HomeMy WebLinkAbout2032 PLAYA RD; ; CB140684; Permit03-26-2014
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Tille:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB140684
Building Inspection Request Line (760) 602-2725
2032 PLAYA RD CBAD
PME
2151305700
EDDY RES-REPLACE GAS LINE
FROM GAS METER TO HOUSE
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/26/2014
RMA
03/26/2014
03/26/2014
EDDY RICHARD P&MOSENSON-EDDY BETSY EDDY RICHARD P&MOSENSON-EDDY BETSY
2032 PLAYA RD
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2032 PLAYA RD
CARLSBAD CA 92009
$158.00
$0.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector Date: Clearance:
$0.00
NOTICE: Please take N at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exact1 ns.' ou have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures se 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
f i n fw i I I hi . h i n h i I h
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
«~j;
~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEI/SPACEI/UNIT
ITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Aft'ected Atea(s)
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME
Pr/mar Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
STATE
FAX
ZIP
ADDRESS
ZIP CITY STATE
PHONE FAX
EMAIL
STATE UC.# STATE UC.# CLASS
□HEALTH
SWPPP
CONSTR. TYPE OCC. GROUP
ZIP
CITY BUS. UC.#
FIRE SPRINKLERS
YES□No□
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any_ structure, prior to its Issuance, also requires the applicant for such permit 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 Division 3 of the Business and Professions Code) or [hat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {i500)).
WORKERS' COMPENSATION
Workn' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
B I have and will maintain a certificate of consent to self-Insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the worl( tor which this permit is issued.
I have and wlll maintain wor1un' compensation, as roouired by Section 3700 of the Labor Code, tor the perfomiance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ______________________ Policy No _______________ Expiration Date _________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which this pemiit 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 workers' compensation coverage Is unlawful, and shall subject an employer to crlminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages a& provided for In Section 3706 of the Labor code, Interest and attomey's fees.
,85 CONTRACTOR SIGNATURE □AGENT DATE
OWNERNBUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner ot 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 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 tor
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).
~. as owner ot the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Protessions Code: The Contractor's License Law does not apply lo an owner of L Property who builds or improves thereon, and contracts tor such projects with contraclor(s) licensed pursuant lo the Contractor's License Law).
□ I am exempt under Section _____ ,Business and Professions Code tor this reason:
1. I p!:!rsonally plan to provide the major labor and materials tor construction of the proposed property improvement. 0Yes ~ ~ have not) signed an application for a building permit for the proposed work. J ()-., ~ contracted with the tallowing person {flm,) lo provide lhe proposed construction (include name address I phone/ contractolS' license number): 4-'r}---() l v"4.. f) W\~ ("
4. I plan to provide portions ot the work, but I have hired the tallowing person to coordinate, supervise and provide the major work (include name I address I phone I contK.ctors' license nu~r):
5. I will provide some of the work, but I have contrceted (hired) the tallowing persons to provide the work indicated (include name I address/ phone I type ot work):
,,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPL!!TE''THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materi.ts registration form or risk ma,iagement and prevenijon 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 pollution control district or air quality management district? Yes No
Is the facility to be constructed 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the perfonnance of the work this penmt 1s issued (Sec 3097 (i) Civil Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I oertlfytt,at I have read the appllcatlon and state that the above Information Is co11'8Ctand that the infonnatlon on the plans Is aoourate. I agiee to complywlth aH cny ordinances and State laws relating to buildng construction.
I hereby aulholize representative of Ille Ci~ of Carnabad ll enter upon lhe above roontioned property ilr inspeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
AGAINST ALL LIABILITIES, JUCX,MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GIWITING OF THIS PERMIT.
OSHA: M OSHA permit is requred tlf excavations over 5'0' deep and demolioon or construction of structures over 3 sbries fl he{lht.
EXPIRATION: Every permit issued by the Buikiing Official under the provisions of tiis Code shall expire by Imitation and oooome null and vok:I W the l:llik:ling or v.ork authorized by such permit is oot oommenced 'Mthin
180 days from the daE of sl.dl ~rmlt or if the lx.Jilding orw:iri< authorized by such permit is sus or abanOOfled at anytime after the v.ori< is oommenced for a ~rkxl of 1 days (SectKlfl 100.4.4 Unibm Buikling Code).
AS APPLICANT'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-ll560, Email building@carlsbadca.gov or Mall lhe completed tom, to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
carlsbad
STATE
CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On pg. :1.)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/FAXTOOTHER: _______________ _
A$ APPLICANT'S S1GNATURE
ASSOCIATED CB#'------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
• • Inspection List
Permit#: CB140684 Type: PME
Date Inspection~ Item
03/26/2014 23 GasfTest/Repairs
03/26/2014 29 Final Plumbing
Thursday, March 27, 2014
Inspector Act
PY AP
PY AP
EDDY RES-REPLACE GAS LINE
FROM GAS METER TO HOUSE
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