HomeMy WebLinkAbout2582 TOWN GARDEN RD; ; CB132532; Permit10-16-2013
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title·
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB132532
Building Inspection Request Line (760) 602-2725
2582 TOWN GARDEN RD CBAD
PME
2131306300 Lot #:
RODRIGUEZ RES -ADD SHOWER TO
0
1ST FL BATH IN PLACE OF EXISTING CABINETRY
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/16/2013
SKS
10/16/2013
10/16/2013
RODRIGUEZ RAUL&AMANDA E RODRIGUEZ RAUL&AMANDA E
2582 TOWN GARDEN RD
CARLSBAD CA 92009
310-954-7978
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2582 TOWN GARDEN RD
CARLSBAD CA 92009
$158.00
$0.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector: 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 exaction which h ve revi I en iven NOTICE imilar t hi r as t whi h th atut f limitatio sh
p THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
'~
• Building Permit Application Plan Check No. @ I 5 253Z
<·~·· ,°'"''·· ..:" / 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value \~ Cl TY 0 f Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov 51t.,5 Date (::>( / l(J( (:!:> ISWPPP
JOB A/DD,RESS Ch '\ill_fl fld ' Co..r \sb:u.l CA c-1wJ
SUITEI/SPACEf/UNITI IAPN
\OWl'i ---5)Sil
CT/PROJECT# I LOT !\J l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS lTENANT BUSINESS NAME I CONSTR. TYPE I DCC, GROUP
DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) _
. f:ili \ ~ "'>hli\.\J:f .\c 1).111Qn, ~c,of ~t Ill._ 1:n\h@\l)
EXISTING USE FIREPLACE I PROPOSED USE lGARAGE (SF) PATIOS (SF) I DECKS (SF)
YESO IAIR CONDITIONING IFIRE SPRINKLERS
No0 m □No□ YES□No□
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
Cl1Y STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
PROrr;i:~'t~w~-~~fMEA il {,,,\ f\f,11 f T
CONTRACTOR BUS. NAME
ADDR'S C\o.\ilix\ o.r ADDRESS . ~~ .~
I 0()\\
CITY ~ STATE C\ii6l CITY STATE ZIP Ch., \c, b:lJ, (fr
PH°tE IFAX PHONE I FAX J.,1() \ C\CJ.\ -7C\L ~
EMAIL EMAIL
\')Y:, \:\ l'f\(\NC\ \ ed. f\ c,;w .. L <fu '¥1hlX::, LC,IY\
ARCH/DESIGNER NAME & ADDRESS V I STATE LIC. # STATE LIC.# ICCASS I CITY BUS. LIC.#
(Sec, 7031.5 Business and P_rofess1ons 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 for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_ndIng with Section 7000 of D1v1s1on 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)).
WORKl!RI' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalt;, of perjury one of the following declarations:
B 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 workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wofl( for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ______________________ Policy No. ______________ Expiration Date _________ _
~section need not be completed if the permit is for one hurnlred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfomiance 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 Lav.s 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 (&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 .
.Je5 CONTRACTORStGNATURE □AGENT DATE
OWNER·IIIIIL0111R 01,(:LARATIOH
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 for
sale. 11, 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 pursuant to the Contractor's License Law),
I am exempt under Section _____ B,usiness 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
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 I phone / contractors' license number)·
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors· license number)·
5. I will provide some of the work, but I a ntracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work):
.Je5 PROPERTY OWNER SIGNATURE I □AGENT DATE
xl:'01111,PLeTE,THU Sl!CTION FOff NON-ltES1'a'ENTI.IH "au1i.1:r1NG PEltM,i'Ts ONI.Y
~ -r, ~
Is the applicant or future building occupant required to submit a business plan, acLJtely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
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 facility 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above Information Is correct and that the information on the plans Is accurate. I agree to complywl1h all Cify ordinances and State laws relating 1D building construction.
I hereby authorize representative of the City of Ca~sbad to enter u~n the atxive mentioned property for inspecoon purµ:,ses. 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: M OSHA penntt is required for excavations over 5'0' deep and demolfon or construction of structures over 3 stories in hetlht.
EXPIRATION: Every pennit issued by the • • g Qffcial under the provisKlns oflhis Oxle shall expire by limitaljon and become null and vokl if the building or v.ork authorized by suet, pennit is not oomrnenced ,.,;thin
180 days from the date of six:h permit o • th ik:!Jlg or v.ork authorized by sudl penntt is suspended or abandoned at any time after the v.ork is oommenced for a period of 180 days (~ion 100.4.4 Unifonn Building Oxle) .
..@S' APPLICANT'S SIGNATIJRE DATE 10/ I tc / 13
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 buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELIVERY OPTIONS
PICKUP:
MAIL TO:
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
CONTACT {Listed above)
CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER:
LS APPLICANT'S SIGNATURE
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
ZIP
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. UC. No.
ASSOCIATED CB#'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
lnsJjection List
Permit#: CB132532
Date Inspection Item
11/14/2013 29 Final Plumbing
11/14/2013 89 Final Combo
10/29/2013 24 RoughfT opout
Type: PME
10/25/2013 21 Underground/Under Floor
10/24/2013 21 Underground/Under Floor
Friday, November 15, 2013
Inspector Act
RI
PD AP
PD AP
PD CA
PD AP
RODRIGUEZ RES· ADD SHOWER TO
1ST FL BATH IN PLACE OF EXISTING CA
Comments
RODRIGUEZ RES
Page 1 of 1