HomeMy WebLinkAbout2723 SOCORRO LN; ; CB142060; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-19-2014 Permit No: CB142060
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
2723 SOCORRO LN CBAD
PME
2155412000 Lot#:
SALAS RES -GAS LINE FOR FIRE-
PIT // ELECTRICAL TO OUTDOOR OUTLET
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/19/2014
SKS
08/19/2014
08/19/2014
HARMONY LANDSCAPE INC
STE 105-702
SALAS MATTHEW E&MARTINEZ-SALAS GABRIELA
6965 EL CAMINO REAL
CARLSBAD CA 92009-4101
760-736-4767
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2723 SOCORRO LN
CARLSBAD CA 92009
$158.00
$33.00
$0.00
$0.00
$191.00
Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due:
Inspector:
FINA
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project inc!udes the "I osition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exacf,ons. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Munidpal Code Section 3.32.030. Failure lo timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your r'1ght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of whi h ou ha e reviousl een iven a NOTICE similar to this or s lo which th statute f limitations has reviousl therwise e ired.
1THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH []HAZMATIAPCO I
('city of Building Permit Application Plan Check No. C,6/W-Z0(yu
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. ~eposit email: building@carlsbadca.gov i
www.carlsbadca.gov \10 Date X I "1 I Y Cf lswppp
JOB ADDRESS cl .:;t ;;z 3 c.S"CJ C cJ /2.1"7<--(J ~ SUITE#/SPACE#/UNITIJ rPN ---
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
f'-)0, \ 1 (<---C s-uP 2~ TD ~ /2..,e ;o / r I I\.) r (Y?'/:$.
,E::c../£-.Cl~I C ~ 77) 0 U 1L;,e"-1 {f3F',Llc__. Y ("<y2· 0)
EXISTING USE I PROPOSED USE ! GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS
YESD No[] YES0No0 YES□No□
APPLICANT NAME PROPERTY OWNEitt . ?34'/ &~ Primary Contact r1////f
ADDRESS A°:25?-,:l3 Soco.e-~ ~/I/£
CITY STATE ZIP
Cl?,1/J'!--? ~/51?.) STATE C-/,J-ZIP~ '2-~c:>'7
PHONE IFAX PHONE I FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTO)'PU~~ t/fVV /,JI_ n-c--/ /1,,c_..__ UT -JI
ADDRESS 6"o/~r-u c ~~k: I A/i-7 r2E4-2-!I /£S-~
CITY STATE ZIP CITY ~ STATE
7?J. ?/17-L 6 ,;CJ 4-n CA-'.2.tfvo/
PHONE IFAX p%o ?-31/ c,,-n, #-AX no ?-26 l/i,,P?
EMAIL EMAIL
! STATE LIC. # STAT~ rZ,J:,c;--!CLASS ! CITY BUS. LIC.#
/7 ·; 7... ' L/ \~ -
(Sec. 7031.5 Business and Professions Code: Any City or coun_tY which requires a permit to c_onstruct. alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such permit to file a s1i;!ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law {Chapter 9, comme_ndmg with Section 7000 of D1v1s1on 3 of the B_usmess and Professions Code} orfhat he 1s exempt therefrom, and the basis for the alleged exemptmn. Any vmlat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a crv1I penaltY of not more than five hundred dollars {$500)). . .
Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations:
. ~ave 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 perm rt is issued, TI I have and will maintain workers' compensation, a; required by Section 3?00 of !~_.kl.~ r ,e,c !~performance of the work for which this permit is 1s;a~d. My workers' compensation insu nee carri a,nd ~licy
number are: Insurance Co,---.!?.€/1/C--14M ~-{<::;_~~-~ ~!icy No. C st:~o I'/ .L.Z Expiration Date I z {)
]:.,b§.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' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars {&100,000), in
addition to the cost of compensation, damages as provided fo~n ~ of the Labor code, interest and attorney's fees.
N! CONTRACTOR SIGNATURE -~~ □AGENT
I hereby affirm that I am exempt from Contractor's License 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 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 al 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) 1'1censed pursuant 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. OYes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I ptan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ 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):
£5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is tl1e applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of !he
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 facil'rty 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.
I certify that I have read the applleation and state that the al>ove information Is rorrectand that the information on the plans is acx:urate. I agree to romplywith all Cify oltlinances and State Jaw.; relating to building ronstruction.
I hereby authorize representative of the City of Carlsbad to enter upon the aOOve mentioned property br insi:;ection purposes. I ALSO AGREE TO SAVE, INDEMNIFY JI.J\JD KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OFT HE GRANTING OF THIS PERMIT,
OSHA: M OSHA perm rt is required for excavations over 5'0' deep and demolf10n or coristniction of structures over 3 stories ill he'ight.
EXPIRATION: Every pennit issued by the Buiiding Offcial under the provisKms of this Code shall expire by lim~ation and become null and void ff tl1e buiiding or oork authorized by sudl permit is not oommenced 'Mthin
180 days from the date of such i:ermft or if the build. y pe · · suspended or abandoned at any ~me after the oork is oommenced for a perod of 180 days (Section 106.4.4 un·1fonn Builcf1ng Code)
_.,g 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) 602-8560, Email bui!ding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (OfHce Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad 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: _____________ _
..IS APPLICANT'S SIGNATURE
ASSOCIATED CB#'------~
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB142060 Type: PME
Date Inspection Item
09/23/2014 23 Gas/Test/Repairs
09/23/2014 23 Gas/Test/Repairs
09/23/2014 33 Service Change/Upgrade
09/23/2014 33 Service Change/Upgrade
09/23/2014 39 Final Electrical
08/20/2014 23 Gas/Test/Repairs
08/20/2014 31 Underground/Conduit-Wirin
Tuesday, September 23, 2014
Inspector Act
RI
SP AP
RI
SP AP
SP Fl
PD AP
PD AP
SALAS RES -GAS LINE FOR FIRE-
PIT // ELECTRICAL TO OUTDOOR OUTLE
Comments
GASLINE/FIREPIT/ELECTRICAL
GASLINE/FIREPIT/ELECTRICAL
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