HomeMy WebLinkAbout2702 PEPPERTREE WAY; ; CB142828; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-22-2014 Permit No: CB142828
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2702 PEPPERTREE WY CBAD
PME
2131502300 Lot#:
KURISU RES-INSTALL NEW SHOWER
0
IN PLACE OF A LINEN CLOSET@ DOWNSTAIRS 1/2 BATH
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/22/2014
RMA
10/22/2014
10/22/2014
CARLSBAD PLUMBING COMPANY KURISU MICHAEL&DYNAN JENNIFER
6438 LIVE OAKS DRIVE
CARLSBAD CA 92009
760 603-1299
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2702 PEPPERTREE WAY
CARLSBAD CA 92009
$160.00
$0.00
$0.00
$65.00
$225.00
Total Fees: $225.00 Total Payments To Date: $225.00 Balance Due:
Inspector:
FINALtPPROVAL
Date: · /9 · /...J Clearance: ------
$0.00
NOTICE: Please take NOTICE that approval of your project indudes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred 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 Govemment Code Section 66020(a), and file the protest and any other required information ~ the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any S1Jbsequent legal action to attack,
review, set aside, void, or annul their impos1lion.
1• THE FOLLOWING APPRO'{ALS RE°'\JIREO PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
Ccityaf
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
JOB ADDRESS .-, --, 0 ,., ~ I ,,_, f>ep -,c1. wee_ o<L. SUITEf/SPACEI/UNITJI
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of All'ected Area(sJ
:CrJ.S-f AU.. A rJew SHowe:rL
A1' QO\,Jl"-lSTA\M '12-~M\¼
□BUILDING □FIRE
Plan Check No.
Est. Value
SWPPP
CONSTR. TYPE DCC. GROUP
EXISTING USE GARAGE (Sf) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESO No[J YES □No □ YES□No□
APPLICANT NAME PROPERTY OWNER NAME () Prtna Conta
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
71,0
FAX b s-·-e,123
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP CITY
PHONE FM
EMAIL
STATELIC. # CLASS CITY BUS. UC.# STATE LIC.#3 \ 5 3 I c.. 3(p t '2..:a 1-~ 't 1,
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anr structure, prior to its issuance. also requires the applicant for such permit to file a signed statement tnat he is licensed pursuantto 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 exemP.t 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 cwil penalty of not more than five hundred dollars ($500)1.
WORKERS' COMPENSATION
Workers' Compensation Decleratlon: f hereby affirm under penalty of peljury one of the following declarouons:
~ I have and will maintain a certificate of consent IO 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. D I have and will maintain workers' compensation, as rnQuired 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. ______________ Expiralion Date _________ _
This section need not be completed if the permit is for one hulldred dollars ($100) or less. 0 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' Compensation Laws of
Cal~omia. WARNING: Failure to secure workers' compen5ation coverage Is unlawful, and shall subject an employer to criminal pena~les and civil flnes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, lnlel'est and attorney's fees.
NS CONTRACTOR SIGNATURE □AGENT DATE
OWNER•BUILOER DECLARATION
I hereby affirm that I am exempt from Controctor's LJcense Law for the following reason:
□
□
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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 Conlractor's
License Law does not apply lo 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 inlended 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 Contracto(s License Law does not apply to an owner ol
property who builds or improves thereon, and contracts for such projects witti 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 construciion of the proposed property improvement. Oves 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) lo provide lhe proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hirad the following person to coordinate, supervise and provide the major work (include name I address I phone /contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the mrk indicated (include name I address I phone I type of work):
J/5 PROPERTY OWNER SIGNATURE □AGENT DATE
,.
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? □ Yes □ No
Is the applicant er future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 CONTROL DISTRICT.
I cettifythatl have read the application and S13181hatthe above infonnaflon Is correctand that the lnfonnation on the plans is accurate. I agmetn comply\\ith all Chyordloances and Slate tav,s relating1D building construction.
I hereby authorize reixesentative of the City of Carlsbad to enter urxm the above mentioned property for insi;ectbn puf'[Xlses. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.AJNST SA.ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M 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 Olli::ial under lhe provisi:ms of this Code shall expire by limitation and become nul and voiJ rt the building or \'oak authorized by such permit is notcommenraJ v.itllin
180 days from lhe date of such permtt or if the buildng Of WJrl\ authorized by such perm ff is suspended or abandoned at any time after the w:irk is commenraJ for a period of 180 days (Secron 106.4.4 Unitorm Buikling Code).
,6 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB142828 Type: PME
Date IDspectio'! Item
06/19/2015 29 Final Plumbing
06/19/2015 89 Final Combo
11/07/2014 27 Shower Pan/Roman Tubs
10/27/2014 21 Underground/Under Floor
10/27/2014 24 Roughffopout
Friday, June 19, 2015
Inspector Act
PD
SP
SP
SP
RI
AP
AP
AP
AP
KURISU RES-INSTALL NEW SHOWER
1N PLACE OF A LINEN CLOSET@ DOWN
Comments
AM PLEASE/SCOPE OF WORK IN
FOLDER/HO WILL CALL IN AM
Page 1 of 1
Address: 2702 Peppertree Drive, Carlsbad, CA 92009
Scope of Work: Install a new shower pan and valve in lower half-bath. No structural changes.
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All work sha ll comply with the 2013 california residential and plumbing codes.
2-BAY
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