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