HomeMy WebLinkAbout2390 BUENA VISTA CIR; ; CB120438; Permit03-13-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBl 20438
Building Inspection Request Line (760) 602-2725
Job Address:
Pennit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2390 BUENA VISTA CR CBAD
PME
1552230700 Lot#:
COOK RES- REPLACE SEWER LINE
A SECTION IN FRONT YARD
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/13/2012
RMA
03/13/2012
03/13/2012
Applicant:
ARS DBA RESCUE ROOTER
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6502
Owner:
COOK RICHARD A&SHIRLEY A TRUST 05-17-00
2390 BUENA VISTA CIR
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$150.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00
Inspector:
FINAL ABPR
Date:
AL
Clearance:
NOTICE: Please take NOTICE tharapproval 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 pennit was Issued to protest Imposition of these fees/exactlons. 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 Carisbad 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/exactlons 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 othenwise expired.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719 / 7541
Fax: 760-602-8558
Building Permit Application
Plan Checit No
JOB ADDRESS
^ *TTorS iPHAgfx I« OF UNIT UNITS I # BEDROOMS
SUITE#/SPACE#/I
» BATHROOMS CT/PROJECT #
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GAIMGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ* N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YESj |N0| I
CONTi tif Different Fom f / APPUCANTNAME
m'^^^ (01^^ Dr feT5 ADDRESS
PHONE , " " r U
STATE ZIP cnv
PHONE FAX
EMAIL EMAIL
ADDRESS
CONTRACTOR BUS. NAME Rescue Rooter
•2,^Hn ^^ejAc^ ^I?s4cv. <L\^L
5fATE / _ ZIP
ADDRESS 9895 Olson Dr#B
PHONE, ^ _ _
EMAIL
FAX
CITY San Dieao STATE
CA sa 92121
PHONE
858457-6500 858-457-6541
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC#
765155
CLASS
C36 042
crry BUS UC*
1207640
(Sec. 7031.5 Business and Professions Code: Any City or Coun^ 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 of the Contractor's License Law (Chapter 9, commending vnth 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)).
IS
.WJSRKJEnj;' COMPENSATION
Workers' Compensation Declaration: / hereby affinn under penalfy of perjury one of the following declaratians.'
I have and will maintain a certificate of consent to self-insure for wortiers' compensation as provided by Sectian 3700 of the Labor Code, for the performance of the worit for which this pemiit is issued.
/j I have and will maintain workers' compensation, as requlTBd by Secton 3700 of the Labor Code, for the peiformance of the worit for whirh IMQ ™mit is issued. My woriters' compensation insurance earner and policy
number are: Insurance Co PolicyNo. Expiration Date ( O — j —(T
This secton need not be completed if the penult is for one hundred dollars ($100) or less.
I I Certificate of Exemption: 1 certify that in the perforniance of the wortt fbr which this peimit Is issued, I shall not emptoy any person in any manner so asto become subject to the Wortiers' Compensaton Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage Is unliwful, and shall subject an employerto criminal penalties and dvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as providsdfor in SKtisoJZK of the Labor code, Intanst and attomey's iaes.
l^^t^^^^^^e^^ DATE 5-/5-/-JS£ CONTRACTOR SIGNATURE
I OWNEn-BUILDJER OECLARATION
/ hereby affimi lhat I am exempf ton Contractor's Ucense Law forthe foSowiig reason:
I I I, as owner of the property or my employees with wages as their sole compensation, wPI do the work and the stmcture is not Intended or offeied for sale (Sec. 7044, Business and Professions Code: The Comractor's
— License Law does not apply to an owner of property who builds or improves thereon, and who does such worit himseU or through Ns own employees, piDvUed that such improvements are not intended or offered for
sale. If, however, the buikiing or Impiovement is soM wilhin one year of completion, the owner-bulkier will have the bunden of proving that he did not bulU or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with Iteensed contractors to construct the project (Sec. 7044, Business and Professkms Code; The Contractor's Lteense Law does not apply to an owner of
pioperty who buikis or improves thereon, and contracts for such projects with contractor(s) Iteensed puisuant to the Contractor's Lteense Law).
• I am exempt under Secton Business and Professtons Code for this reason:
1.1 personally pian to provkle the major labor and materials for constnBtton of «ie proposed praperty knptDvement I iVes I INO
2.1 (have / have not) signed an applicatton for a buikling perniit fbr the proposed wodt.
3.1 have contracted with the foitowing person (Unh) to (xovkle the proposed constnKtton (include name address / phone / contractors' Iteense number):
4.1 plan to provkle porttons of the worit, but I have hiied the folowing person to coordinate, supervise and provkle the major worit (include name / address / phone / contractors' license number):
5.1 will provtoe some of the work, but I have contracted (hired) the folkiwing persons to provtoe the worit indtealed (mdude name / address / phone / type of worit):
^e^PROPERTY OWNER SIGNATURE DATE
Is Ihe applicant or Iuture building occupant required to submit a business plan, xulely hazardous matenals rogistration forni or nsk management and prevention program under Seclxms 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account/Wl? I I Yes lA, iNo •Yes !S3fio Is the applteant or future buitoing occupant required to obtain a pemilt from the air pollutton control district or air quality management district?
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? I IVes KciNo
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 affinn that there is a constmction lending agency for Ihe perfonnance of the worit this pemiit Is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I ceitlfytbat I hate read the applliation arid slate thatthe above Infomiabon Is collect aiKl thattlie Informatioii on the pb
I heieby aulhorize representative of the Oty of Carisbad to enter upon the above mentoned property for inspecfon puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAf^SBAD
AGAINST AU UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemnit is required for excavations over SO deep and demolitton or constiuctton of stnjctures over 3 stories in heighl
EXPIRATION: Eveiy pennit Issued by the Building Oflkial under the provistons of this Code shaU expire by limitatton and become nuH and voto If the buikling or worit authorized by such pemilt is not conmerxed wilhin
180 days from the date of such permil or If the butotog or worit authonzed by such pemiil Is suspentied or abandoned at any time after the worit is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Buitoing Ckxie).
jeS*APPLICANT'S SIGNATURE ^^<^!Z^-^ ^-''^^^^^^Z-^^^^J^i^ DATE 9 -/-^-/^
City ofCarlsbad BIdg Inspection Request
For: 03/14/2012
Permit# CB120438
Title: COOK RES- REPLACE SEWER LINE
Description: A SECTION IN FRONT YARD
Inspector Assignment:
2390 BUENA VISTA CR
Lot: 0
Type: PME Sub Type:
Job Address:
Suite:
Location:
APPLICANT ARS DBA RESCUE ROOTER
Owner: COOK RICHARD A&SHIRLEY A TRUST 05-17-00
Remarks:
Phone: 8584576310
Inspector:
Total Time: Requested By: ANN
Entered By: JANEAN
CD Description
29 Final Plumbing
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comnnents