HomeMy WebLinkAbout2750 BANFF CT; ; CB154053; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-23-2015 Permit No: CB154053
Building Inspection Request Line (760) 602-2725
Job Address: 2750 BANFF CT CBAD
Permit Type: PME Status: ISSUED
Parcel No: 2081023700 Lot #: 0 Applied: 11/23/2015
Entered By: SLE
Reference #: Plan Approved: 11/23/2015
PC #: Issued: 11/23/2015
Inspect Area:
Project Title: ALLEN: REPAIR WATER LEAK UNDER
DRIVEWAY / REROUTE WATER SUPPLY FROM METER TO HOUSE
Applicant: Owner:
ALLEN MARGARET E LIVING TRUST 09-09-98 ALLEN MARGARET E LIVING TRUST 09-09-98
2750 BANFF CT
CARLSBAD CA 92010
760-730-1795
2750 BANFF CT
CARLSBAD CA 92010
Plumbing Fees
$163.00
Electrical Fees
$0.00
Mechanical Fees
$0.00
Other PME Fees
$0.00
TOTAL PERMIT FEES $163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00
FINAL APPROVAL
Inspector: Date: AIL- 3 0 -/, Clearance:
NOTICE: Rease take NONCE that approval of your project includes the " lapositiod' of fees, dedications, reservations, or other s actions hereafter collectively
referred to as "feesrexactions." You have 90 days from the date this perrrit wes issued to protest imposition of these fees(exactions. If you protest them, you must
fdlow the protest procedures set forth in Cc� Code Section 66020(a), and file the protest and any other requi red inforrration with the City Hainaut- for
processing in acmrdanoe with Carlsbad Mricipal Code Section 3.32.030. Failure to timely fdlow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or ayd their imposition.
You are hereby FURTHER N6n R ED that your no to protest the specified feestexadions DOES NOT APPLY to water and sewer comedion fees and capacity
dnarxjes, nor plarrung, zoning, grading or other similar application processing or service fees in connection vuth this project. NOR DOES IT APPLY to any
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ❑ PLANNING ❑ ENGINEERING ❑ BUILDING ❑ FIRE ❑ HEALTH ❑ HAZMATIAPCD
�? City Qf
C`arlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carisbadca.gov
www.carisbadea.gov
Plan Check No
Est. Value
plan Ck. Deposit
Date —
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JOB ADDRITp
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TENANT NAME
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IXISTING USE
PROPOSED USE
GARAGE (SFl
PATIOS (SF)
DECKS (SF)
FIREPLACE
YES❑M NO[:3
AIR CONDITIONING
YES❑NO[D
FIRE SPRINKLERS
YESF]NO❑
APPLICANT NAME
Prrru Contact
OWNER NAME i /n
ADDRESS
ADORE qe
CITY
STATE ZIP
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PHONE
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DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME
ADDRESS
ADDRESS
CITY
STATE ZIP
CITY STATE ZIP
PHONE
fAX
PHONE
FAX
EMAIL
EMAIL
STATE LIC. a
STATE LIC a
CLASS
CITY BUS. UC.a
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, improve, demolish or reppaaIT anyy structure, gnor to Its asuance, also requires me
applicant for such permit to file a slgned statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commending with Section 7000 of DM 3 of the
Business and Professions Code) or Slat 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 appiloant to a
civil penalty of not more than five hundred dollars
Workers' Compensation Declaration: I hereby affirm underpenally ofpegury one oflfa following declarations:
:have
and will maintain a cerfificate of consent to seffinsure 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 workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which INS; permit is issued. My workers' Compensation insurance caner and policy
number are:
Policy No.
Expiration Date
This section need not be completed il the permit is for one hundred dollars ($100) or less.
Certifieah of Exemption: I certify that in the performance of the work for which this permit's 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 are hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and afforoey's fees.
)K CONTRACTOR SIGNATURE []AGENT DATE
1 hereby affirm that I am exempt from Contractor's License Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended Or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
L cerise 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 properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with corrhactor(s) licensed pursuant to the Contractors License Law).
ElI 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 proposed property improvement. ❑Yes ❑No
2.1(have / have rat) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I co tractors' license number):
4.1 plan to provide podiors of to work, but I have hired the folkMing person to coordinate, supervise and provide the major work (include name I address I phone I 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 I address I phone I type of work):
PRDPERTY OWNER SIGNATURE L`%F1T []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
PreslepTanner Hazardous Substance Amount 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? O Yes Cl No
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? ❑ Yes 13 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 affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lenders Narne
Lender's Address
IcedaythatIhatemadam appkadonand staleUraflheabove iri mtationisarmdandthattheirbmuUonontheplarasamuate.IagreetommplywithallClyonfrancesandStatelawsrelatingtubuidengmnsbuction.
I hereby autlra¢e representative of the City of Carlsbad b ender upon the above mentioned property for irspecion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARWESS THE CITY OF CARLSBAD
AGAINST ALL LU181LtTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pemit is required for excavatiocs aver 5V deep and demolition or construction of stiucknres over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Cork shall expire by Imitation and became null and void ifthe building or wok autha¢ed by such peril is not commenced within
180 days from the date of such permit or i the building oVwok autlna¢ed by such permit is susperxkd or abandoned! at any time after the work Is commenced for a period of 180 days (Section 106AA Uribmm Building Code).
APPLICANT'S SIGNATURE N 11 w J♦ 1 a U UK - DATE I J- .1 4--1
Inspection List
Permit#: CB154053 Type: PME ALLEN: REPAIR WATER LEAK UNDER
DRIVEWAY / REROUTE WATER SUPPLY
Date Inspection Item Inspector Act Comments
11/24/2015 24 Rough/Topout - RI AM PLEASE
11/24/2015 24 Rough/Topout PB AP
11/24/2015 29 Final Plumbing PB AP
Wednesday, November 25, 2015 Page 1 of 1