOR SHOWER DRAIN
INTO ?
Date Inspection Item Inspector Act Comments
10/19/201029 Final Plumbing RB AP DRAIN TO GRAVEL PIT
09/21/201029 Final Plumbing RB CO SEE NOTICE
Tuesday, October 19, 2010 Page 1 of 1
CITY OF
CARLSBAD
Unscheduled
Building Inspection
Building Department
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
DATE: /(9-INSPECTOR:
PERMIT#:CONTACT:
PHONE #:
JOB ADDRESS:
DESCRIPTION:
C.
CODE DESCRIPTION ACT COMMENTS
A 9 0/ntM
Bldg Inspection Form Page 1 of 1 Rev. 06/09
City of Carlsbad Bldg Inspection Request
For: 09/21/2010
Permit# CB101722
Title: BRAR: OUTDOOR SHOWER DRAIN
Description: INTO ?
Inspector Assignment: RB
1708 BLACKBIRD CR
Lot: 0
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
APPLICANT BRAR DEV A&LAURA K
Owner: BRAR DEV A&LAURA K
Remarks:
Phone:
Inspector:
Total Time:
CD Description
29 Final Plumbing
Comments
Requested By: LAURA
Entered By: JANE AN
Com ments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
•w" ^-^r^r^T •
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE (760) 602-2700
1635 FARADAY AVENUE
DATE "2-f
LOCATION /
PERMIT NO.
TIME
C
f 7*" £>f'"a> ,
ex.
V?? .,
FOR INSPECTION CALL (760) 602^2725. RE-INSPECTION FEE DUE?
FOR FURTHER INFORMATION, CONTACT
YES
CODE ENFORCEMENT OFFICER
SEP 2 0^010
City of CARLSBAD
BUILDING DEPT.
J />,
CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applyingxto the City of Carlsbad for the following type(s) of construction permit:
Building Permit Q Right-of-Way Permit
Electrical
Fire Additional
Fire Alarm
Fixed Systems
anical
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
rj My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tier 1 • Low Threat Assessment Criteria
Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria:
• Results in some soil disturbance; and/or
• Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
Tier 2 - Moderate Threat Assessment Criteria
Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
• Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
•-•"" — 'Disturbed area is located on a slope with aggrade ator exceeding^ horizontaltoi vertical, and/or ~
• Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 • Significant Threat Assessment Criteria
Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge^).
/ certify to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
*The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
Project Address:
n 01 ftlodJUrirJ Crrp
iwne/Owner's Authorized Agent Name: I Title:
Assessor Parcel No.
OyvnefTjDwner's Authorized Agent Signature:
firm-
CitvC<!ncurrence:
Q YES Q NO
By:
Date:
'Project ID:
( 0 l~7Z2-
B-24 Page 1 of 1 Rev.03/09