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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