HomeMy WebLinkAbout2257 BOCA ST; ; CB111997; Permit09-15-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanicai/Electrical (PME) Permit
Permit No: CBl 11997
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2257 BOCA ST CBAD
PME
2163402300 Lot#:
SCHABER RESIDENCE
GAS & ELECTRIC FOR BBQ AND FIREPIT
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/15/2011
MDP
09/15/2011
09/15/2011
Applicant:
WILDCAT CONSTRUCTION, INC
1027 E.VALLEY PKWY
ESCONDIDO
92025
760-522-7723
Owner:
SCHABER FAMILY TRUST 12-18-03
2257 BOCA ST
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$150.00
$30.00
$0.00
$0.00
TOTAL PERMIT FEES $180.00
Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively
refen'ed to as lees/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 infonnation 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 tlieir 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 senrice 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 oreviouslv othenvise expired.
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
wvw.ca risbadca .go V
Plan Check No. \ ^ ^ \ ^ ^ ^
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS f") . , /
CT/PROJECT # |LOT# I PHASE # # OF UNITS | # BEDROOMS
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRII>TI0N OF WORK: Jncfude SQuare Feet of Affected Atea{s) ^
ji^^'ctT /c^^///o^Z/^^ /^f fb(Y Pipe P^r g.^^ Pi'2r<-P^H^4f
EXISTING USE PROPOSED USE I GARAGE (SF) PATIOS (SF) UECR?!?^^ "FIREPLACE
YES • # NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES a NOD
APPLlfJNT NAME (Primary Contact) , _ APPUCANT NAME (Secontfaiy Contact)
CITY ; 7^ ffTATE zip
ADDRESS
CITY
PHONI
ATE CITY STATE ZIP
PHONE FAX
EMAIL
PROeEBTY OWNER NAME CONTRACIOABUS. NAME / / ,
ADDRESS ADDRESS . . I j-^ I
CITY I ,/ STATE ZIP
<9 <
CITY STATE
PHONE
ZIP
<y2oo ^
CIIY I ft SIAlb OV
EMAIL
CP xtoc.
^ / ^ XX ^ I CLASS/O |CITYBUS.LIC.# .. " ARCH/DESIGNER NAME & ADDRESS STATE 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 permit to file a signed statement that he is licensed pursuant to the provisions ofthe 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 a
civil penalty of not more than five hundred dollars ($500)).
•ORKl.tJ:'. C O M l»,16 N S ATI O'N
Workers' Compensation Declaratioii: / hereby afUmn under penalty of perjury one ofthe following dec/araSons;
O 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 woh< for which this pennit is issued.
• I have and will maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co. Policy No. Expiration Date
This section need not be completed if the pemiit is lor one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the perfonnance 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 woriters' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided tor In Section 370£ of the Labor code. Interest and attomey's fees.
CONTRACTOR SIGNATURE •AGENT DATE
: if;-.:S,:ti 11. D i R"':p-E c i. A R A T i o N
/ hereby afUrm that I am exempt from Contractor's Ucense Law for the following reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Prafessions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such woilt himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or impmvement is sold within one year of completion, the owner-builder will have the burden of praving 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 Ibr such projects with contractor(s) licensed puisuant to the Contractor's Lkxnse Law).
D I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to pravide the major labor and materials for construction of the praposed property improvement. • Yes • No
2.1 (have / have not) signed an application for a building permit for the praposed work.
3.1 have contracted with the following person (finn) 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 Ihe following person to coordinate, supereise and provide Ihe major work (Include name / address / phone / contractors' license number):
5.1 will provide some of the woik, but I have contracted (hired) the following persons to pravide the work indk^ated (include name / address / phone / type of work):
>£S'PR0PERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SMCTtOH FOR NON-nESiOENTIAL BUILOIHQ PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazanlous materials registration forni or risk management and prevention program under Sectnns 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distrtet? • Yes • No
Is the facility to be constructed within 1,000 Ieet of the outer boundary of a school site? • Yes O 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.
\C O N S T R U C T IO III. L ,E N D I N 6,, A 01 i N C Y
I hereby affirm that there is a construction lending agency for the performance of the work this pemit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
•PPttCAHt CBRTI.FIC ATiOl
I oerti^thatl have read the appikatkin and state that tlie above infomiatkin Is correct and tliat the Infbmiatn
I hereby authorize representative of the City of Carisbad to enter upon Ihe above nnentioned property lor 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 CPTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 50 deep and demolition orcgnstrarton of structures over 3 stories in height
EXPIRATION: Every pennit issued by the Building Oflicial under the provisions of H||w(le shall expire by limilatbn and become null and void if the building or work authorized by such permit is not commenced viithin
180 days from the date of such peimit or if the buiWing or vioik authorized by such D^majspendedor abandoned at any time after the work is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Building Code).
APPLICANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 11/23/2011
Permit# CB111997
Title; SCHABER RESIDENCE
Description: GAS & ELECTRIC FOR BBQ AND FIREPIT
Inspector Assignment: WIC
Type: PME Sub Type:
Job Address: 2257 BOCA ST
Suite: Lot: 0
Location:
OWNER SCHABER FAMILY TRUST 12-18-03
Owner: SCHABER FAMILY TRUST 12-18-03
Remarks:
Ptione: 7605227723
Inspector: ^AO
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
Requested By: ANTONIO
Entered By: CHRISTINE
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
09/22/2011 23 Gas/Test/Repairs PA MC METER TO FIREPIT OK, PROVIDE CORRECT GAGE FOR BBQ, OK
TO COVER
09/22/2011 31 Underground/Condult-Wiring PA MC CONDUIT ONLY, METER TO FIREPIT & BBQ ONLY