HomeMy WebLinkAbout2840 LOKER AV EAST; ; CB112012; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-19-2011 Permit No: CBl 12012
Building Inspection Request Line (760) 602-2725
Job Address: 2840 LOKER AV EAST CBAD
Permit Type: PME Status: ISSUED
Parcel No: 2090820800 Lot#: 0 Applied: 09/19/2011
Entered By: RMA
Reference*: Plan Approved: 09/19/2011
PC #" Issued' 09/19/2011
Project Title: GLANBiA NUTRITIONALS- REPLACE Inspect Area:
& RELOCATE SEWER LINE TO NEW LOCATION & TIE IN TO
Applicant: Owner:
SOUTH BAY PLUMBING BIXBY LAND COMPANY
2211 MICHELSON DR #500
369 CORRAL CT 91910 IRVINE CA 92612
619 922-6557
Plumbing Fees $150.00
Electrical Fees $0.00
Mechanical Fees $0.00
Other PME Fees $0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00
FINAL APPROV/
Inspector: t^' /jQ-^s pate: '>t(^fe( f2>
FINAL APPROVAL
Clearance:
NOTiCE: Please tal(e NOTICE that approval of your project includes the "imposition" 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired.
^ CITY OF
CARLSBAD
Building Perinit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.caristMidca.gov
Plan Check No
Est. Value
Plan Ck. Deposit
SWPPP
JOBADDRESS 2840 Loker Avenue East Carisbad, CA 92010
PHASE* |#0FUN1T5 l#BEDR00MS
surrE*/sPAce«,
# BATHROOMS I TENANT BUSINESt NMK | CONST! CT/PROJECT # LOT# CONSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: fncfude Square fiset of Mtoctodiliear*;
Move: fxra.Ovr sc^e^ ko locJk^o^ We <v,^w Sole
Pvto^\2<r K/cuj SttA-^ -Vrio^jf c)oHT<5e ^V\e ^VMN^\"^ 2C
DECI EXiSHNG USE PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) IRREPLACE
YES|3 N(Q
AIR CONDrriONING
YES •NO •
FIRE SPRINKLERS
YES| |NO| I
APPUCANT NAME (Primary Contact) Jorge A. Redondo APPLICANT NAME (Secondary Contact)
ADDRESS 1353 Serena Cir Unit 2 ADDRESS
CITV Cliula Vista STATE
CA
ZIP
91910
CITY STATE ZIP
PHONE 619-922-6557 FAX
619-397-0164 PHONE FAX
EMAIL
jredondo@souttibayplumbinginc.net EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME South Bay Plumbing Inc.
ADDRESS ADDRESS
%^ Cj^RiiALCr PO Box211863
cm ' STATE zip* CITY STATE ZIP
Chula Vista GA 91921
PHONE FAX PHONE
619-922-6557
FAX
619-397-0164
EMAIL EMAIL jRedondo@southbayplumbinginc.ngt
ARCH/DESIGNER NAME & ADDRESS STATE UC. #
919843 C-36
(See. 7031.5 Business and Professions Code: Any City or Coun^ which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issubn^, also requites the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the ContractDr's Ucense Law (Chapter 9, commenatng with Sectjbn fOOO 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 0(500}).
WORKERS COMPENSATION
Workers' Compensation Declaration: / /leraby affimi underpenaHy ofpajury omofthe MMng dedarations:
S i have and will maintain a certlficats of consent to self-insure for wotters' compensation as provided by Section 3700 of the Labor Code, Ibr the pedbmianoe of the worit for which this pennit is issued.
I have and will maintain workers' compensation, as lequiied by Section 3700 of the Labor Ckxie, ibr the perfonnance of the worit Ibr which this perniit is issued. My woriters' con^saton insurance earner and policy
number aie: Insurance Co._ Security National Insurance . Policy No.. SWC1003586 Expiration Date. May 22,2012
This section need not be completed if the pennit is for one hundred dollais ($100) or less.
I I Certificale of Exemption: i ceftily that in the perlbnBiance of the worit for which Ws pentiit is issued, I shall n«
Cailtbmia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnai penatttes and dvil fines up to one hundred tiiousand doiiars (&100,000), in
addttion to Uie cost of compensation, da|»gas as provided fbr in Section 3706 of the Labor code, interest and attorney's fees.
JS^ CONTRACTOR SIGNATURE, •AGENT DATE 'H-t'^-^a/i
O W N E R - B U I L D £ R DECLARATION
/ hereby affinn that I am exempt from Coitaclor's Ucense Lam fbr the follomng reason:
\ \ I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the stnicture is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not to an owner of pioperty who builds or Improves theieon, and who does such worit himself or through his own employees, provided that such improvements are not Intended or ofleied for
sale. If, however, the building or improvement Is sold within one year of completion, the owner^Hiilder wiH have the burden of proving that he did not build or improve for the purpose of sale).
r~l I, as owner of the property, am exdusively contracting with licensed contractors to construct the pmject not apply loan owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conbactor's Ucense Law).
[~^ I am exempt under Section. .Business and I'rofosslons Code for this reason:
1.1 personally pian to provide the major labor and rnaterials for constnictkin of the pioposed property improvem^ I lYes I INO
2.1 (have / have not) signed an application for a buiiding permit fbr the proposed worit.
3.1 have contracted with the foitowing person (fimi) to provide the pioposed constmctkxi (include name address / phone / contractors' Icense number):
4.1 plan to provide portions of the worit, but I have hired the foitowing person to coordinate, supenrise and provide the mcgor worit (include name / address / phone / contractors' Iteense number):
5.1 will provide some of the woilt, but I have contracted (hired) the foitowing persons to provide the worit indtoated (include name; address / phone / type of wortt);
^PROPEiCTY OWNER SIGNATURE QAGEMT DATE
COIMPLETE, THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future buikJing occupant required to submit a business Dian. acutely hazardous malerials reglstratton forni or risk management and preventton program under Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazanlous Substance Account Act? Q^Yes 1 iNo Is the appikant oi*future buiklina occupant required to obtain a perniit (rom the air poftitton contol distnct or air auaiiW management district? I lYes I I No
Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? LJYes flNo
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 RECHIIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby aflimi that there Is a construction lending agency fbr the performance of ttie woifc ttiis pemiit is issued (Sec. 3097 (i) Chnl Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
i ceiti^rtiiat 1 have read die appikation and slate tiiat tiie abim inlbmiaUon isconect and tiiatthe InimnaHOT
I heieby authorize lepresentalwe of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE QTY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pennt is requiied fbr excavafions over S'O'deep and dernoRion or constniction of
EXPIRATION: Every pennit issued by the BuMng ()f(cial under the provistons of this Code shaN
180 days firim the date of such pennit or if the bulking or worit authorized by such peimit is suspend
^APPLICANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 01/25/2012
Permits CB112012 Inspector Assignment: MC
Titie: GLANBIA NUTRITIONALS-REPLACE
Description: & RELOCATE SEWER LINE TO NEW LOCATION & TIE IN
TO THE MAN HPLE @ REAR PARKING LOT. REPLACE &
Type: PME Sub Type:
Phone:
Job Address: 2840 LOKER AV EAST
Suite: Lot: 0
Location: Inspector:
OWNER BIXBY LAND COMPANY
Owner: BIXBY LAND COMPANY
Remarl<s: Can you final this permit. U took over]
Totai Time: Requested By: CHRISTINE
Entered By: CHRISTINE
CD Description Act Comments
29 Final Plumbing ^ <ip 6>of£e <s4 5vt^ ftgST Srof
Comments/Notices/Hoids
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments
09/23/2011 21 Underground/Under Floor AP TP CONNECTION TO SEWER MAIN
09/23/2011 24 Rougti/Topout WC TP
09/22/2011 21 Underground/Under Floor AP TP BLDG SEWER AND SEDIMENT PIT TO MAIN