HomeMy WebLinkAbout2391 CARINGA WAY; E; CB142852; Permit10-24-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB142852
Builciing Inspection Request Line (760) 602-2725
Job Address: 2391 CARINGA WY CBAD St: E
Permit Type: PME Status: ISSUED
Parcel No: 2152404200 Lot#: 0 Applied: 10/23/2014
Entered By: LSM
Reference*: Plan Approved: 10/23/2014
PC#: Issued: 10/23/2014
Inspect Area: PB
Project Title: VILLA PACIFIC APTS= GAS LINE
TO BE REPLACED FROM GAS METER TO GAS RISER FOR APT E
Applicant:
BLUE PLANET DRAINS & PLUMBING INC
STE B6
925 HALE PL
CHULA VISTA CA 91914-3508
619 863-9593
Owner:
VILLA PACIFIC APARTMENTS
1322 SCOTT ST #204
SAN DIEGO CA 92106
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$160.00
$0.00
$0.00
$0,00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector:
FINALAPPRpVAk
Date://^->-f-/y Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, deditations, reservations, or ottier exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest ptocedures set fotth in Govemment Code Section 66020(a), and file the protest and any other required information with the Gity 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 oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ClPLANNING UILDING •FIRE •HEALTH OHAZMAT/APCD
Ccityof
Carlsbad S3Pi
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
I www.carisbadca.gov
Plan Check No. l^9^^Q-
Est. Value
Plan Ck. Deposit
Date iOld3>\^^ SWPPP
JOB ADDRESS . SUITE«/SPACE#/U^ IT# APN
-
LOT# ^ rPHASE# #O^NITS' # BEDROOMS # BATHROOMS TENANT BUSINESS NAIVIE CONSTR. TYPE OCCGROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
>^r>^ xcuq^/ Ond "Ceocxr Sftcd-i<>r> ibtxft^ 2L 3(Lm\- ^
EXISTING USE
^ l.t%tjJl CuizyjL ^ |YES[J# NCQ[ YES|_jNO|_J| YESQNOQ
PROPOSED ;ED\JSE GARAGE (SF) IOS (Sf) DECKS (SF| FIREPLACE AIR CONDITIONING
YES| |# YES| |NO| 1
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAIVIE r-i i <
Primary Contact D 1UA3
ADDRESS
QTATF 7ID ^ CITY CITY ZIP
EMAIL ' ~ ^ r\ i 1
PHONE FAX IJ,. . J / .
EMAIL
DESIGN PROFESSIONAL CONTRACTI Sfufe!'*"fion6t' P<Qin^ ^>rA Plumm)^
!ESS \ , I 1 j . 0
< . 1 .qTATF 7IP
ADDRESS
CITY STATE ZIP CITY
PHONE FAX PAY . . . -
EMAIL
CITYBUS. LIC.# Y" ICJ. ^1 , , CLASS / CITY BUS. LIC.# Y
(Sec. 7031.5 Business and Professions Code: Any City or County whicti 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 pursuantto the provisions ofthe Contractor's License Lav* (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)).
itioilinsurance carrier and policy
Workers' Compensation Declaration: / /lerefiy affirm under penalty ofperjuiy one ofttie following declarations:
• 1 l^ave 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.
ET^ave and will maintain workers' compensation, as reguired bv Section 3700 of the Labor Code, tor the perfonnance of the work for which this permit is issued. My workers' compensati
number are: Insurance Co. ^"XtSQcll^ J A^MM^Q^Ofl „ Foli'^V No. ^sLU / OVQ Expiration Date
Thjs section need not be completed if the perniit is for o'ne'hu^d dollars ($100) or leslP^'^^^'^^t? COTKpSVvO^
I I Certificate of Exemption: I certity that in the perfomiance of the work for which this permit is issued, I shall not empli^ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provld$i^u^l^S(iUluiv.3^6 ofthe Labor code, Interest and attomey's fees.
CONTRACTOR SIGNATURE
' N £ R - B U I L D £ R O e C L A R A T i t» «
^^GENT PATE /(y^-2,^^jy
/ hereby affimi that I am exempt from Contractor's Ucense Law for tlie 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 stmcture is not intended or offered for sale (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 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).
I I 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 for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Qves | iNo
2.1 (have / have not) signed an application tor a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed constniction (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, supen/ise 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 wort():
veTpRGPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to 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 Aaount 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 districr? Yes 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.
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 Lender's Address
1 certity that I have read the application and state thatthe above intbnnation Is conect and that the infomnation on ttie plans Is accurate. I agree to complywith all City ordinances and State laws relating to building constnjction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIFIATION: Every permit issued by the Building Ofliciai under the provisions of this Code shall expine by limitation and become null and void if the building or viork authorized by such permit is not commenced vi/ithin
180 days from the date of such permit or ifthe building or wori< authorized by such pemiit is suspended or abandoned at any time after the viioik is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code).
ygS*APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildina@car1sbadca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad CA
FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB142852 Type: PME
Date Inspection Item Inspector Act
VILLA PACIFIC APTS= GAS LINE
TO BE REPLACED FROM GAS METER TO
Comments
10/27/2014 23
10/27/2014 23
10/27/2014 29
10/24/2014 23
10/24/2014 23
Gas/Test/Repairs
Gas/Test/Repairs
Final Plumbing
Gas/Test/Repairs
Gas/Test/Repairs
PD
PD
PB
Rl
AP
AP
Rl
CA
Wednesday, October 29, 2014 Page 1 of 1