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HomeMy WebLinkAbout2725 ATHENS AVE; ; CB120185; Permit01-31-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: 08120185 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2725 ATHENS AV CBAD PME 1673914100 MYUNG: REPIPE W/PEX Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/31/2012 JMA 01/31/2012 01/31/2012 Applicant: REPIPE 1 Owner: MYUNG JAMES O STE # 691 23679 CALABASAS RD 91302 818481-2627 2725 ATHENS AVE CARLSBADCA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPI Date: 2^/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You 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 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 Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will tar 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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise exoired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.ca risbadca .gov CT/PRWECtm ^ LOTr / I PHA* ( Plan Check No. ^6(20)^5^ Est. Value Plan Ck. Deposit Date SWPP # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOD APPUCANT NAME (Primary Contact) APPUCANT NAME (Sgcofidaiy Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP RHONE FAX PHONE FAX EMSH EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP i/fi-Hz/ft U PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS (Sec. 7031.5 Business and Professions Code: Any City or County wliich requires a permit to construct, alter, improve, demolish 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 ofthe Contractor's License Law (Chapter 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 ($500J). ORKiRS- COMPENSATION Workers' Compensation Declaration: / hereby affimi under penalty ci peijury one Ofttie following declarations: O 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 worl< for which this permit is issued. I have and will maintain workers' condensation, as required by Section 3700 of the Labor Code, for the performance sT the wgrit foMhictyhls nunit Is Issued. My workers' compensation Irj^uQiKe carrier and policy number are: Insurance Go. Policy No. UlWL LOf Explratton Date H * f *• This section need not be completed if the permitis Ibr one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkin Laws of Califomia. WARNINQ: Failure to secure workers' compensaUpn coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provldeflwm Section 3706 of the Labor code. Interest and attomey's fees, y Jg$ CONTRACTOR SIGNATURE ^AGENT DATE O W N 6 R - B U i L D E R lARATION / hereby affimi that I am exempt from Contractus License Law for the foilowing reason: O I, as owner of the property or my employees with wages as their sole compensatkin, will do the work and ttie stmcture 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 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 constmct 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 Sectton Business and Professtons Code for this reason: 1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvement. • Yes • No 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone /contractors' license number): 4.1 plan to provkle portions of the work, but I have hired the foitowing person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone / type of work): >£f PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOB N O N - R E S I D E N T I A t BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I^Yes DNo Is the applicant or future building occupant required to obtain a pennit fmm the air pollution control district or air quality management district? • Yes O No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? OYes DNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby aflinn that there is a construction lending agency for the perfonnance of the work this pemfiit Is issued (Sec. 3097 (I) Civjl Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Iceni^thatlhave lead the applteatkin and state that Ite aboKinftmatkm is correct and I heieby authorize representative ofthe City of Carlsbad to enter upon the above mentbned property fbr Inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAf^LESS THE CITY OF CARLSBAD AGAINST ALL LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT, OSHA: An OSHA pennit is required fbr excavations over SO deep and dgnijlilion or constmction of stmctures over 3 stories in height EXPIRATION: Every permit Issued by the Building OfSciai unda;*Sl^ims of this Code shall expire by imitation and become null and void if the building or woik authorized by such pennit is not commenced wilhin 180 days from the date of such permit or if the building or WQH(jy|lm!M by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectbn 106.4.4 Unifomn Building Code). >eS'APPLICANT'S SIGNATURE DATE City ofCarlsbad BIdg Inspection Request For: 02/06/2012 Permit# CB120185 Title: MYUNG: REPIPE W/PEX Description: Inspector Assignment: PY 2725 ATHENS AV Lot: Type: PME Sub Type: Job Address: Suite: Location: OWNER MYUNG JAMES 0 Owner: MYUNG JAMES 0 Remarks: Plione: 8182929778 Inspector: Total Time: CD Description 29 Final Plumbing Act Comments Requested By: NA Entered By: CHRISTINE Comments/Notices/Violds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments 02/01/2012 24 Rough/Topout AP PY