HomeMy WebLinkAbout2709 PLUMERIA DR; ; CB091184; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-17-2009 Plumbing Permit Permit No: CB091184
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Building Inspection Request Line (760) 602-2725
2709 PLUMERIA DR CBAD
PLUM
2131814500 Lot#: 0
Construction Type: 5B
MEYERHOFF: GAS TO FIREPC & BBQ
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/17/2009
JMA
07/17/2009
07/17/2009
Applicant:
MEYERHOFF BRANDON K&SAMANTHA L MEYERHOFF BRANDON K&SAMANTHA L
2709 PLUMERIA DR
CARLSBAD CA 92009
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$27.00
0
0
0
0
0
1
0
2709 PLUMERIA DR
CARLSBAD CA 92009
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Payments To Date: $27.00 Balance Due:
FINAL APPROVAL
Date: q-/~ & Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred 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
f x in fwhi h T E r hi r hi h h flimi r vi I h i
City of Carlsbad ..
Plan Check No. Cf')C;A / I tf"c../ •
1635 Faraday Ave., Carlsbad, CA 92008 ~--~ Est. Value 760-602-2717 / 2718 / 2719
Fax: 760-602-8558 Plan Ck. Deposit ••
Building Permit Application Date 7/17 ()°/ luJiv-/\
JOB ADDRESS 2,7,;:, "\ P(µ_wtev~ Or-1ve. SUITE#/SPACE#/UNIT# IAP'z13 l &'/ LI~ -OC) --
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# B~OOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
7.-S
DESCRIPTION OF WORK: Include Square Feet of Affected A,ea(s) -
.~,,_.l_ ""CJ.S-( p
~-!!)"I< <.,> "> iv\_\; 1-,.. \ IJ... q f O'-{ ,f;}.., ...P-,(_t"-ai.. ,( f,.i..f::i· b,Ai 1)..., ( H DA
r.,.,;:._+ ..,, ,_ t v-i,.,,.f Y/R_el. J . t1 OA '"'->f~cfJ.. ""--1/1/W<. -t-.~~r.,wsfJ pv~'+.
L,<Y\(,J~ ~ <S,/tV )'1,1."jWI~ .,Q jr,._~ , .~ ( 1,,.,J Ho,A s.-.h(/ Meds fu.+1if.
EXISTING USE {)<vi--l,,.k 1~r~0 11k I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
vesfljll 1-,o[] v,s-tz9,,DD vesONofJ
CONTACT NAME (If D/Herent Fom Applicant) APPLICANT NAME 1~ '" J ,,.A } J., 1 I. l1_i,,
" . .
ADDRESS ADDRESS Zli::,C,,. R..w...v,·1... '----P<-
CITY STATE ZIP
CITY G...-ls~ STATE c_A ZIPq~
PHONE IFAX PHONE (o[q.1<, S-1-<.(j)C,., IFAX
EMAIL 7 lokM'··-J. Qe.& qw-e..i/.<--
PROPERTY OWNER NAME / CONTRACTOR BUS. NAME -
L
ADDRESS ///_ ADDRESS
CITY STATE LW CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CL.ASS I CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County whtch requires a penrnt to construct, alter, improve, demohsh or repair any structure, prior to its issuance, also requires the applicant for such permit to file a si~ned statement that he is licensed pursuant to the provisions of the Contractor's license Law JChapter 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 violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
El I have and will maintain a certificate of consent to self-insure 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 wOfkers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ______________________ Policy No. ______________ Expiration Date _________ _
JlliJ.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' CompensaUon Laws of
California. WARNING: Failure to secure workers' compensaUon coverage Is unlawful, and shall subject an employM to crlmlnal penahies and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees .
.6$ CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense 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 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 improvem8flts 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 property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursllant to the Contractor's License Law).
I am exempt under Section _____ ,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 Do
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the foHowing person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan lo provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number}:
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work}:
.6$ PROPERTY OWNER SIGNATURE DATE
'
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building OCCllpant required to submit a business.J2!Wl, acutely hazardous materials registration fom, or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes L.JNo
Is the applicant or future building occupant required to obtain a pem,it from the air pollu!Kln control district or a~ality management district? []ves D No
Is the facility to be constructed within 1,000 feet of the outef boundary of a school site? 0Yes LJNo
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 performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcation and state that the above information is correct and that the lnfonnatlon on the plans ls accurate. I agree to comply with all City ordinances and State laws relating ID building construction.
I hereby authorize representative of the City of Carlsbad to enter upon lhe above mentioned propertyforinspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
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 pellrit is requi"ed for excavations over 5'0' deep and derrolioon or constnJCOOll of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall exl)re by lirmation and become null and VOO W the building or work authorized by such pemil is not commenced 'Mlhin
180 days from the date of such pem,il or Wthe buUdi'lg or work authorized by sucti pem,il is suspended or abandoned at any tin-e afterlhe work is commenced for a period of 180 days {Section 106.4.4 Uniform Bu~ding Code).
~ APPLICANT'S SIGNATURE DATE
~/ CITY OF
CARLSBAD
Unscheduled
Building Inspection
Building Department
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
INSPECTOR: --fa+----,-""'-k-'---
PERMIT#: QO.,,\\ &'-', CONTACT: ______ _
PHONE#: ______ _
JOB ADDRESS: . ')...'"1.oo..'"b,W"'r, ••• --.,
DESCRIPTION: ___________________ _
CODE
?-.f\
gt2[3o/
Bldg Inspection Form
DESCRIPTION
~ ~a
ACT COMMENTS
___jJ__L_
7e
Page 1 of 1 Rev. 06/09
lnsp~·~tion List
Permit#: CB091184 Type: PLUM
Date Inspection Item
08/26/2009 21 Underground/Under Floor
08/26/2009 23 Gas/TesVRepairs
08/26/2009 29 Final Plumbing
08/26/2009 29 Final Plumbing
07/20/2009 21 Underground/Under Floor
07/20/2009 23 Gas/TesVRepairs
07/20/2009 29 Final Plumbing
Monday, August 31, 2009
Inspector Act
RB AP
RB AP
RI
RB WC
RB AP
RB co
RB co
MEYERHOFF: GAS TO FIREPC & BBQ
Comments
UNDRG GAS LINE
VERIFIED DEPTH (1124-G4)
SEE NOTICE
Page 1 of 1