HomeMy WebLinkAbout2629 SUTTER ST; ; CB110550; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-16-2011 Plumbing Permit Permit No: CB110550
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2629 SUTTER ST CBAD
PLUM
1675112600 Lot#: 0
Construction Type: NEW
MOORE RES-REPLACE TUB, TILE,
FIXTURES & NEW CANNED LIGHTS IN MASTER & HALL
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/16/2011
JMA
03/16/2011
03/16/2011
TP
MOORE ROBERT C&STUPPY-MOORE LAURA MOORE ROBERT C&STUPPY-MOORE LAURA
2629 SUTTER ST
CARLSBAD CA 92010
760 729 5772
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: $103.00
~
Inspector: ~··
9
0
0
0
0
0
0
2629 SUTTER ST
CARLSBAD CA 92010
$20.00
$63.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$103.00
Total Payments To Date: $103.00 Balance Due:
FINAL APPROVAL
Date: __.~;;;;.ok:'-1-4,.1---Clearance: ------
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, Of annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection lees and capacity
changes, nor planning, zoning, grading or other similar application processing or service lees in connection with 1h18 project. NOR DOES IT APPLY to any
f~ .
(~~ARLSBA[)
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carl$.Q~_dca.2o_y
SUITE#/SPACE#/UN IT#
Plan Check No. GB l l O b
Est. Value
Plan Ck. Deposit
Date l \ SWPP
LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TEN.ANT BUSlfJESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
@_ ~
. EXISTING USE PRO GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # __ NO □ YES D NOD YES □ NO □
CONTACT NAME (If DJrferent Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
·ADD ADDRESS ..5u.:J:±.,er ,:St
CITY STATE ZIP CITY STATE ZIP w,o
PHONE FAX PHONE FAX 7(d)
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE llC. • STATE UC.# CLASS CITY BUS. UC.#
(Sec, 7031.5 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code I or that he Is exempt therefrom, and the basis for the alleged exerr.ption. Any violation of Section 7031.5 by any applicant for a permit subJeCts the applicant to a civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declaraffons:
□ I have and will maintain a certificate of consantto self·insure for workers' compensation as provided by Section 3700 of the Labor Code, lor the pertormance of the work for which this permit is issued.
□ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for !he 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 _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in the pertormance of !he 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 civil fines up to one hundred thousand dollars (8.100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
AS CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ I, as owner of !he property or my employees with wages as their sole compensauon, will do the work and the structure is not inlended 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 himse~ or through his own employees, provided !hat such improvemenls are not intended or offered for
sale. If, however, lhe building or improvement is sold wilhin 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)
/1,._1, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 pursuant to the Contractor's License Law).
□ I am exempt under Seclian _____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construcUon of the proposed property improvement. □ Yes □ No
2, I (have I 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 I phone I contractors' license number):
4. I plan to provide portions of the work., but I have hired the following person to coominate, supervise and provide the maI or work (include name I address I phone I contractors' license number):
5. I .,..;11 provide some of the work, bul I have contracted (hired) the tallowing persons to provide the work indicated (include name /address/ phone/ lype of work.):
□AGENT DATE ~ l (£, I (
Is lhe applicant or fulure building occupant required lo submtt 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 Subslance Account Act? □ Yes □ No
Is lhe applicant or future buld'ong occupant required to obtain a permil from lhe air poJlution conlrol districl or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feel of !he ouler 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 Ille application and state that the above infonnation is oonect and that the infonnation on the plans is atc11rate. I agree 1D comply with all City onlinancesand S1ale laws relating1D builcli'lg construction.
I hereby aulhorize representative cf lhe City of Carlroad to enter upon lhe above menooned property for inSpeclion 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 OFTHIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in heighL
EXPIRATION: Every permtt issued by lhe Buikting Official under lhe provisions of lhiS Code shall expire by linilalbn and beo,me nui and void if lhe buik:ling or v.ork authorized by such permit is not commenced wlhin
180days from lhe date of such pernt or if the building orv.ori('?°°ri~ ~sud! perllllt iS suspended or abandoned at anytime afterthev.ork is commerced for a peoocl of 1BOdays (Sectoo 106.4.4 Urfurm Builcing Code) .
..@S°APPLICANT'SSIGNATU 'O...Lt)./lJ._ ~ DAlE ..3( I (C I f
City of Carlsbad Bldg Inspection Request
For: 06/20/2011
Permit# CB110550 Inspector Assignment: TP ---
Title: MOORE RES-REPLACE TUB, TILE,
Description: FIXTURES & NEW CANNED LIGHTS IN MASTER & HALL
BATHS
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2629 SUTTER ST
Lot: 0
OWNER MOORE ROBERT C&STUPPY-MOORE LAURA
Owner: MOORE ROBERT C&STUPPY-MOORE LAURA
Remarks:
Total Time:
CD Description Act Comments
Phone: 7607295772
Inspector: L
Requested By: LAURA
Entered By: JANEAN
29
39
Final Plumbing
Final Electrical
_jjL __________ _
--'---------
·-----· ----·. ·--------·----·---. -----·--------------------·-------·
---,-------•-••r--••• ------------•---••
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lnsQection Histoty
Date Description Act lnsp Comments
05/13/2011 17 Interior Lath/Drywall AP PY
05/13/2011 24 Rough/Topout WC PY
05/12/2011 27 Shower Pan/Roman Tubs CA TP
03/2812011 17 Interior Lath/Drywall AP TP
r: I l Y n t
CARLSBA
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
□ Building Permit □ Right-of-Way Permit
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
□ My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Electrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
Plumbing
Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
□ My project qualifies as NO THREAT and is exempt from the requirement to prepare a stonm water pollution prevention plan (SWPPP) because
it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet far Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tier 1 -Low Threat Assessment Criteria
□ My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt penmit type (See lis1 above) and 1he project
meets one or more of the following criteria:
• Results in some soil dis1urbance; and/or
• Includes outdoor construc1ion activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling),
Tier 2 • Moderate Threat Assessment Criteria
□ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following cri1eria:
• Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of1he Carlsbad Municipal Code); or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
• Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
• Disturbed area is located along or within 30 feet of a storm drain inle1, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 • Significant Threat Assessment Criteria
□ My project includes clearing, grading or other dis1urbances to the ground resulting in soil dis1urbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
□ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
□ My project is located inside orwi1hin 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I certify to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
Project Address: Assessor Parcel No.
'The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Criteria in special circumstances l'o!iere it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
B-24
~~ ~ "SA,-
Jf~
Ger/Owner's Authorized Agent Signature: ~-~
City Concurrence: By: Date:
IJ YES IJ NO
Page 1 of 1
Title:
Date:
:5/lft; I I I
Project ID:
Rev.03109
Construction
SWPPP Tier
Level
Tier 3
Tier 2
Tier 1
Exempt
CONSTRUCTION THREAT
ASSESSMENT WORKSHEET FOR
DETERMINATION OF PROJECT'S
PERCEIVED THREAT TO
STORM WATER QUALITY
E-33
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Perceived
Construction Threat Assessment Criteria* Threat to
Storm Water
Qualitv
Tier 3 -High Construction Threat Assessment Criteria □ Project site is 50 acres or more and grading will occur during the rainy season
□ Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda
Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or
discharges directly to an ESA High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with
□
USDA-NRCS Erosion factors k1 greater than or equal to 0.4)
Site slope is 5 to 1 or steeper
□ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1
□
through April 30).
Owner/contractor received a Storm Water Notice of Violation within past two years
Tier 3 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria
Tier 2 High Construction Threat Assessment Criteria
□ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or
within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA
□ Soil at site is moderately to highly erosive (defined as having a predominance of soils with
USDA-NRCS Erosion factors k1 greater than or equal to 0.4) High
□ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1
through April 30).
□ Owner/contractor received a Storm Water Notice of Violation within past two years
□ Site results in one half acre or more of soil disturbance
Tier 2 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria
Tier 1 -Medium lns2ection Threat Assessment Criteria
□ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or
directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA
□ Soil at site is moderately to highly erosive (defined as having a predominance of soils with
USDA-NRCS Erosion factors k1 greater than or equal to 0.4) Medium □ Site slope is 5 to 1 or steeper
□ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1
through April 30).
□ Owner/contractor received a Storm Water Notice of Violation within past two years
□ Site results in one half acre or more of soil disturbance
Tier 1 -Low lnsQection Threat Assessment Criteria Low □ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria
-Not Applicable -Exempt
*The city engineer may authorize minor variances from the construction threat assessment criteria in special circumstances
where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of
the city engineer
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