HomeMy WebLinkAbout2717 PLUMERIA DR; ; CB164009; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-25-2016 Permit No: CB164009
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2717 PLUMERIA DR CBAD
PME
2131814300 Lot#: 0
ELKINS: REPLACE 50 GALLON
WATER HEATER IN SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/25/2016
SF
10/25/2016
10/25/2016
AFFORDABLE WATER HEATERS AND PLUMBING INC
STE 698
ELKINS CHRISTOPHER G&ESCURO GUIA-L YNN
28358 CONSTELLATION RD
VALENCIA CA 91355-5044
855-345-9087 I 9048
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2717 PLUMERIA DR
CARLSBAD CA 92009
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
A_/ Inspector:
FINAL APPROVAL
Date: //-I 1-ti Clearance:
$0.00
_,,
t,KJ!lCE: Rease la<e t,KJ!lCE: Iha:~ ci )OJI' ~ed irdudes tte "lrrpcstiori' d fees, cleclcatiors, reservaicns, or ctt-er e<alio'ls -cdlectively
referred to as '1ee&'oxa:lions." Yoo rave 00 days from tte-tl'is pemit was iss..edto pretest i"'l"'5iti01 d these fee&'~ If )<JU pretest Item )<JU ITT.St
fdloott-eprctest procecires set forth in GMmnant Code Sedi0160020(a), a-d filette pretest a-d anyctt-er req..ired irtooreli01wth tteaty""-ro-
pn:,a,s,;rg in ax:orda-oewth catsboo Mridpa Code Sedi013.32.030. FalU'etotirrayfcJlo,,that procecirewll t>a-any~ lega !di01to~
rEMe..v, set aside, \Od, er aTU tl"eir irrpooitioo.
Yoo a,, heret>y FLRTl-ER NJ!lRED that yo.r rig1 to pretest tte spedfia:I fee&'oxa:licrs CCES t-.Or APPLY to ....ter a-d _. QC>'lned01 feas a-d ~
r:t,.rg9s, n:r pla'lirg, zairg, ga:lrg a ether sinila-~ia:tia, ~rg cr sa\lice fees in a:rnectioo Wth ths i:rtja:t r-rn OCES IT~ Y to ary
i ""wi....., -··have "'~vvn,...,...sinil,,,..totlis ....... --L-Md, .. i i,.......,,has --'red.
THE FOLLI..WING APPR:OVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD
,
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. C.,~ \ b 'i Oc:,9
Est. Value
Plan Ck. Deposit
Date \-.:. 2-:S I b SWPPP
JOB ADDRESS SUITE•/SPACE#/UNIT# APN
CT/P 0JECT # NANT BUSINESS NAME CONSTR. TYPE OCC. GROUP-[
I
l..,======~=i'======.lcc=·==f------'-----~------'-----------------'----L---~ DESCRIPTION OF WORK: Inelude SqU818 Feet of Affected Area(s) I
EXISTING USE
APPLICANT NAME
~ry Contllct.
EMAIL
DESIGN PROFESSIONAi.
ADDRESS
CITY
PHONE
EMAIL
Re..?\CAce.. So
PROPOSED USE GARAGE {SF)
"STATE ZIP
FAA
PATIOS {SF) DECKS (SF)
PROPERTY OWNER NAME
ADDRESS 1-7
CITY
FIREPL6.CE
YES[],,
Co, r-1 ~'o o. c\
A:S-S.3\S
CONTRACTOR BUS. NAME A
ADDRESS
AIR CONDITIONING
NoQ YESON□D
FAA
'2. i ) '5 z
CITY \(
Cl)n ::::::rel 1 Clt Io f1 -enc·, o_ · sTATE Cit
s-qcog-1
FIRE SPRINKLERS YES□N□oi
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant tor such permit to file a signed 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 Profess tons 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
Wortwrs' Compensatk>n Dtdaratlon: / hereby affirm under penalty of perjury one of the following decJaratkms:
Qi have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the LaOOr Code, fOr the performance of the work fOr which this permit is issued. ~ I have and will maintain workers' compensation, as rwuired by Section 3700 of the labor Code, tor the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
o,mberare:losuraoceeoloS\\Y:OiDCf, Ol · 1)-1---\:b e \,\I e ,Sj'.,.,.,N, fi v "-i 2 ~ "l 7 D v &plralioollale \ • \ -\ 7 ' ~ secoon need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in !he performance of the work for which this perm ft is issued, I-!hall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
caFlfomia. WARNING: Failure to secure wOlker&' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil finn 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 attorney's fees.
_g cOHTRACT□RSIGNATuRE · Cl e n + WG••T
1 hereby affirm that I am exempt from Confrl:ICtor's License Law for the following reason:
D
D
D
/, 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 improvements are not intended or offered for
safe. If, however, lhe building or improvement is sold within one year of oompletion, the owner-buider wil 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 oontracting with licensed cootractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's LiC811se law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) nt:ensed pursuant to the Contractor's License law).
I am exempt under Soction ___ ~.Business and Professions Code for this reason:
1. I personally plan to pro,Me the major labor and materials for construction of the proposed property improvement OYes ONo
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. J have o::mtracted with the following person (firm) to provide the proposed construcbon (include name address/ phone/ oontractors' license number): :
4. I plan to provide portions of the work, but I have hired the following pE!fSOO to ooordinate, supervise and provide the major work (include name I address/ phone / contractors' license number): j
5. I will provide some of the work, butt have contracted (hired) the following persons to provkie the work indicated {include name I address I phone/ type of work): j
_g PROPERTY OWNER SGNATURE □AGENT DATE ~--~----~
COMPLETE THIS SECTION FOR NON-Rt:SIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future buildlng occupant required to submit a busiriess plan, a::utely hazardous materials registration form or risk management and prevention program under SecliOns 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air polluUon cootrol district or air quality management district? O Yes O No
Is the fa:IH!y to be constructed wllhln 1,000 feet Of the outer bounda,y of a school site? D Yes O 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 POLWTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I celtifythatl have readtheapplleatlon and statethattheabcMI informadon is conectand that the infonnation on the planslsacnirate. I ag!eelD oom~'Mth all Qfy onlnances and state liMS relating to tllikingconstrudlon.
I hereby authorize representative of the City of Carlsbad to enteruJX>n the above mentioned property for Jlspecfun purJX)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF 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 I
OSHA: An OSHA permit is requied b' axcavaoons OYel' 5'0' deep a-.d dei'oolilbn or oonstruclion of structures over 3 stories in height. I
EXPRA. TION: Every permit issuoo by the &Jitling ~I under the prtMSOOS of this Code shall expire by HmitaOOll and beoome nul and VOKl if the buikf1ng or 'M:lfk aultlc:1u.ed by such permit is not a:mmerx:eo' withrl
180 days fi'om the daeofsWI permit or iflhe buitling orwrtc. aulhCJized by su-;h permtt is suspended or abandoned at any time after the \\Ol'1<. is oommenced bra perm of 180 days (Section 100.4.4 Unibrm Builcling Code). I
-@S' APPLICANT'S SIGNATURE DATE \ '() \ 1 C) \ _j L..::______::::_~::_::__::_:__=---------i,~~~:::t:::__ _______ ____::.:~~_i_"----=-L''~VL___ __ ~_
---
' PERMIT INSPECTION HISTORY REPORT (CB164009)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Commercial
P/M/E
Issued -Active
Actual
Start Date Inspection Type
Application Date: 10/25/2016 Owner:
Issue Date: 10/25/2016 Subdivision:
Expiration Date: 04/24/2017 Address:
IVR Number: 717916
Inspection No. Inspection Status Primary Inspector
11/1712016 11/1712016 BLDG-25 Water
HeaterNents
001617-2016 Passed Jonathan West
January 11, 2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
001618-2016
Checklist Item
BLDG-Plumbing Final
COMMENTS
Passed Jonathan West
COMMENTS
COOWNER CHRISTOPHER
ELKINS AND GUIA-L YNN ESCURO
2717 Plumeria Dr
Carlsbad, CA
Reinspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
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