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HomeMy WebLinkAbout2210 AZURITE PL; ; CB130717; Permit03-22-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB130717 Building Inspection Request Line (760) 602-2725 Job Address 2210 AZURITE PL CBAD Permit Type PME Status ISSUED Parcel No 2132402200 Lot# 0 Applied 03/22/2013 Entered By JMA Reference # Plan Approved 03/22/2013 PC# Issued 03/22/2013 Inspect Area Project Title SIMOES GAS LINE TO PATIO FOR FUTURE PORTABLE HEATERS//ELEC TO SPA & YARD OUTLETS Applicant SIMOES Owner SIMOES 2210 AZURITE PL CARLSBADCA 92009 2210 AZURITE PL CARLSBAD CA 92009 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 DO Total Payments To Date $185 00 Balance Due SO GO Inspector FINAL APPROVAL Date Clearance NOTICE Please lake NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or otfier exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued lo protest imposifion of these fees/exactions If you protest them, you must follow the protest procedures set forth in Govemment 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 thai 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any feesyexactions of which vou have previously been given a NOTICE similar lo this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: SIMOES Description CB130717 2210 AZURITE PL CBAD Amount 185.00 Receipt Number: R0094207 Transaction Date: 03/22/2013 Transaction ID: R0094207 Pay Type Method Payment Cash Description Amount 185.00 Transaction Amount: 185.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE • PLANNING O ENGINEERING • BUILDING Q FIRE • HEALTH • HAZMAT/APCD ^ CfTY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buildingigcarlsbadca gov www carlsbadca gov Plan Check No(^ 13-Ol (? Est. Value Plan Ck. Deposit Date SlzP-i^ SWPPP JOB ADDRESS 2210 AZURITE PLACE CARLSBAD CA 92009 SUrTEf/SPACEI/UNITf CT/PROJECT # # OF UNITS It BEDROOMS tf BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /nc/wdti Square Feet of Affected Area(a) DRun 220 vole electrical line Erom ittecar co portable hoc cub Iocacion(see planj i i-f j ^T'^ i 2)Run 110 volt elecCncal line £rom meter to setupjfeleccrlcal outlets at two locoCiona (Bee pt^lPJ/frPC* (-t ' ^ 3l Move exioCing gas line Co edge of conciete patio install gaa shutoff value {see Pi,*Vo) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YESQft N0| I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I I N0| \ APPUCANTNAME (Primary Contact) SACHA SIHO&S APPLICANT NAME (Secondary Contact) ADDRESS 2210 PLACE ADDRESS CITY CARLSBAb STATE CA ZIP 92009 CITY STATE ZIP PHONE 858-703-7010 FAX PHONE FAX EMAIL sachaOscrooscoop.com EMAIL PROPERTY OWNER NAME SACHA SIHO&S CONTRACTOR BUS NAME ADDRESS 2210 AZUHITE PLACE ADDRESS CITY CAKLSBAD STATE CA ZIP 92009 CITY STATE ZIP PHONE 858-703-7010 FAX PHONE FAX EMAIL sachaOscrooscoop.com EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC It cnYBus LK;# (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter improve, demolish ot repair any structure, prior to its issuance also requires the applicant 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]) Wofliers' Compensation Dedaration / hereby affirm under penalty d perjury one of Ihe foBowng dedaralions Bl have and will maintain a certificate of consent to selfnnsure for workers compensation as provtded by Section 3700 of the Latwr Code for the perfomiance of the work for whtch this pemiil is issued I have and will maintain worVers' compensation as required bv Section 3700 of the Labor Code, for the perfomiance of the work lor which this permit Is issued My wooers compensation insurance earner 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 I I CertficatB of Exemption I certify that in the perfomiance of the worlt for which Ihis pemiit is issued, I shall not employ any person m any manner so as to become subjeC lo the Workers' Compensation Laws o( Califomia WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto cnminal penalties and civil fines up to one hundred Uiousand dollars (&100,OOD), tn addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees JS^ CONTRACTOR SIGNATURE • AGENT DATE I hereby affirm that I am exempt from (^tractor's License Law for the Mowing reason I [ I, as owner of the property or my emftoyees with wages as their sole compensation, will do the work and the simcture is not intended or offered for sale (Sec 7044 Business and Professions Cods 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 imprtivemenl s sold withm one year of completion, Ihe owner-builder will have the bunlen ol proving that he did not build or improve fa the purpose of sale) ^\ I, as owner of the property, am exclusively contractng with licensed contractors to constaict 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 contractor(s) licensed pursuant to the Contractor s License Law) [ I I am exempt Under Section. .Business and Pnsfessions Code for this reason 1 I personally plan to pnjvide the major labor and matenals for constnxAon of the proposed pnsperty improvement nYes ONO 2 I (have / have not) signed an application (or a buiMing permit for the proposed worit 3 I have Contracted wlh the folkjwing person (firm) to pnavide the proposed constoiction (include name address / phone / contractors license numtwr) 4 I plan Ic) provide portions of the wotlt, 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 provKl^me of the worit, but I have contracted (hired) Ihe following persons to provide the work indicated (include name / address / phone / type of worit) GNATURE QAGENT DATE Is the applicant or future buUing occupant reqi^red to submit a business plan, acutely hazanjous niaterials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of Sie Presley-Tanner Hazardous Substance Account Act' • Yes • No Is the applicant or Mure building occupant required to obtain a permit from the afr pollution conlrol district or ar quality management Olslric!? O Ves O No Is the facility lo 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 APPUCANT 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 coiislnii:tion lending agency for the perfonnance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I ceiti^thatl have little application and state that theaboveinformaton IS a)nect and that the infom on the plans is acairata I a^ to comply with all Olyorcf nances aiid State laws lelatingtobtrildngcotstrticti I fierajy authorize representative of the City of Carlsbad to enter upon Itffi sbove mentioned prc^efty tar rspecton puiposes I ALSO AGREE TO SAVE, INDEMNFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMBJTS, COSTS AND EXPENSES WHJCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pernil is required kx excavations over ffO' deep and demolition or constnjction of structures over 3 stones m height EXPIRATION Evwy pemiit ssued tiy the BuikJing CMfcial under the provisions of this Code shall expire by limitation and become null and void if the buikjng or MWr1( authonzed by such permit is not oxnmenced withm 180 days him (he dale of such pemiit orrfthe bua^a«wlt authonzed by such perrnitEsuspe^^ 1054 4 Unibnn Building Code} -^APPUCANT'S SIGNATURE DATE