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HomeMy WebLinkAbout2744 CARLSBAD BLVD; 116; CB151617; Permit05-27-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151617 Building inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2744 CARLSBAD BL CBAD St: 116 PME 2031722701 Lot#: SHEAR PERFECTION: INSTALL 2 HAIR WASH SINKS / WITH INJECTION PUMP Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/27/2015 JMA 05/27/2015 05/27/2015 Applicant: DRAIN RUNNER PLUMBING STE108-A-170 300 CARLSBAD VILLAGE DR CARLSBAD CA 92008 760 212-6231 Owner: LUCKMAN CHARLES&DENISE TRUST 06-26-95 2744 CARLSBAD BLVD #209 CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $160.00 $35.00 $0.00 $0.00 TOTAL PERMIT FEES $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE ttiat approval of your project includes ttie "Innposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING nENGINEERING nBUILDING ]FIRE • HEALTH nHAZMAT/APCD C City of Carlsbad Builciing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. \ ^- j Est. Value Plan Ck. Deposit SWPPP IB ADDRESS SUITE#/SPACE#/UNIT* lib CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: Inc/ude Square Feet of Affected Areafs^ under- l^yy 7^ ^ ff^^ (2A{^A\\c\jJ^n S{KlL<;fC\*^^s Hk^^^j^^v 4o AIR CONDITIONING YES j^NO • EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESri* N0| I FIRESPRINKLERS YES I |NQ| I APPLICANT NAIVIE Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ~ FAX PHONE PHONE DESIGN PROFESSIONAL EONTRACTOR BUS. NAME A;. ADDRESS ADDRESS CITY STATE ZIP CITY /J STATE _ ZIP _ PHONE PHONE FAX EMAIL i«irLiu.s / iO _ ^ ,^ i,L«=i3 CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County wtiicti requires a permit to construct, alter, improve, demolisti or repair any structure, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he is lioensed pursuant to the provisions ofthe Contrador's License Law (Chapter 9, commending with 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKtRS' COMPeNSATIONt Wor1(ers' Compensation Declaration: / hereby affimi under pena/ly (^perjury one ofthe follomng declarations: LJ I havejtulJiull-malntain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued. l^tTiiave and will maintain worlters' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the wori< for whicti this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. M^^lfcT PoU-'l (^-^^*>^i.J^ fihi^ C^<^ !($10l))( PolicyNo, Expiration Date _ Tlhis section need not be completed if the permit is for one hundred dollars ($1 Ut)) or less. yl Certificate of Exemption; I certify that in the perfonnance of the work for whioh 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 worltM' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred tiiousand dollars (&100,000), In A r addition to the cost of compensation, dama provided for in Section 3706 of tlie Labor code, Interest and attomey's fees. X CONTRACTOR SIGNATURE O W ISI e R - B 1111,,© i^Bf, I. .A.R A T i'O n • AGENT DATE i hereby affinn 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 wori< and the structure Is not intended or ottered 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 I I, as owner of the property, am exdusively contracting with licensed contractore to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property vitio builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan lo provide the major labor and materials for construction of the proposed property improvement. • Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimn) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to pravide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major wort< (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 worts indicated (include name / address / phone / type of wori(): veTpROPERTY OWNER SIGNATURE QAGENT DATE - - - • ••• •v.i/.-.;-: ^'ryy'iir'mmm: R NON-RESIDENTIAL BUIL •i;;:V' A:-:-: 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 buikling occupant required to obtain a permit fram 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 ot a school site? Yes No 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. I liereby affirm ttiat ttiere is a construction lending agency for ttie perfonnance of ttie work ttiis permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address :A:P Pile ANT C 0 I? TI.ICIC A.TIO N I certiV ttiat I have read the application and state that t)ie above Infonnation is conectand thatthe Inlbnnation on the plans Is accurate. I agree to complywith all City oidinances and State lavjs relating to building constmction. I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGIREE TO SAVE, INDEMNII^ AND KEEP HARIVILESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGIVIENTS, COSTS AND EXPENSES WHICH IVIAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERIVIIT. OSHA: An OSHA penmit is required for excavaSons over 5'0' deep and demolition or construction of structunes over 3 stories in height. EXPIRATION: Every pennit issued by the Building OMI under the provisions of this Code shall expire by limitation and become null and void if the building or v«rt< authorized by such pemnit is not commenced within 180 days from ttie date of such pemnit or if the buildrigor viori< authorized by such pennit is suspended or abandoned at any time after the v«)rt( is commenced for a period of 180 days (Section 106.4.4 Unifomn Building Code). vefAPPLICANT'S SIGNATURE DATE 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 buildlna(S)cai1sbaclca.aov or Mail tlie 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 CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCXUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ygf APPLICANT'S SIGNATURE DATE Inspection List Permit*; CB151617 Date Inspection Item 06/22/2015 29 Final Plumbing Type: PME 06/22/2015 29 06/18/2015 21 06/18/2015 21 06/18/2015 24 06/18/2015 31 06/18/2015 34 Final Plumbing Underground/Under Floor Underground/Under Floor Rough/Topout Underground/Conduit-Wlrin Rough Electric Inspector PB PY PY PY Act Rl AP Rl AP AP Rl AP SHEAR PERFECTION: INSTALL 2 HAIR WASH SINKS / WITH INJECTION PU Comments AM PLEASE AM PLEASE Ttiursday, June 25, 2015 Page 1 of 1 I