HomeMy WebLinkAbout2418 BYRON PL; ; CB140547; Permit03-12-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI40547
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type;
Parcel No:
Reference #:
PC #:
Project Title:
2418 BYRON PL CBAD
PME
2121433000 Lot #:
SACKIN RES - REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/12/2014
LSM
03/12/2014
03/12/2014
Applicant:
ALL STAR WATER HEATERS & PLUMBING
Owner:
SACKIN TRUST 08-09-05
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1--800-727-0977
2418 BYRON PL
CARLSBADCA 92008
Plumbing Fees
Electrical Fees
Meclianical Fees
Other PME Fees
$33.00
$0.00
$0.00
$62.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector:
FINAL
Date
.APPRC PROVAL,
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 pennit 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 infomiation with the City IVIanager 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/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or senrice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions cf which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previously otheiwise expired.
[THE FOLLOWINGAPPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING DENGINEERING •BUILDING DFIRE •HEALTH • HAZMAT/APCD
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. (2^/Cf05M-7
Est. Vaiue
Plan Ck. Deposit
Date a> |^| j' SWPPP
JOBADDRESS - . ^ . SUITEf/SPACE*/UNITf APN • -
cr/PRojEa » LOT» • ) PHASE* # OF UNITS fl BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPnONOF WORK: inc/ud* Square Feat of Alhcted Areafs)
EXISTINO USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDmONING FIRE SPRINKLERS
YEsQ* N0| 1 YES QNO n YES|~~|NO| \
APPLICAHT NAME fPfimary Contact; V/ <2\ APPLICANTNAME (Secondary Contact;
ADDRESS ^ n ^ ADORESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER N AME'TN J--' '
^Z(Z^C<iAy
CONTRACTOR BUS. NAME ,i , , „ / ^ i /
ADDRESS , . ' i ' ADDRESS _ ' f\ ' \ ^ . 1 r
CITV f • STATE ZIP CITY , / STATE ^ ZIP ^ - / ,
FAX PHONE., A ' FAX
EMAIL V EMAIl '
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct alter, imprave, demolish or repair any structure, prior to its issuance, also requires ttie applicant for such permit to file a signed statement that he Is licensed pursuant to tiie provisions of ttie Contractor's Ucense Law (Chapter 9, commending witti Section 7(X)0 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 nnore than five hundred dollars ($500)).
fl WORKERS' COMPENSATION
Worker*' Compensation Declaration: / /leretiy affirm under pena/V ofpeijury one of the following declarations:
h ive and will maintain a certiflcata of consent to self-Insure for workers' compensation as provided by Sectbn 3700 of the Labor Code, for the peiformancs of the work for which this permit is issued.
Ih; have and will maintain workers' compensatian, as reguired by Si
number are: Insurance Co. 1
JOO of the Labor Code, for the performance
_ policy No..
tbe work for which thjs pennit is issued. My workeis' compensation insurance carrier and polk:y men mi!
Expiratkin Date.
sectkin need not be completed if the pennit is for one hundred dollars
I I Certificate of Exemption: I ceitify that in the perfonnance of
California. WARNING: Faiiure to secure workers' compelnsOon
addition to the cost of compensation, damages a^^fovid9i^o(JtrSection
JS^ CONTRACTOR SIGNATURE
sation insurance carrier and polk
). at. less.
1 this pemiit is issued, I shall not employ any person in any manner so as to became subject to the Workers' Compensatkin Laws of
t unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
Ittomey's fees.
• AGENT DATE Qj^ - /C'
O W KUa- B iri E «r srex t'A TTA T I O N^*
/ heretiy affi/m (fiat; am exempt froariMraclor's Ucense Law for the following reason:
I j I, as owner of the property or my employees with wages as their sole compensatkin, will do Ihe work and the stmcture is not intended or offered for sale (Sec, 7044, Business and Piofessnns Code: The Contractor's
Lk»nse Law does not apply to an owner of property who bulkls or improves thereon, and who does such work himself or through his own employees, provkled that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of compietkin, the owner-bulkier will have the bunlen of proving that he did not build or improve for the purpose of sale).
I I I, as owner of the propeity, am exclusively contracting with licensed contractors to constnjct the project (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who buikis or improves thereon, and contracts for such projects with contractor(s) tonsed pursuant to Ihe Contractor's License Law).
• I am exempt under Sectton _ .Business and Professions Code for this reason:
1.1 personally plan to provkle the major labor and materials for constmclbn of the proposed praperty improvement. I lYes j |No
2.1 (have / have not) signed an applk:ation for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' lteense number):
4.1 plan to provide porttons of the woik, but I have hired the following person to coonlinate, supenrise and provide the makir work (include name / address / phone / contractors' license number):
5.1 will provide some of the worit, but I have contracted (hired) the following persons to provkle the work indteated (include name / address / phone / type of worit):
y^TpROPERTY OWNER SIGNATURE •AGENT DATE
)e.O:mt>kmtm Trtt» s sett am rom NON-»BiiDBMTi At, a UILOIM* psmMfi**^ a
Is the applteant or future buikiing occupant required to submit a business plan, acutely hazardous materials registratton form or risk management and prevention program under Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Ad? Yes No
Is the applteant or future buikiing occupant required to obtain a pennit from the air pollutton control disirict or air guality management district? Yes No
Islhefacilitytobeconstructedwithin1,000feetoftheouterboundaryofaschoolsite7 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 CONTRa DISTRICT.
CONSTRUCTION L E N O I N 6 AGENCY
I hereby aflirm that there is a constniction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civii Code).
Lender's Name Lender's Address
.APPLICANT CERTIFICATION
I oeitliy that) have lead the applicatton and statethatthe above infornialion is conectand thatthe infcmia^
I heretiy auSwrize representalive of the City of Caiistiad to enter upon Ihe above mentkmed property Ibf inspednn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAFMfSS THE CRY OF CARLSBAD
AGAINST ALL LIABILiTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA An OSHA pertnit is required Ibr excavatkxis over 5'!]'deep andjlsnilSito
EXPIRATION: Eveiy pefmit issued tiy the Building Offidal underjlielSrDvisions of this Code shall expire tiy fnitatkxi and become null and void if Ihe txjilding or work authorized by such pemnit is not commenced Mlhin
180 days from Ihe date of such peimit or if lhe buikiing ormkiuthorized tr/^^v!mA*m,\M\MS^gjWBi^^ alter the vmk is comnnenced fix a period of 180 days (Sectkin 106.4.4 Unifi^mi Buikiing Code).
ygTAPPLICANT'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 building(8)carlsbadca.00V or Mail the completed form to Cit)r of Carlsbad, BuikJing Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
cmr STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
ElVIAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/FAXTOOTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
.-ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB140547 Type: PME SACKIN RES - REPLACE WTR HTR
Date Inspection Item Inspector Act Comments
04/24/2014 25 Water Heater/Vents - Rl
04/24/2014 25 Water HeaterA/ents PD AP
04/24/2014 29 Final Plumbing - Rl
04/24/2014 29 Final Plumbing PD AP
Friday, April 25, 2014 Page 1 of 1