HomeMy WebLinkAbout2879 LEVANTE ST; ; CB112634; Permit\
12-15-2011
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB112634
Building Inspection Request Line (760) 602-2725
2879 LEVANTE ST CBAD
PME
2162303000 Lot#: 0
RING RES-REPLACE FAU @ SAME
LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/15/2011
RMA
12/15/2011
12/15/2011
BERCKS OLD TIME PLUMBING RING FAMILY TRUST 10-31-85
38415 INNOVATION CT
STE E 92563
951 676 7197
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2879 LEV ANTE ST
CARLSBAD CA 92009
$0.00
$0.00
$150.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector: Date: 1-Clearance:
$0.00
proval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." YoL1 ve 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must
follow the protest procedures set fo h in Government Code Section 66020(a), and Ille the protest and any other required information with the City Manager for
processing ln 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 NOTIFI_ED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, gradlng or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
whih i"I w"hh
• ~~ If Qh? ~ Building Permit Application Plan Check No.
<<•--~f; -,-' 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value
~ CITY OF 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 ,,.., Plan Ck. Deposit
www.carlsbadca.gov I o .A--Date (~/ /5/ Ji \swPP
JOB ADDRESS SUITE#/SPACET/UNIT# IAPN c.T ---)!l 79 /_ et/,<{ n{e
CT/PRQjECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS TENANT BUSINESS NAME l CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) )-I /a. r ,f;,'1 •Ao_ A /,,<-tll,c ( If,' j, rl/// a ,AAA /J -' '
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE
YES □#_ NOD
I AIR CONDITIONING I FIRE SPRINKLERS
YES □ NO □ YES O NO □
APPLICANT NAME (Primary Contact) C:-/1.<-5 :hcAJc..-.
APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
:!.1ffll"i..r (;-.,"f--/,L•>, ', I £el
CITY STATE ZIP CITY STATE ZIP
11J<'h1 fe "( ('i C(l/1i'f
PHONE I FAX PHONE IFAX 'ff,/ t/t 7117
'c,.,alL EMAIL
PROPERTY OWNER NAME V/IYt1<
CONTRACTOR BUS. NAME /Je,,,-"11.s Old ,,., L,.,-,t,, ,,/ /1 •I? l r,;,.,c
ADDRESS ADDRESS
Z'il 71 Lev ti,-, Tl' c. T ./ '?'717-{M11f/v'i/1v',, c.7 µ £
CITY c· 1·r l.f I, 1rl
STATE ZIP CITY STATE ZIP cs· flN'7 ;t/t-1,-"r, r/'f c·~i "7 Z5t .Y I
PHONE IFAX PHONE IFAX :,-7t'J' Tt-tJ '1'1'2 '-fl .'5 'iYI &· It-71 '1 7 75·; t:-iY
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I CLASS . \ CITY BUS. UC.#
1122 tt'i 9'22'1t7 cz.,:c.Jc I z. 2 '1 'ltl 7
(Sec, 7031.5 Business and P_rofess1ons Code: Any City or C(?un:ty which requires a permit to_construct, alter, improve, ~emollsh or repair any structure, pnor to its issuance, also re~i,mes the applicant for such per_mIt 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 D1v1sion 3 of the B_usiness and Professions Code} or that he is exemP.t 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}).
WORKERS' COMPENSATION
Work.an' Com1>9nsation Declaratlon: I hereby affirm under penalty of peljury one of the following declarations:
D 1 have and will maintain a certificate of consent to self•insura for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
J:21 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this ll!!rmit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo. lf.A.{Tc"tt/':Jf ... C PolicyNo. £1,,dC /l'C>'1¥J ExpirationDate //} 2.t /.2,
This section need not be completed if the permit ls for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for whk:h this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of
California. WARNING: Failure to secure work.en' comperu;ation 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 at~rovid~g.ftlr in S on 3-706' the Labor code, interest and attomey's fees .
.A!S' CONTRACTOR SIGNATURE ----',;, -_.::::__----□AGENT DATE ; :; 17 / I
I 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 structl.Jre is not intended or offered for sale (Sec, 7044, Busif'IE!ss 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 himseH or through his own employees, provided that such improvements are not intended or oflered 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 exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not aPPIY 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 Sectlon _____ 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. □ Yes □ No
2. I {have/ 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/ 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/ phone I contractors' license number):
5. I will provide some of the wor\l, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work)·
7
,,I$ PROPERTY OWNER SIGNATURE t::IAGENT DATE /2
COMPLIITII THI$ SECTION FOIi NON•IUISJDENTIAL BUILDING PERMITS Ol'ILY
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 building occupant required to obtain a permit from the air poMon control district or air quality management district? □ Yes □ No
Is the facillty to be conslructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 certify that I have ,ead the application and state that the above infonnatlon Is correct and that the lnfonnation on the plans Is accura1e. I agree to comply with all City ordinances and Stale laws relating to building construction.
I hereby authorize representative of the Ofy of Carlsbad b enter upon the atxJve mentKJOed property br insi:mlon purposes, I ALSO AGREE TO SAVE, INDEMNIFY />ND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pennrt is required bf excavations over 5'0' deep and demolioon orconstructkm of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Buik:ling Offk:ial under the provisions of this Oxle shall expire by limitat'on and oocome nuU and void if the buik:ling or 'M)f!( authorized by such pennlt is notoommenced W:thin
180 days from the date of such permd or if the build/.·ng or WJ authorized by stJdfPefff1il is suspended or abandoned at any time after the WJr1< is commenced for a perbd of 180 dais (Seeton 100.4.4 Uniform Building Ccxle).
( ' AS APPLICANT'S SIGNATURE _ __, · ' -~--DATE ; z I>-I/
... --
•
. m City of Carlsbad Bldg Inspection Request
For: 02/09/2012 -
-
Permit# CB112634
Title: RING RES-REPLACE FAU @ SAME
Description: LOCATION
Type:PME Sub Type:
Job Address: 2879 LEVANTE ST
Suite: Lot: 0
Location:
APPLICANT BERCKS OLD TIME PLUMBING
Owner: RING FAMILY TRUST 10-31-85
Remarks:
Total Time:
Phone: 7609420625
Inspector: ----
Requested By: NA
Entered By: CHRISTINE
_4_:_D_ ="'-'°' ___ £4[:•_.,_~-. .. 4---~---------
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments