HomeMy WebLinkAbout2405 LA MACARENA AVE; ; CB993968; PermitCity of Carlsbad
Plumbing Permit Permit No:CB993968
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2405 LA MACERENA AV CBAD
PLUM
Parcel No: 2550704600 Lot#: 0
Construction Type: NEW
Reference #:
Project Title: WATER,GAS,ELEC&NEW FAU
NEW WTR HEATER-GAS LINE REPIPE
Applicant:
BENTLEY BUILDERS/PIPES PLUBING
258 JUNIPER ST STE 8B
CARLSBAD CA 92008
Total Fees: $92.00
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
TOTAL PERMIT FEES
Inspector:
FINAL APPROVAL
Date: b -f'-e>eJ
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Clearance:
ISSUED
10/22/1999
GMF
10/22/1999
10/22/1999
RB
e Due:
$0.00
$0.00
$92.00
$24.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feestexactions." 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 capactiy
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 aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
24-00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
Z-4' o s L..d M #C/9 rt/I/ 14-
FOR OFFICE USE ONLY
PLAN CHECK NO. <-f>"l'l 3't<.¥
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By,_c,,'),:_T',.._ ______ _
Date If['-• /4q
Business Name lat this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
Co ,,.., l'f ~ .,,.,,,_,&ls" Proposed Use
=~ut-,tr?AJ s;zc>-n.
Description of Work {;;:,JS, (t/,V(J "-k>
2. CONTACT PERSON «tf'.;-.,.,.t from applcantJ
SQ. FT.
IUtO
# of Bathrooms
Name
;/~ /3ec7V rz_c-,,
Address City
~ntractor D Agent for Contractor "0 Ownlr D Agent for Owner
,P?..-.IM/.S/NC. 7 z. 7 o CA,#,µ1.> :lc,<Jd 120,:!,~o
State/Zip Telephone # Fax #
3. APPLICANT
?/Pers
Name Address ,SU 1 ,,-•~.,, City
C# "lu:o&i 'l~</i30G 7
Telephone#
4. PROPERTY OWNER s...,,,'1 a,,:,,5
Name Address City State/Zip Telephone#
S. CONTRACTOR , COMPANY NAME
(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 of the Contractor's License Law
[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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500)). a~ />(.,/;/"'4,,Y,V(.. ·z_ Z 7o C,Mz,H/NO•'IQM p'o,Bt.,-LU7?L£..d/ffl ?fl: hoo<e, 'f3t(3« 7
Name Address City State/Zip Telephone #
State License # (, S" 9 ~ BO License Class C-'3 C. City Businass License # // (/l/Cff 3
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I heraby affirm under penalty of perjury one of the following declarations:
0 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
~ t~rk for which this permit is issued.
~ 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 worker's c~~ensation insurance carrier and policy number are:
Insurance Company QA;/2..C?,.(()&A.J a'H?f: Policy No. (3 (Kl,00//,/' !Be,' Expiration Date Cl:.> '2
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l,$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
to become subject to the Workers' Compens'ation Laws of California.
rage i■ unlawful, and ■hall ■ubject an emptoyer to criminal penalties and clvll fines up to one hundNd
ensation, damage■ as provided tor in Section 3706 of the Labor jOde, intar■st and ■ttomey·s tees.
DATE /0/z 1-/<91 I ,
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner ot 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 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). ·
0 I, as owner ot the property, am exclusively contracting with licensed contractors to construct the project ISec. 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).
D 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. 0 YES ONO
2. I (have/ have not) signed an application for a building permit tor the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (Include name/ address/ phone number I contractors license number):
4. I 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
number/ contractors hcense number).,_-------------------------------------------------
5. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated (include name / address / phone number / type of work):. ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _
COMPLETE THIS SECTION FOR NON./IESIDENTIAL BUILDING PERMITS ONLY
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 Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sita7 D YES D 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.
8. CONSTRUCTION LENDING AGENCY
l hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS, _______________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. l agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property 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 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 construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 3 days from t ate of such permit or if the building or work authorized by such permit is suspended
period 10n 106.4 4 Urn form Building Code)~. A
APPLICANT'S SIGNATURE DATE c/ic;_.__,f"--2..,_ _ _c.9~','-----------•
City of Carlsbad Bldg Inspection Request
For: 06/08/2000
Permit# CB993968 Inspector Assignment: RB
Tille: WATER,GAS,ELEC&NEW FAU
Description: NEW WTR HEATER-GAS LINE REPIPE
Sub Type:
---
Type:PLUM Phone: 7606355723
Job Address: 2405 LA MACERENA AV
Suite: Lot 0
Location: Inspector:
APPLICANT BENTLEY BUILDERS/PIPES PLUBING
Owner: OASIS PURE TRUST
Remarks: "FINAL" INSPECTION
Total Time:
CD Description
29 Final Plumbing
Associated PC Rs
lnsi;1ection Histo01
Date Description
04124/2000 29 Final Plumbing
0412412000 39 Final Electrical
0411712000 29 Final Plumbing
0112812000 17 Interior Lath/Drywall
01/28/2000 43 AirCond/Fumace Set
0111412000 23 Gas/TesURepairs
01104/2000 23 GasfTesURepairs
12/28/1999 23 GasfTesURepalrs
12/17/1999 23 Gas/Test/Repairs
12/17/1999 24 Rough/Topout
12/1511999 14 Frame/Steel/Bolting/Welding
12/1511999 17 Interior Lath/Drywall
1012811999 23 Gas/TesURepalrs
10128/1999 24 Rough/Topout
10128/1999 25 Water HeaterNents
10128/1999 29 Final Plumbing
10126/1999 24 Rough/Topout
1012611999 25 Water HeaterNents
10126/1999 34 Rough Electric
Requested By: SALLY COBB
Entered By: CHRISTINE
Act Comments
_Ile ________ _
Act lnsp Comments
co RB SEE NOTICE ATTACHED
co RB
CA DA
NR RB
AP RB
AP RB FOR NEW PIPING & TEST
CA RB BY SALLY
co RB 2ND GAS TEST @ "O"
co RB NO TEST & STRAP LINE @ END
WC RB
CA RB BY SALLY
CA RB SALLY
AP RB
AP RB COPPER REPIPE
AP RB
PA RB CAULK -FIRE WALL PENETRATIONS
WC RB
co RB SEE NOTICE
co RB FOR RECIP PUMP