HomeMy WebLinkAbout2412 SACADA CIR; A; CB133243; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-31-2013 Permit No: CB133243
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2412 SACADA CR CBAD St: A
PME
2161904501 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: CAAMANO DUPLEX-REPAIR GAS LINE
SDG&E LOCKED OFF METER DUE TO LEAK
Applicant:
LOU CAAMANO
2412 SACADA CR
CARLSBAD CA 92009
760 815-9154
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
BELICK FAMILY 2004 TRUST 03-31-04
2412 SACADA CIR #A
CARLSBAD CA 92009
ISSUED
12/31/2013
RMA
12/31/2013
12/31/2013
$33.00
$0.00
$0.00
$0.00
$33.00
Total Fees: $33.00 Total Payments To Date: $0.00 Balance Due:
FINAL APPR0VAL
Inspector: Date: /.-~ -/ r Clearance:
$33.00
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 Ccxle 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
fhi hv ivnNTI ·1 whihh flimiin
I
THE~OLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
4-· <<1~ ~ CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
□BUILDING □FIRE
Plan Check No.
CARLSBAD SWPPP
EXISTING USE ..
APPLICANT NAME (Primary Contact)
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE AGE (SF}
STATE ZIP
FAX
STATE UC.#
ADDRESS
CITY
PHONE
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
EMAIL
STATE LlC.#
AIR CONDITIONING
N<O vesONoO
STATE ZIP
FAX
STATE ZIP
FAX
CLASS crrv BUS. LIC.#
FIRE SPRINKLERS
YES0No0
{Sec. 70 1.5 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 flle a Siifled statement ttiat he is licensed pursuant to the provisions of the Contractor's license Law !Chapter "9, commending with Section 7000 of Division 3 of the Buslneu and Professions Code} or lhat he Is exemi;>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 clvll penaity of not more than five hundred dollars {$500)).
I WORKERS' COMPENSATION
WOIUl"I' Compenutlon Declaration: I hel8by 8"'tm under penalty of pe,Jixy on& d the fol/owl~ dec/RIJonS:
0 I havt and wlll maintain a certificate of consent to 11tf.ln1unt for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomlance of the work ror 'M'llch this permit is Issued. D I h1vt and will maintain wOftters' compensation, as required by Section 3700 of the Labor Code, for 11)8 performance of the 'Mlrk for 'M'llch this pem11t is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. ____________________ Polley No. _____________ Expiration Date ________ _
Jllil.section need not be completed If the permit ls for one hundred dollars ($100) N less. LJ Cectiflcate of Extmptlon: I certify that in the performance of the 'NOrk ror which this permit is Issued, I shall not employ any person In any manoer so as to become subject ID the Workers' Compensation Laws of
California. WARNING: Fallunt to 1acunt worilers' compenlltlon coverage 11 unlawful, and shaH subj Kt an employer to crimlnal penaltln and clvll flnn up to one hundred thou11nd dollm (&100,000), In
addition to the cost of compenlltlon, dlmag1111 provided for In Section 3708 of the Labor code, lnternt and attomay'1 feel.
,IS CONTRACTORSIGNAT\JRE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby alfltm thet I am exempt from Contractor's License Law for the fob,~ reason: O I, as owner of the property or my employees with wages as their sole compensation, wiN do the work il'ld the structure Is not Intended or offered ror sale (Sec. 7044, Business and Professions Code: The Contractor's
Uc:ense Law does not apply to an OM1Sr of property who buik:ls or improves lhareon, and who does such wori< himself or through his own employees, provided that such improvements n not Intended or offered for
¢ sale. If, however, the OOlk:llng 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 excluslvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrxto(s License law does not apply to an owner of
property who buik:ls or Improves thereon, and contracts ror such projects with contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section ____ .Business and Professions Code for this reason:
1. I ~ plan to provide the major labor and materials for construc:tlon of the proposed properly improvement OYes ~
2. ~ not) signed an applicallon for a building permit for Iha proposed work. " Pf!. i A
3. I have contracted with lhe following person (firm) ID provide the proposed construction (Include name address I phone/ contractors' license number): ,f'f"o/Tf/,._'lb4,l,L L L \/ kc.. 0 I
4. I plan to pro,lde portions of the ..... but I haw h;,ed the following"""' to CX)()~-. SUpeMS8 i,,d -the major .. ~ (lnci .... , .... /add,.../ phone/ comracto~· "8 a,mbel), ':.:;
5. I wiH provide some of the worti:, but I have contracted (hired) the foNowing persons ID provide the work Indicated (include name I address/ phone I type of won():
,IS PROPERTY OWNER SIGNAT\JRE □AGENT DATE /
• • HIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ooildlng OCCtJpant required to submit a business plan, acutely hazardous materials registration form or ri&k m.-.agement and prevention program under Sections 25505, 25533 or 25534 of the
.dous Substance Account Ac(f Yes No
,\/tUIII btildlng occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No
48 constructed within 1,000 feet of the ou'8r boundary of a school site? Yes No
• tiE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
-~CY SERVICES AND THE AIR POLLUTION CONTROL fljSTRJCT.
NSTRUCTION I.ENDING AGENCY
APPLICANT CERTIFICATION
I corllfythatl hM -i the opplloatlon and _that the abo,e lnfonna11on I& com,c;tand thatthe-..UOO on the pin l&accunne.1-m comply.tth all Cll)'Oldnancos and 81a1e 1ai1s -ngm bulld1.iC01111nam
I heleby aul10lile ,epresenlaliYeof the Cilyof Callsba:l lo enler upoo ... -menlilned i,openy ilr lnspecli)n purposes. I ALSO AGREE TO SAVE, l>IDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSIWl
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN NIYWAY ACCRUE AG>JNST SAD CITY IN CONSEQUENCE Of THE GRANTNG Of THIS PERMIT.
OSHA: "1 OSHA pennl is requi'ed ilr excavations o,er 5'0' deep and demolllon or ronslJudlon of mx:rures """3 Silfies i1 heiijll
EXPIRATKlN: Eve!y pennl issl.od bylhe llJ~lng Ofti:ial ooderto pnMSDl'IS of ~is Code shall e,plre by inllalion and lleoon'e nul and \Oij llhe bt.ikling or\\O!k aulhorized bysuch pemi1 is ncilrom-v.ihin
111'.ldays tom Ile dale of such pennlorttlhe l>JUdilg or\\O!k aulhorized by such penni is suspended or abanoored al any line a!Erthe \\Olk is 00IM18008d ilr a period of 100 ys (Secliln 1116.4.4 Uniilrm Builng Code).
~APPUCANT'SSIGNATIJRE ~ ---DATE IZ
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) 602-8560, Email building@carlsbadca gov or Mall the oornp,ited loon to City of eansbad, Building Division 1635 Faraday Avenue, Cansbad, California 92008.
CO#: {Office UH Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY Dl'llONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On PC. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
~ APPLICANT'S SIGNATURE
ASSOCIATEDCB#o ___________ _
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
lnspettion List
Permit#: CB133243 Type: PME
Date Inspection Item
12/31/2013 23 Gas/TesURepairs
12/31/2013 29 Final Plumbing
Friday, January 03, 2014
Inspector Act
PB AP
PB AP
CAAMANO DUPLEX-REPAIR GAS LINE
SDG&E LOCKED OFF METER DUE TO LE
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