HomeMy WebLinkAbout2281 BRYANT DR; ; CB132626; Permit10-24-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 32626
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2281 BRYANT DR CBAD
PME
2121016000 Lot#
PEREZ RES- REPLACE GAS UNE
FROM METER TO HOUSE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/24/2013
RMA
10/24/2013
10/24/2013
Applicant
BERCKS OLD TIME PLUMBING
STE E
38415 INNOVATION CT
MURRIETA CA 92563
760-436-6717
Owner
PEREZ LOUIE T&ANGELITA
2281 BRYANT DR
CARLSBADCA 92008
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$158 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $158.00
Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00
Inspector
INALAPPROVAL
Date /g'^f-/^ 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 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 othenivise expired
^ Cl r Y OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca gov
Plan Check No. Qfj^ lj ^i'XQ
Est. Value
Plan Ck. Deposit
SWPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Effected Areafs;
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NOD
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
f9l
FAX PHONE FAX
EMAIL
k ?AClc\ Din ri.i/h r. ^LUmSih
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS
/PA
ADDRESS
CITY CITY STATE ZIP
PHONE FAX PHONE
STATE ZIP
FAX
'^91 ooiC
EMAIL EMAIL
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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Lawi (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})
Workers' Compensation Declaration / hereby affirm under penalty of perjury one ofthe 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, for the performance of the work for which this permit is issued
[3 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 earner and
number are InsuranceCo.
f^f^ Of,Y V /!/ ^ TU».^C^ Policy No SCc/ ir/S05r7«5 Exmralion Oale f
p^cy
This section need not be completed ifthe 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, 1 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.£Qyerage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000),
addition to the cost of compensation, damages^s-pro^e^or in Sectio^ 3706 of the Labor code, interest and attorney's fees.
^ CONTRACTOR SIGNATURE 3: lAGENT DATE 9 2.9 /y
I hereby affinn that I am exempt from Contractor's Ucense 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, Busmess 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)
O 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 doss 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 _ Jusiness and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes • No
2 I (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 I plan to provide portions ofthe 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 work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
PROPERTY OWNER SIGNATURE ^AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district'? • Yes O No
Is the facility to be constructed 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby aff rm 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 certily that I have read the applicaton and state thatthe above infonnation is correct and thatthe inibnnation on the plans is accurate. I agree to complywith all City ordinances and State laws relatingto building constnjction.
I hereby authonze representative of Ihe City of Cailsbad to enter upon the above mentioned propeity for inspecton puiposes 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA k\ OSHA pennit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height
EXPIRATION Every pemiit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if Ihe building or wo* authonzed by such pemiit is not commenced within
180 days from the date of such permit or if the building or work authorged bytu9Tpe|Tnit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code)
^APPLICANT'S SIGNATURE V DATE
Inspection List
Permits: CBI32626 Type: PME
Date Inspection Item
10/24/2013 23 Gas/Test/Repairs
10/24/2013 29 Final Plumbing
Inspector Act
PB AP
PB AP
PEREZ RES- REPLACE GAS LINE
FROM METER TO HOUSE
Comments
Monday, October 28, 2013 Page 1 of 1
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