HomeMy WebLinkAbout2695 COVENTRY RD; ; CB160278; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-25-2016 Permit No: CB 160278
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2695 COVENTRY RD CBAD
PME
2081330202
POST: GAS LEAK REPAIR
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ON A 1" RISER ON MAIN SERVICE I NEW 1" SHUT OFF VALVE I
OUTSIDE OF PUBLIC RIGHT-OF-WAY
Applicant:
DFL PLUMBING INC
F-229
2538 EL CAMINO REAL
CARLSBAD CA 92008-1201
760-724-1623
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
POST RYAN A
2695 COVENTRY RD
CARLSBAD CA 92010
ISSUED
0112512016
SLE
0112512016
0112512016
$163.00
$0.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Clearance:
$0.00
NOTlCE Please take t\011CE that~ ci yoJr prqect irdt..des tre "lrrp::sition" ci fees, dOOicatia-s, reservatia-s, or ctrer exa::tia-s hereafter rolectively
referred to as "feeslexa::tia-s." You have 9J days fran tre date this pemit V\8S iSSLEd to prctest irrp::sition ci these feeslexa::tia-s. If yoJ prctest ttan, JOJ rnst
fdiON tre prctest p-ocedLres set forth in G:Narmrt COOe Section 60020(a), ard file tre rrotest ard crry ctrer re::jlired inforrmtion wth tre Oty rvBnager for
pu;essirg in occordcrce wth Carlsta:J M.ricirxl C::Cde Section 3.32.a30. Failure to tirrely fdiON that pu::ed.Ie wll tH crry su~ IEgCJI a:::tion to atta:k,
re.Jiew, set aside, vad, or arrul treir irrp::sition.
You are reretJy FLRTl-ER t\OTlRED that your rigtt to p-ctest tre ~fied feeslexa::tia-s cx::ES NOr APPlY to mer ard sevver cxmectim fees and capocity
dlalges, ra plannirg, zmirg, grcdrg or ctrer sirrilar application pu;essirg or service fees in a:nnectim wth tlis prqect. 1'-.(:R cx::ES IT APPlY to any
feeslexa:::tia-s ciV\hch have ·ous1 been ·vena NOTlCE sirrilarto tlis or as to Vlhch tre statuted !irritations has ·ous1 ctl"lei"Wse ·red.
' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OF IRE 0HEALTH DHAZMATIAPCD
Plan Check No.C!.eJ /(DQ2-g-'
Est. Value
Plan Ck. Deposit
(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 Date 1-25-1(!) lswPPP
c~1W~dl Gt-
SUITE#/SPACE#/UNIT# rPN
CT/PROJECT # I LOT# J I PHASEll I# OF UNITS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 9a:; feqfL rkpa1.f orl a
\ Y\hJ \'\#-. Ak:tiJ
EXISTING USE
#BEDROOMS #BATHROOMS I TENANT BUSINESS NAME
t2-lseY" on J!?{{tVJ Servite_
5kJ-1t a FF Vt:tl v~ .
GARAGE (SF)
I CONSTR. 1YPE I occ. GROUP
JOI/l~
I PROPOSED USE PATIOS (SF) I DECKS (SF) FIREPLACE
YES[)!
lAIR CONDITIONING IFIRE SPRINKLERS
NoD 1 YEs0No0 YESONoO
APPLICANT NAME
Primary Contact
PROPERTY OWNER
ADDRESS
ADDRESSX40 coventviA ~
CITY STATE ZIP
PHONE
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAMEDfl-n l/tY)D( OCJv
ADDRESS
CITY STATE ZIP
PHONE PHONE IFAX -~o ·=laY.-l(fd-s
EMAIL
ISTATELIC. # STATEqC;..w()d-'1 , Icc~ 3~ ICI1YBUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demorish 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 fChapter 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 ($500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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 of the work for which this permit is issued. 0 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 workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date _________ _
~s?n need not be completed if the permit is for one hundred dollars ($1 00) or less.
IJ:::::t'Certificate of Exemption: I certify that in lhe 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 lhe Workers' Compensation Laws of
California. WARNING: Failure to compensation is unlawful, and shall subject I to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
for in of the code, i and attorney's fees.
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
0
D
I, as owner of 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 nol 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).
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. DYes 0No
2. I (have I have not) 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 1 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 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):
~PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State lav.s relating to building construction.
I hereby authorize representative of the City 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 penntt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXFIRA TION: Every penn it issued by the Building Official under the pi1Jvisions of this Code shall expire by limitation and become null and vod if the building or IMlrk authorized by such pennit ~ not commenced v.ithin
180 days from the date of such pennit or if the building oriMlrk authorized by such pennit ~suspended or abandoned at any time after the IMlrk is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
~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 building@carlsbadca.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:-----------------
A$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
CA
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB160278 Type: PME
Date lnsp~ction Item.
01/25/2016 23 Gas!T esURepairs
01/25/2016 29 Final Plumbing
01/25/2016 29 Final Plumbing
Monday, January 25, 2016
POST: GAS LEAK REPAIR
ON A 1" RISER ON MAIN SERVICE I NEW
Inspector Act Comments
AEK AP
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AEK Fl
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