HomeMy WebLinkAbout2340 JEFFERS PL; ; CB100403; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-08-2010 Plumbing Permit Permit No: CB100403
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2340 JEFFERS PL CBAD
PLUM
2081615900 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Project Title: MEZEY RES KITCHEN/BATH REMODEL Inspect Area:
REPLACE PLUMBING FIXTURES.MOVE ELECTRICAL OUTLETS
Applicant:
CALIFORNIA HOME BUILDERS INC
11440 W. BERNARDO CT
SAN DIEGO CA 92127
858-753-1922
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
1
0
0
0
0
0
0
Owner:
MEZEY FAMILY 1999 TRUST 12-01-99
2340 JEFFERS PL
CARLSBAD CA 92008
ISSUED
0310812010
KG
0310812010
0310812010
$20.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due:
Inspector: Date: Clearance:
$0.00
approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Y have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. tf 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 wrth 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 imposltion.
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
changes1 nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f · n f hi h h ve revi sl n iv n N Tl E imll r hi r hi h u f limi i n has r vi I h i
·~ «~~
~ CITY OF
CARLSBAD
JOB ADDRESS
1,. '-tO
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT #
Plan Check N
Est. Value
Plan Ck. Deposit
Date _g-.-l 0
APN
CT/PROJECT# PHASE# # OF UNITS # BEDR MS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE
4
DESCRIPTION OF WORK: Include Square Feet of AW.cted Area(s)
Rf:PLAC.£ PWMBl"-1'::, F'I
t;1-E..c .. :rt.t CA'-cvr1-£. •~ FoL
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (ff Dll'ferent Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
Z.5
PATIOS (SF) DECKS (SF)
OF NE..w
FIREPLACE
YES □#_ NOD
AIR CONDITIONING
YES O NO)ii{'
1.53
FIRE SPRINKLERS
YES □ NOJiiC'
I 'I z_
vf l.-DE ~. C.D~
H
STATE ZIP ZIP
CA 2-i:x:> <l::. "'f :z_ I Z..."':l-
ot"IS FAX ,v/ A
A-STATE UC.# STATE UC.# 7-9 1 4 -=f-I CLASS l3
(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 iss
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Secti Business and Professions Code) or fhat he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a perm·
civil penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Dtc:laratkm: I hereby affirm under penslty of p,rjury one of the following declarations:
□ I have end wltl malntatn a certificate of consent to Hlf-in1ure for workers' compensation as provided by Section 3700 of the labor Code, for the pefformance of the work for which this pennit is issued.
~ have and will maintain workers' cornpanutlon, as required by Section 3700 olthe Labor Code, for the pertonnance ol lhe worl!: for which this pennil is issued. My workers' compensaHon insurance carrier a~ policy
numbe, are: Insurance Co.fAU-i:::>AJTEI,-IZJ.lc::tPE> :x,,..>5.,JC.Ar,Jc;lPo1icy No. :;)lq 2,JoO 'I Expiration Date ________ _
This section need not be completed if the pennit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subfeci to the WOfkers' Compensation laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employet to criminal penahies and civil fines up to one hundred thousand dollars (&100,000), in
addhlon to the cost of compensaUon, damages III for in S ,P'"Jl!;!!ILLa..,code, Interest and attorney"s fees.
A$ CONTRACTOR SIGNATIJRE
I hereby affirm 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, wil! 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 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-tlui1der will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am eKclusively contracting with licensed conlractors lo construct the project (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Conlractor's License Law).
□ I am exempt under Section ____ ,Business 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 I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the follOYJing person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will p,ovide SCNT1e of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work):
A$ PROPERTY OWNER SIGNATIJRE □AGENT DATE
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acff □ Yes □ No
Is the apJ)licant or future buUding occupant required to obtain a permit from lhe air pollution rontrol district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feel 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.
CONSTRUCTION I.ENDING AGENCY
APPLICANT CERTIFICATION
I certify that I hwe read the application aOO state that the above infonnation is correct and that the lnfolmation on the plans Is accurate. I agree to ~with all City ordlnooces and State laws relatlng to building construcllon.
I hereby aullorize rep18S81llawe of lhe Cit/ of Carlsbad IJ enter upon lhe above n,,ntkJnod property 11, ,,spedi>n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSBAD
AGAINST ALL L,ISILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INN('( WAY ACCRUE AGAJNST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: /VI OSHA peimit is required t,r excavations over 5'0' deep and dernoitkln or construction of swctures over 3 sbies 11 height.
EXPIRATION: Every permit issued by tt'le Buikling Ofti::ial under tie provisms of this Code shall expie by IITlilalk>n and become null and void if tte buidi'lg or work authorized by such pemvt is not oommenced 'Mlhin
180 days tom tie dale of sudl pemil or iflhe buldn'J orv.ork auflorized bysudl permit is suspended a abandoned at anytime after Ile work is commenced for a peood of 180 days (Sec:oon 106.4.4 Unibm Building Code).
~ APPLICANT'S SIGNATURE DATE i/11::,
-~
·, ...
~ CITY OF
CARLSBAD
DATE: iJ I Qt, l 2--o [ 0
PERMIT#: / {)-t/03 =
UNSCHEDULED
BUILDING
INSPECTION
8-44
Development Services
Building Division
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
INSPECTOR: __ fi_.p..V __ _
I
CONTACT: ______ _
PHONE#: ______ _
Jos ADDREss: ~~2_7:>_L-i_o __ ~_e_+ __ h_~--'-'R_t _s ___ _
DESCRIPTION: ___________________ _
COMMENTS
Bldg Inspection Form Page 1 of 1 Rev. 06/09
Inspection List
Permit#: CB100403 Type: PLUM
Date Inspection Item
06/30/2010 89 Final Combo
05/26/2010 17 Interior Lath/Drywall
04/2612010 17 Interior Lath/Drywall
0412312010 17 Interior Lath/Drywall
04/2312010 27 Shower Pan/Roman Tubs
0412112010 21 Underground/Under Floor
Thursday, July 01, 2010
Inspector Act
PY AP
PY AP
PY AP
MC co
MC AP
PY AP
MEZEY RES KITCHEN/BATH REMODEL
REPLACE PLUMBING FIXTURES,MOVE E
Comments
COMPLETE LATH AT SHOWERS
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