HomeMy WebLinkAbout2525 EL CAMINO REAL; ; CB151070; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
04-09-2015 Permit No: CB151070
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2525 EL CAMINO REAL CBAD
PME
1563020900
INSTALL 2 WAY CLEAN OUT AT
MAINTENANCE SHED
ARS DBA RESCUE ROOTER
STE B
9895 OLSON DR
SAN DIEGO CA 92121
858-457-6572
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
PLAZA CAMINO REAL
ISSUED
04/09/2015
JMA
04/09/2015
04/09/2015
C/0 WESTFIELD PROPERTY TAX DEPT
PO BOX 130940, DEPT WFLD
CARLSBAD, CA 92013
$160.00
$0.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exa i ns." 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 proced es set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordanc 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
«<z Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 271812719
Plan Check No. C8 lS-fl Q
~ CITY OF
CARLSBAD
JOB ADDRESS
Fax 760-602-8558
www.carlsbadca.gov
UrTE#/SPACE#/UNIT#
Est. Value
Plan Ck. Deposit
Date SWPPP
CT /PROJECT #
Q.o_oJ .. ~., .. , 112••• sz.5 E PHASE# #OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
on ~6+. -;} \~ ~ ,
vv\-S~
APPLICANT
ADDRESS
CITY
PHONE FAX
EMAIL
PROPERTY OWNER N \ (\0
STATE
FAX
EMAIL
r<\ CLuY"\ "°ti f"\ CV) c:.e ~
'2. UJ£ll1 Wa_A(SU\
PATIOS (SF) DECKS (SF) FIREPLACE
YESO
AIR CONDITIONING
NU YEs0 No0
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
ARCH/OESIGNER NAME & ADDRESS STATE UC.#
FIRE SPRINKLERS
vEsO NoO
(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 vlolaMn of Secuon 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
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 lhe performance of the work for which this permil is issued.
I have and will maintain Won<ll(S' Fpensation~ reQUired by Section 3700 of the Labor Code. for the performance of the work f?r which this permil is issued. Mv workers' compensation insr nce,arrier and policy
number are: Insurance Co L \ .D :E' cL L:j Policy No. l ( 0~ \ 5()~ lo;')\ Qi( 1 Expiralion Dale \ D -1-' _ l $"_
~section need nol be completed tt the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify thal in the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calttomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundre thousan dollars (&100,000), in
addition to the cost of compensa~ges as provided for in Section 3706 of he La code, inllfst and a~fees. I J ~ CONTRACTOR SIGNATURE Uffi<St ~ ~ -.·
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and lhe 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 himse~ or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvemenl is sold within one year of completion, lhe owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D
D
D
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 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. O v es 0 No
2. I (have I have nol) signed an application for a building permit for the proposed work.
3. I have contracted with the following 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, bul I have hired the following person lo coordinate, supervise and provide the major work ~ndude name I address I phone I 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 I address I phone I type of work):
.Jt5 PROPERTY OWNER SIGNATURE 0 AGENT DATE
Is the applicant or future building occupant required to submtt a business...ll!fill, acutely hazardous materials registration loon 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 permtt from the air pollution control district or a\Ul!!ality management district? Oves O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school stte? 0 Yes LJNo
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 certify that I have read the application and state that the above information is cooect and thattheinfonnation on the plans is accurate. I ag,eeto complyv.tth all City orcinancesand State laws relating to btildingainstrudion.
I hereby authorize representati\l:l of the City of Catsboo to enter upon the above mentioned IXOl)0rty for inspecti:ln 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: AA OSHA pennit is required for excavaoons over SO' deep and demolition or c:onstrucoon of structures over 3 stories in height
EXPIRATION: Every permft issued by the Building Official urxler the provisi,ns of this Code shall expre by 6rmaoon and be'.:ome ooll and void if the buildi~ or WOik authorized by such permft is not oommenced within
180 days from the date of such permft or if the building orWOf11 aulhoriZed by such pemit is suspended or abandoold at anytime after the WOf1I is oommenced of 1 days (Section 106.4.4 Uniform Building Code) .
..@$° APPLICANT'S SIGNATURE mo..Jl. t.-v'O ~ DATE
Inspection List
Permit#: CB151070 Type: PME
Date lns_l)_ection Item
04/10/2015 22 Sewer/Water Service
04/10/2015 29 Final Plumbing
04/10/2015 29 Final Plumbing
Monday, April 13, 2015
Inspector Act
PY AP
RI
PY AP
INSTALL 2 WAY CLEAN OUT AT
MAINTENANCE SHED
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