HomeMy WebLinkAbout2719 LLAMA CT; ; CB120505; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-22-2012 Permit No: CB120505
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2719 LLAMA CT CBAD
PME
2154200800
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
ProJect Title: JURECKI RES-REPLACE WTR HTR Inspect Area:
Applicant:
ARS
STEA
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6557
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
JURECKI MARK J&ELIZABETH M
2719 LLAMA CT
CARLSBAD CA 92009
ISSUED
03/22/2012
LSM
03/22/2012
03/22/2012
$30.00
$0.00
$0.00
$65.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: J-2/,,-,z..... Clearance:
$0.00
NOTICE: Please take NOTICE tha1 approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Yvu have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set fr>rth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposttion.
You are hereby FURTHER NOTIFiED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOA DOES IT APPLY to any
t i n N Tl i 'Ir hi r whi h flimi in h r vi I
FROM
. ' '£ «1~ ~ CITY OF
Building Permit Application
1635 Faraday Ave •• Carlsbad, CA 92008
1s0-eo2-2117 / 2718 / 2719
Plan Check No.<!f:> / ~5°
Est. Value
CARLSBAD Fax: 760-602-8558
WWW car1st>adca,eov
Plan Ck. Deposit
·oo
"'
RPL<:. 50
EXISTING USli PROPOS LISE GARA E (SF) PAJJ \51) FIREPLACE
SfR
CONTACT NAMI (It DIWJenwt Fam AltpllulttJ
ADDRESS
CITY
PHONE
STATE LIC.11
(Sec. 7031.5 Buslnes5 and P,ofesalons Code: Ari' C~ or Count~ which require$ a Hrmk to COl'$U'uct. lllff, lmprowt. demolish or ,-pafr anr s1ructure. prior to ill iHuance, alao ~es the appficant for such permit to fie a sllNd lta\em~l tl'llt he IS ncensed pul'hant u, the DrOYl&lon& of 1:11, COmractor's ueenu Law fCflAAer 9. comrnendJn,: wflh Secr:Jon 7000 of OMaion 3 of the Business and Pr~ Code) or fhel "-r, exemllt_thlmfrom. and ttie basis tor the alleged ex1tmptlon. Al'I)' vlallUon ot Section 703L5 by any applcenffor a permit SUbject:I Uteapptlcan1 to a civil penalty of not moni 1han flYe hundrld doDlla feOO)J.
WORKERS COMPEN:SATJON
W«bn'Com,enutiDn~:llihbydmll'lda,-,,.,,..yo/~ONoflht~dldltalionl:
□ hive •d wit 11llnlaf11 I ctnllclt1 of con ... t to ... -ntlll't fer workffl' compensllion as prO'lldld by Seclbn 3700 oflle Labor Codt, for lhl plffl0tfrllnc9 of lhe WOik IDrwlicb 11111 permil II illued.
,
r "'" lftd WII m11n1• wamrt'::-::'::::' Jllfl418d b'f Slcliofl 3700 d Iha Labor Code, tJr "9 pe"'::-: dk ~-~lbl, ~ Is luued. My wodln' Cllfflpen. •Ilion ri/6:'came, and pollcy ..,,.,,.,,....,..,eo. b!...!MC:t:~ Po1cyNo . .'...JCo'."i.12~!!i.2.!011. e.p1.,,.0a1a tOf 4-1 Z. __ _
Tti1MdionnNdno1 lleccrnPltld lflflt penwl II IDr llnlhlMdmd "(S100)or Jass. .
□ c«tfficl1I ofEll""fllloll: I ctnlftfllt ii"" ptrlonnanoa of ... ~far'IIWhlct1 lllls plffl1lt ii ihuad, I~ not employ.,,,. PllflOtiln any rna'lllel" so II lobecant SLtjlcl: to lht Wonm' Comptntdon UWI af
Cailarnla. WARflNQ: flllutt. IICUN wonen· COMP1nllllon colftrag• ii u..i-tu,, and shall subJ•c:t an MIPlo)WIO crfmiul PMtldn Hd cMI fine& .,,,to 0nt hundred thousand dolllrl (1111,000), in
additiOn 10 1M cost of CG111~""""'1111!!!1• u pnwtdecl ro, n 3W'""""""" code, lnllffl:I and attorney's fffl.
Af CCNIRACTOR SIOIIATIJRE
I h«aby aim that I am tffll¥I linm Conb®n LlcMu U'Wb" «. fobri119 tNtt,n.;
~ I. as CMflllj" of h prap8ff/ or ,ny ""~ 111!1'1 WIQN II lhelr sole campa!Nlion, \VII do lht wctt: and Iha 11r1.1c1ure Ls not lnllndlldor offt,11d for HHI {Sac. 7044, ew.n-1 and P~ Code: The Conlrlctir',
licellH UW' dolJls 1101 applr lo 1n "'1er of llf'OPll'IY who b.Jilds DI' lnipnwat lhereon, and who daa SUCh 'NOit linnff Of hougfl hlS 11Wn empbyen, p,O\'ldm Ila! suehlmp11V11n81111 lrl no! inlllldeo Of Ofl'1rad fof
SIii. if, lloweY«, I,. bul:1ng Of intprOftrlent 11 Jald Mthin one yu-of0011pl1l1on. !lit °""'8r-builder\WI haYI th• burderH~ piovin, Jhat he did l'IOI bulld or ~pm,e forlhtpulJ)OII cl 11119).
:, I, • Ollllltr Of Iha llfOPl'lr, Ill ereluliYlly (Q1hclng wllh iclnsed awrac1aB to CMShrcl 11, prqeet (Ste. 7044. Buslllftl .id p~ Codr. Tl'le Cu,tratlc,(9 LlcNIH L,w dON nol apply lo an owner of
p!Dplltywho btlilds or Improves flel'IOII, and conttacts b sucll prafecls ~lb canlr1d«(1)1ictMed pursuant ID lhe Ca,ncro,'s License law).
::, I am Delllpl lhl• Secfion ____ ,8-,as 111d' Profeasiol1I Code IDr 1•i• r11son:
1, IJll,'IMllypltnlOprovidl.lhtmaptllbcwlnClmeterialsfar c:onstrucliGn Dflll proposed pmpe,tyimprovemenl, ~ Vet ~ Na
2.1 ~ / IIM nal) signed ar, 8')plcalian for a bulldlng permit fat ll'le praposed work.
3.1 hlil• ~ wilh Iha lallowin9 pnon (irm) ID p~de lhe proposed co1111ructio11 (Include llllll& addlas / ~ / COnlrlCIOrl' Hcenst 11ul'Abef~
4. t pl111 lo PAJVllf& ptqOnS cl lhl WOii!. bu( I hm hired Iha rollowina pwson IO coardlnate, 111p1r.,ist Ind pravld'e nia mlj orwod: (indld• name I addf851-I phone / conlradm' llctnte number):
5.1 wlll p-OYkle to1118 r:llhl WOik, bull 1-e COlllrlci.d (hired! lhe b'lawfiig pttSOnt lo provide the Mn lndicalea (~ name f edaa$s fpha111/typ1 afWOtlc):
~ PROPERTY OWNER IIGHATUIIE □AGENT DA!£
FROM
COMPLETE THIS SECTION FOR NON~R£SIOENTIAL SUltDtNG PERMITS ONLY
Is lht: appbnt or ...,. buldill OCC\lpllll ~ hi submit ■ bullllaa plan, acutelr lamRfOu1 mallnals ,agilCnllicln bm a iP nllnlglll'lll'lt and pm1nU1111 ,rog,1111 lllldar Stcfons 25505. 25533« 25534 of Illa
Prllfly-TIMl!'~SubetanceAcmUIIIAD.? :IYn ~No
Is._ 1pplcafll:orllutbulclingoa:up,111:,aqulradlooblalna permi.tcm htlirpaUon~dlstrictor airQUllltymanagemenl~ :::J Yes □ No
lalll1taciity1obeCCll1AUClldwti.n 1,000 reecc111aoucwboundlryol1Khoo1Sile? ::, Yes :::JNo
IF ANY o, THE ANSWERS ARI YES, A FINAL CERTlflCAT! OF OCCUPANCY MAY NOT BE ISSUED llfl.ESS nE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE <fflCE CW
EMERGENCY SERVICES AND THE AIR POLLUTICN CONTROL CllllRICT.
IOllllfflllallllM',..dlltappicdonllldstalttllltlle■bowlni:JrrnlClon lsCCNIIIClllld 11111:Ctle lnfanndononlltpallf lllCEUlllll,Jae-lDoampt/Wlllt■IIC!todnlnetSandSIIIIN--•lluldlllcansrualon.
,,_ ...... ,._offll~ofCaoslladb""r"'°la-...-pa,po,1yiwinlpodb,-. lltSO.IGREETOSAVE. N>BHFY N<OKEEPIWM.fSSTHECllYCf CAALs&IO
AGAHSTAU.LIABij.JTE~.\JOGMEHTS,COSTSAllll!XFENSESl>fflClfMAYN-WAYACCRUEAGAl<STS.WCITYINCONSEllUENCECl'THEGRANTNGCl'TfflSPERMIT.
OS!i\:ki ~pemiisllQlaed treJEMlans.owrS'D' dlepand~m-~olllndlm1Mr3 lillllil ,-,..
EXl'IRA110N:E"'l'--brlnellillil!Oldal"""lhtpo,ill,nsof .. Coclo ... Ollpiabr _ _.._,,,,...._,V<lrllhe'""'"l"--br0Jdl-■ml--
UIO .... lrant,,cllloofsurll-aille-«"°*-bysurll-• «-flanylmlallarlw...tila,monceOiwapalodoflllll""'fSedmfOliUllibm9uilt-gCodei
,tS'..,l'IJCANT'SSIGNATURE DATE 3 "l l"Z-
•' .
City of Carlsbad Bldg Inspection Request
For: 03/26/2012
Permit# CB120505
Title: JURECKI RES-REPLACE WTR HTR
Description:
Type:PME Sub Type:
Job Address: 2719 LLAMA CT
Suite: Lot: 0
Location:
APPLICANT ARS
Owner: JURECKI MARK J&ELIZABETH M
Remarks: please call with ETA
Total Time:
CD Description Act Comments
Inspector Assignment: h_
Phone: 7604769377
Inspector: ----
Requested By: BETH
Entered By: CW
25 Water HeaterNents A:£._ _____________ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments