HomeMy WebLinkAbout2332 DANA CT; ; CB140350; Permit02-13-2014
City of Carisbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/IVIechanical/Electrlcal (PME) Permit
Permit No CB140350
Builtding Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2332 DANA CT CBAD
PME
1675323200 Lot#
BJORNDAL RES- WHOLE HOUSE
HOT & COLD REPIPE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
02/13/2014
LSM
02/13/2014
02/13/2014
Applicant
A BOMB PLUMBING
Owner
BJORNDAL BRYAN T&SUZAN K TRS
37351 HARVEST DR
MURRIETA CA 92563
760622-1833
2332 DANA CT
CARLSBAD CA 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
FINAL APPROVAL,
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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 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 service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE •PLANNING QENGINEERING ^BUILDING DFIRE • HEALTH •HAZMAT/APCD
W CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www carlsbadca gov
Plan Check No. \^0'2)SD
Est. Value
Plan Ck. Deposit
Date ^ SWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # # OF UNITS # BEDROOMS
DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s)
# BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
k incruoe dquare reel orArrecreo/«rea(5; .
M>-f^ C^/J OLhckr- ^<p7pe- C^J/p^ L a>pp^r^ )
EXISTING USE PROPOSED USE GAF^AGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~|# N0| I
AIR CONDITIONING
YES I [NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME (Primary Contact) P?/)r^^ Be^ch APPLICANT NAME (Secondary Contact)
ADDRESS SP73>^^ pjcf^ue-^^ P7/^ ADDRESS
CITY
/y]u7/^i<j~^ STATE CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL
5L/g- f3j^r/[}d<\ I PROPERTY OWNER NAME CONTRACTOR BUS NAME
ADDRESS /93^ Da^o. ADDRESS 37S^/ /^oiyue^^4- P.(
CaP^7aJ ""' CA ''iJ^''^ ?r?uyy^.yh, ''"'c^ ' ?
[FAX 'nmm'TZ - _ , [FAX
CITY
PHONE
~ , _ I CLASS CITY BtjS LIC# ARCH/DESIGNER NAME & ADDRESS y~. ^ ^ , , y l-LAbb \^ K.ll \ Wi, LIU
(Sec 70315 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 Law (Chapter 9, commending with Section 7000 of Division 3 ofthe 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))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
C 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 work for which this permit is issued
[P. 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 carry
numberare InsuranceCo Policy No Expiration Date
Th§ion need not be completed if the permit is for one hundred dollars ($100) or less
1^3 Certificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation ^aws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damagesa^rovid^d^ in Section 3Z^ of the Labor code, interest and attomey's fees
CONTRACTOR SIGNATURE • AGENT DATE ^- 73^7^
I hereby affinn that I am exempt from Contractor's License Law for the following reason
I I 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 nol 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 wilhin one year of completion, the owner builder will have the burden of proving lhat he did not build or improve for Ihe purpose of sale)
I I I, as owner ol (he 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 lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to Ihe Contractor's License Law)
• am exempt under Section _ _Business and Professions Code for this reason
1 I personally plan lo provide the major labor and matenals for construction of the proposed property improvement QYes I INO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) 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 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 QAGENT DATE
Is the applicant or future building occupant required to submit a business pian, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP _ Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management districf Yes « No
Is the facility to 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 APPLICANT 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 construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lenders Address
I ceitly that I have lead theapplicataonandstatethattheabove infonnaton bcunuctandthatttieinfoimabon on ttie plans isaccurate I agreetooomply with all City ordinancesand State laws relating to building construction
I hereby authorize representative cf the City of Carlsbad to enter upon the above mentioned propeity for 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 WAYACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0' deep and demolton or construction of structures over 3 stones in height
EXPIRATION Every pemnit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or \Noik authonzed by such permit is not commenced within
180 days from the date of such permit or if the building or ^}ft9euthonzedb^ such permit is §yspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Unifemi Building Code)
APPLICANT'S SIGNATURE DATE Sl-/3'Py
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects Only)
Fax (760) 602-8560, Email buildinq(a)carlsbadca gov 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
STATE CITY STATE
Carlsbad CA
PHONE
ElVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO CONTACT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL/FAX TO OTHER
OCCUPANT (Listed above) ASSOCIATED CB#_
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit* CB140350
Date Inspection Item
02/18/2014 24 Rough/Topout
02/18/2014 24 Rough/Topout
02/18/2014 29 Final Plumbing
Type PME
Inspector Act
Rl
PD AP
PD AP
BJORNDAL RES- WHOLE HOUSE
HOT & COLD REPIPE
Comments
BJORNDAL RES
Tfiursday, February 20, 2014 Page 1 of 1