HomeMy WebLinkAbout2707 AVENIDA DE ANITA; ; CB142843; Permit10-22-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB142843
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2707 AVENIDA DE ANITA CBAD
PME
1670306400 Lot #:
BLUFFS APTS= REPLACE 44 ' OF
11/2" GAS LINE FROM RISER TO RISER
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/22/2014
LSM
10/22/2014
10/22/2014
Applicant:
DRAINS 4 LESS
3366 MORNING VIEW DR
OCEANSIDE CA 92058
760-433-8600
Owner:
TMG CARLSBAD APARTMENTS LLC
C/O TRIUMPH PROPERTIES GROUP
9601 WILSHIRE BLVD #560
BEVERLY HILLS CA 90210
Plunnbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$160.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
z Inspector:
FINAL APPROVAL
Date: /(>'U'/Y Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refened to as "fees/exactions." You have 90 days from the date this pemnit 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 information with the City Manager 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 service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenA/ise expired.
^ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QlPLANNING •ENGINEERING [JBUILDING DFIRE UHEALTH j HAZMAT/APCD
C 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.carisbadca.gov
Plan Check No. [ 3
Est. Value
Plan Ck. Deposit
Date (0|ca<S-| SWPPP
CT/PROJECT # LOT# PHASE* •# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCCGROUP
JOB ADDRESS dl AyJ^t^^^^ ^/V>^TA
SUITE#/SPACE#/UNIT#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) .
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~|# N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YESQNOQ
APPLICANT NAME fjii, , ,. p
Primary Contact P'-VLXM
PROPERTYOWNER
r/i/T-bbc^^ AfT-i^ LLC
ADDRESS _ , o ^ _^ -
CITY 0^'L\V'^ STATE
CA
ZIP ^ STATE
PHONE PHONE
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
STATE ZIP CITY
OC «-ANi t. j?^
STATE
UVv
PHONE PHONE
EMAIL EMAIL
STATE LIC. # CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of SecUon 7031.5 by any applicantfor a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
W75l
Workers' Compensation Declaration: / hereby affimi under penalty ofpeijury one ofthe following declarations:
• l have and will maintain a certificate of consent to self-insure for woricers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued,
I have and will maintain workers' compensation, as reguired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberare: InsuranceCo, PolicyNo. Expiration Date
Jhis section need not be completed if the permit is for one hundred dollars ($100) or less,
r^^Certificate of Exemption; I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws ot
Califomia. WARNING: Failure to secure workers^e^mpensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&iOO,000), in
addition to the cost of conopsnSaSor^jdamages al prwided for in Section 3706 of the Labor code, interest and attomey's fees.
^CONTRACTOR SIGNATURE V/"^
O WMER-BUitDlR OECLARA1
• AGENT DATE
/ /lereby affi/m that I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the staicture 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 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 vwll have the burden of proving that he did not build or improve for the purpose of sale),
I I 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 Ucense Law),
I I I am exempt under Section Business and Professions Code for this reason:
1,1 personally plan to provide the major labor and materials for construction of the pniposed property improvement (^Yes i iNo
2,1 (have / have not) signed an application for a building pennit for the proposed work,
3,1 have contracted with the following person (finn) to provide the proposed construction (include name address / phone / contrxtors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will pnjvide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
jgS'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 or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the fxility 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 hereby affimi that there is a constmction lending agency for the performance ot the work this pennit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
I certify that I have lead the application and state thatthe above intbnnation is conect and that the Infbmiation on ttte plans is accurate. I agree to complywith all City oidinances and State laws relating to building constmction.
I hereby authorize representative ofthe City of Caiisbad 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 permit is required for excavations over 5'0' deep and demolition or construction of stnjctures over 3 stories in height.
EXPIRATION: Every pemiit ssued by the Buildin»€jflicial under the provisions ofthis Code shall expire by limitation and become null and void if the building or wiik authorized by such pemnit is not commenced within
180 days from the date of such pennit or if the bi|ldinp or WDrt< authorized by such pennit e suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectipn 106,4.4 Unifonn Buikfing Code),
APPLICANT'S SIGNATURE
autnonzBU u'
DATE
^(seaioi
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 buildinq(5)carlsbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
ASSOCIATED CB#-
MAIL/FAX TO OTHER:.
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB142843 Type: PME BLUFFS APTS= REPLACE 44' OF
1 1/2 " GAS LINE FROM RISER TO RISER
Date Inspection Item Inspector Act Comnients
10/23/2014 23 Gas/Test/Repairs PB AP
10/23/2014 29 Final Plumbing PB AP
Friday, October 24, 2014 Page 1 of 1