HomeMy WebLinkAbout2725 ATHENS AVE; ; CB162928; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical {PME) Permit
07-29-2016 Permit No: CB 162928
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2725 ATHENS AV CBAD
PME
1673914100
Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: NEVAREZ: REPIPE WHOLE HOUSE
WATER LINES FROM SUPPLY TO ALL FIXTURES
Applicant:
HANNA PLUMBING & SUPPLY INC
643 S SANTA FE AV
VISTA CA 92083
760-726-2002
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
IVAN NEVAREZ
2725 ATHENS AVE
CARLSBAD CA 92010
858-694-7703
Issued:
Inspect Area:
ISSUED
07/29/2016
SLE
07/29/2016
07/29/2016
$163.00
$0.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Clearance:
$0.00
that approval of yoor project includes the "lrrpcsitiori' ci fees, dedications, reservati01S, or other exacti01S hereafter rollectively
i01S." You have 9) days from the date this pemit VVciS issucd to protest i11'TXJ5ition of these fees' exactions. If you protest them, you ITl..ISl
ures set forth in Goverrrrent Code Section 66020(a), and file the protest and any other required inforrration wth the Oty rv1anager for
processing 1n WYY".-II"n""wth Carlsbad M.lnidpal Code Sectirn 3.32.030. Failure to tirrely fdiONthat procedure \Mil bar anysurnequent legal action to attack,
reileN, set aside, void, or annul their irrpa;ition.
You are hereby FURTrER NOll RED that yoor right to protest the specified fees'exacti01S OOES NOT APPLY to V\9ter and '08Ner CXllll1Eldirn fees and capacity
changes, ror planning, zoning, grading or other sirrilar appliartirn processing or service fees in ornnection wth this prqect. NOR OOES IT AFH.. Y to arry
fees'exacti01S of W1id1 have eviousl been ·ven a NOTICE sirrilar to ths or as to Wlidl the statute of lirritati01S has . I other\Mse . roo.
City of
Carlsbad
JOB ADDRESL (
CTjPROJECT #
OPLANNING 0ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEII/SPACEII/UNIT#
0BUILDING OFIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
Date l -2R -/ (J> SWPPP
APN
#BEDROOMS #BATHROOMS TENANT BUSINESS NAME OCC. GROUP
EXISTING USE FIRE SPRINKLERS
YEsONoO
APPLICANT NAME
CITY
PHONE
EMAIL
(Sec. 7031.5 Business and Professions Code: Any City or County which 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 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 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 ofthe following declarations:
0 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. ~I have and will maintain ~ers' co~pensation, a: required by Section 3700 of the LaborCode, for the performance of the work for which this pe~itis issued. My workers' compensa · n ins ranee carrier and policy
number are: Insurance Co. ::1.. V\':i.A.ftl V)( e .... (Q. of:-kha \J\.)~ Policy No. \J\.\:)\)V:X:Bi2..ol.\Q:!D Expiration Date I
This section need not be completed if the permit is for one hundred dollars ($1 00} or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as in Section 3706 Labor code, interest and attorney's fees.
_.2$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractors Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, wm 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 not apply to an owner of property who builds or improves thereon, and who dces such work himse~ 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 I 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):
_.2$ PROPERTY OWNER SIGNATURE DATE
I certifythatl have read the application and state that the above infonnation is conectand that the infonnation on the plans is accumte. I agree to comply with all City ordinances and State law.i 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 UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 stones in height.
EXPIRATION: Every penni! issued by the Official under the provisions of this Code shall expire by limitation and become null and void if the building or VvOrk authorized by such penni! is not commenced within
180 days from the date of such penni! or authorized by such rrnit is suspended or abandoned at any time after the VvOrk is rommenced for a peliod of 180 days (Section 106.4.4 Unifonn Building Code).
Ji5 APPLICANT'S SIGNATURE · ·~~"\......-DATE l r '2-q-l l.o
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE Of OCCUPANCY !Commercial Projects on i y 1
Fax {760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) ASSOCIATED CB# OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE I NO CONSTRUCTION
MAIL I FAX TO OTHER:
CHANGE OF USE I NO CONSTRUCTION
.Hi APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB162928 Type: PME
Date ···~~J.n~ectiol!_l~m .. _._.~---·-·
08/01/2016 24 Rough/Topout
08/01/2016 29 Final Plumbing
08/01/2016 29 Final Plumbing
VVednesday,August03, 2016
Inspector Act
PY AP
Rl
py AP
NEVAREZ: REPIPE WHOLE HOUSE
WATER LINES FROM SUPPLY TO ALL FIX
Comments
PM PLEASE
Page 1 of 1