HomeMy WebLinkAbout2083 CALETA CT; ; CB130014; Permit01-03-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/MechaniGal/Electrical (PME) Permit
Permit No CBI 30014
Building Inspection Request Line (760) 602-2725
Job Address 2083 CALETA CT CBAD
Permit Type PIVIE Status
Parcel No 2151101100 Lot# 0 Applied
Entered By
Reference # Plan Approved
PC # Issued
Inspect Area
Project Title SCHWARTZ RES-GAS LINE TO
EXISTING POOL EQUIP AND TO 3 NEW STUBS FOR BBQ AND 2
FIREPITS/ ELECT FOR BBQ AND EXTRA OUTLETS W/NEW SUB PANEL
ISSUED
01/02/2013
LSM
01/03/2013
01/03/2013
Applicant
DOMINIC RAMIREZ
Owner
SCHWARTZ THEODORE G
256 CANYON CREEK WY
OCEANSIDE CA 92057
760-214-8880
2083 CALETA CT
CARLSBAD CA 92009
760-214-8880
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$154 00
$31 00
$0 00
$0 00
TOTAL PERMIT FEES $185 00
Total Fees $185 00 Total Payments To Date $185 00 Balance Due-$0.00
Inspector
FINALAPPROVAL
Date V^fA^3 Clearance
NOTICE Please take NOTlC^hat 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 nght 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 previously otherwise expired
TXE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email buidling@carlsbadca gov
www carlsbadca gov
Plan Check No. CJ^ f 00 (^
Est. Value
Plan Ck. Deposit
Date I SWPP
SUITE#/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NO •
APPIJCANI NAME (Pr/mary Contaca APPLICANTNAME (Secondary Contact)
ADDRESS
ESTATE
ADDRESS
;TATE ZIP CITY STATE
PHONE
EIVIAIL EMAIL
.UOPE^^ERN^^J^
•' ADDRESS
CONTRACTORBUS NAME
ADDRESS
STATE CA CITY STATE ZIP
ARCH/DESIGNER NAME & ADDRESS 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 the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption Any violation of Section 7031 5 by any applicantfor a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
n I have and will maintain a certificate of consent to self-insure for workers compensation as provided by Section 3700 ofthe Labor Code, forthe performance of the work for which this perm it is issued
• I have and will maintain workers' compensation, as required by Section 3700 ofthe Labor Code, for the perfomance of the work for which this pemiit is issued My workers compensation insurance camer and policy
number are Insurance Co 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 pennit 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 employerto criminal penalties and civil flnes upto one hundred thousand dollars (&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
^CONTRACTOR SIGNATURE OAGENT DATE
/ herety affirm that I am exempt from Contractor's bcense Law for the follomng reason
n 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
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)
«/| , as owner of the property, am exclusively contracting with licensed contractors to construct the pnjject (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 contractor(s) licensed pursuant to the Contractor's License Law)
• I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes O No
2 I (have / have not) signed an application for a building pemiit for the proposed work
3 I have contracted with the following person (fimi) to provide the proposed construction (include name address / phone /contractors license number)
4 I plan to provide portons 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 I will provide some of the wod(, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
vglTpROPERTY OWNER SIGNATURE )
Is the applicant or future building occupant required to submit a business plan, acutely hazanJous materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf • Yes • No
Is the facility to be constnicted 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 APPUCANT HAS MET OR IS IVIEETING 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 Lender's Address
I certity that I have read theapplicaton andstatettiattheaboveinformationis conectand thatthe infomiaton on the plans IS accurate I agreetocomply with all City ordinancesand State lavs relatngto building constucton
I hereby authonze representative of the City of Garlsbad to enter upon the above mentioned property tor inspection purposes I ALSO AGREE TO SAVE, INDB/INIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavatons over 5'0' deep and demolition or constmction of sfructures over 3 stcnes in height
EXPIRATION Every pennit issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or iwrk authonzed by such permit is not commenced within
180 days fom the date of such perniit or if the buiklmg or woi1< authonzed by such permit is suspended or abandoned at any time after the woil< is commenced tor a penod of 180 days (Sectran 106 4 4 Unifomi Building Code)
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFIC, OCCUPANCY ere iai Projects Only)
Fax (760) 602-8560, Email vyww buildinqlSjcarlsbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0# (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
n PICK UP • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• IVIAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL / FAX TO OTHER
• ASSOCIATED CB#-
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permits CB130014 Type PME SCHWARTZ RES-GAS LINE TO
EXISTING POOL EQUIP AND TO 3 NEW S
Date Inspection Item Inspector Act Comments
01/09/2013 23 Gas/Test/Repairs PY AP
Monday, July 22, 2013 Page 1 of 1