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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 Rl AEK Fl Page 1 of 1