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HomeMy WebLinkAbout2807 ATADERO CT; ; CB112655; Permit12-19-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12655 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2807 ATADERO CT CBAD PME 2551013500 Lot#: SEARS RES REPLACE WTR HTR AND WATER FILTRATION SYSTEM Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/19/2011 KG 12/19/2011 12/19/2011 Applicant: ARS STEA 9895 OLSON DR SAN DIEGOCA 92121 858 457 6557 Owner: SEALS MARILYN K 2807 ATADERO CT CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Ottier 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 Inspectoi FINAL APPROVAL Date: ^'^3-/?^ Clearance: NOTICE: Please talte NOTICE that approval of your project Includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as lees/exactions." You have 90 days from the date this permit was Issued to protest imposition of these fees/exadions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), arid file the protest and any other required information wltti 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/exactlons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/ice 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 previously othenwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No(^,g> } I2J^SS~~ Est. Value Plan Ck. Deposit Date JOBADDRESS SUITe#./SPACE»,'UNIT# CT/PROJECT # LOT # PHASE« # 0^ UNITS » BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WQBKj Include Square Feet oMffectedA«a(s> . • i \ j_ 1<PLC_ SO aod QQS u')ciXbr WoJi^r ^ \i\xTor EXISTING USE PROPOSED USE GAFRAGE (SF) PATIOS (SF) [ 3ECKS(SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS YES • # NO • YES O NO • YES • NO • CONTACT NAIVIE (If Different fom Applicant) APPUCANT NAMErN. J f r 1 1 ADDRESS ^^^^^^^^^^^^^^^^^^^^^^^..^^ CITY Sjait— ZIP CITf _ ~ S TATE ZIP PHONE ^ FAX PHONE ^S*?^-451-10517 FAX EMAIL • 1 . ,| CONTRACTOR BUS. NAME r\jry O ADDRESS^ _ _ , ^ _ CITV_ ^ STATE ZIP PHONE FAX PHONE FAX ElVIAIL EMAIL 1 "7 - AHCH/DESIGNEH NAME & AODRESS STATE UC. # STATE LIC.« ^ nqi^zo CLASS CITY BUS. Ua# (Sec. 7031.5 Business and Professions Code: Any City or County whicli requires a permit to construct, alter, improve, demoiisii or repair any structure, prior to its issuance, also requires ttie applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cliapter 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 vioiation of Section 7031.5 by any applicant for a permit subjects the appiicant to a civli penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATiON Workers' Compenwlion Declaration: / hareby affirm under penalty ol perjury one of Ihe following declarations: n / have and will maintain a cartificate of consent to self-insure for workers' compensalion as provided by Seclnn 3700 of Ihe Lalior Code, for the performance of tlie worit for wliich this permit is issued. ui^l have and will maintain workerstcompenutipn, as reqiured by Seclion 3700 of the Labor Code, for the peiformance of the work for wNchlhis permit is issued. My workers' compensalion in|Dranc^carrier and policy / number are: Insurance Co. V—>\ Wgr^t-^ Policy No.**"} Lp3 \ 5Cja CP3 I Q | i Expiration Date \ 0 ( I / f 2L. This section need not be compietsd if Ihe pemiit is for one hundred doiiars ($100) or less. G Certificate of Exemption: i certify thai in the perfbnnance of the worit for which Ihis pemiit is issued. I shall not employ any person in any manner so as to become subject lo the Woriters' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shaii subject an employer to criminal penalties and civil fines up to ona hundrad thousand doiiars (&100,000), in addition to the cost of compen;atinn, rtaiiages as provi<^sd for in-Ssction 3JWof-th»l4^r coda, interest and attorney's fees. ^ CONTRACTOR SIGNATURE \ cdWM^fWv^ VsPNT OWNER-BUILDER QECLARATION DATE (hereby affirm that I am exempt from Contractor's License Lew for the following reason: • i. as owner of the properly or my employees with wages as their sole compensation, wiil do the worit and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's Ucense Law does nol apply lo an owner of property who builds or improves thereon, and who does such worit himself or through his own empkiyees, provided thai such improvements are nol intended or offered for sale, if, however, Ihe building or improvemeni is sold wilhin one year of completion, the owner-builder will have Ihe burden of proving Ihat ha did nol build or improve for Ihe purpose of sale). • I, as owner of the property, am exclusively contracting with lk:ensed contraclors to construct Ihe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of property who builds or improves thereon, and contracts fcr such projects with contraclor(s) licensed pursuant to the Contractor's License Law). 3 I am exempt under Section Business and Professions Code fbr this reason: 1.1 personally plan to provide Ihe major labor and materials fcr construction of the proposed property improvement. • Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed worit. 3.1 have contracled with the foiiowing person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit. but I have hired the foiiowing person to coonlinate, supervise 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 foiiowing persons to provide the wortt indicated (include name / address / phone / type of work): xCfPROPERTY OWNER SIGNATURE •AGENT DATE ^rOMPtiTE THIS $ECTf|>«l FOR {SiON-RESitatMiriAL iUitDING PERMITS OWtV Is the applKant or future building occupant reiiuired to submit a business plan, acutely hazanjous materials registration fonn or risk management and prevention program under Sections 25505,25533 or 25534 of tl Presley-Tanner Hazardous Substance Account Act? • Yes • No Is the applicanl or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? • Yes 3 No is the facility to be constiucted within 1,000 feet of the outer boundary of a school site? O Yes Zl 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 OISTRICT. cansttimttipn AemaiHe ACENcif I hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 1 certily that I have read the application and state that the above Infonnation is conect and that the infomiation on the plans is accurate. I agree to comply with all City oidlnances and State laws relating to building constnictkin. I hereby aulhorize representative of the City of Carisbad to enter upon Itie above mentioned pioperty for inspectbn puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit Is required ibr excavations over S'C deep and demolitkin or constmctkm of stiuctures over 3 stones In height. EXPiRATiON: Eveiy pennit Issued by Ihe Buitoing Official under the provisions of this Code shall expire by Gmitaltor and become null and void If Ihe buikiing or worit aulhorized by such permit Is not commenoed within 180 days km the date of such pemiit or if Ihe buiding or vwrtt aultiorized by such pemiit Is^uspended or abandoned at any time after ihe wortt Is commenced for a peiiod of 180 days (Section 106.4.4 Unilixm Buitoing Code). ygS'APPLICANT'S SIGNATURE DATE Inspection List Permlt#: CB112655 Type: PME Date Inspection Item _ 08/10/2012 25 Water HeaterA/ents 08/10/2012 25 Water Heater/Vents 08/10/2012 29 Final Plumbing 08/10/2012 29 Final Plumbing Inspector Act Rl PB AP Rl PB AP SEARS RES REPLACE WTR HTR AND WATER FILTRATION SYSTEM Comments CALL W/ETA PLS Monday, August 13,2012 Page 1 of 1