HomeMy WebLinkAbout1709 CARISSA WAY; ; CB140247; Permit01-30-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB140247
Building Inspection Request Line (760) 602-2725
Job Acidress:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1709 CAR I SSA WY CBAD
PME
2158810202 Lot #;
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/30/2014
LSM
01/30/2014
01/30/2014
BOWMAN RES- REPLACE WTR HTR
Applicant:
ARS DBA RESCUE ROOTER
STE B
9895 OLSON DR
SAN DIEGO CA 92121
858-457-6572
Owner:
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$33.00
$0.00
$0.00
$62.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector: t^- Ot-U^^
FINAL APPROVAL
Date:
Ah'l-'KU
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenA/ise expired.
^ CITY OF
CARLSBAD
Buiiding Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS „ /-> SUITEK/SPACEd/UNlTd APN
CT/PROJEa # LOT« PHASE» M OrUNITS # BECROOMS «BATHROOMS TENANT BUSINESS NAME CONSTR. TVPE OCCGROUP
DESCRIPTION OF WORK: Inc/ude Sguare Feet of Affected Areafs)
QjipL^ t:>f\.{ LADcAjif V\0C>XL~
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESQ* N0| 1 YES[^N0[^ YES| |NO| |
APPLICANT(DtMEt^Prtmary Conta(^) APPLICANT NAME rSecondary Contact)
ADDRESS ^ ADDRESS
CITY STATE \ ZIP CITY STATE ZIP
PHONE FAX \^ PHONE FAX
EMAIL EMAIL
PROPERTY OWN ERJIAMC /5 _ „
ADDRESS ADDRESS ^ , rv '
CITY >\ , STATE ' ZIP CITY — ' STATE ZIP
PHONE . , FAX EHONE U ^
EMAIL ' EMAIL1 » \ ^ ' '
ARCH/DESIGNER NAME 4 ADDRESS STATE uc. # STATE UC.# CLASS aTYBUS. LIC.#
(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) or wat he is exempt 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 dvil penalty of not more than five hundred dollars ($500)),
Workers' Compensation Declaration; / hereby affirm under penalty of peijury om of the lollowing aeaardlioni..
I have and will maintain a certificate of consent to self-Insure ter workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is Issued.
< nui number are: Insurance Co
'orke{S' compi have and will maintain workqjs' pmpensationjas required by Section 3700 of the Labor Code, for the perfomiance of the vrork for viihlch this pemiil is issued. Mv workers' compensation
PolicyNo. Expiration Date.
sation insivance tarher and policy
Bsec(k>n need not be completed if the pemiil is for one hundred dollais ($100) or less.
Certificate of Exemption: 1 ceitify lhal in the perfomiance of the vrork lor which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Wort<ers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hunjlred thousan^ dollars (&100,000), In
addition to the cost of compensatipiMlas<59°s provided for in Section 3706 ofthe Labe^code, interest and aUOnieyis fees
^eS" CONTRACTOR SIGNATURE \_JE^(5~7 CxS^ (fC:>iX'C.v.^<^T^ ^GENT DATE \ j I j t ^
OWNCn-BUILDER OECi.ARAT
/ hereby alSrm that I sm exempt trom Conlrador's Ucense Law for the follomng reason:
I I 1, as owner of the properly or my employees with wages as Iheir sole compensation, will do the vrork and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code; The Contractors
License Law does not apply to an owner of properly who builds or Improves Ihereon, and who does such work himself or through his own employees, provided that such improvements are nol intended or offered for
sale. If, however, fhe building or improvement is sold within one year of completion, the owner-builder will have the buKien of proving that he did not build or improve for the purpose of sale).
I I 1, as owner of the property, am exclusively contracting with licensed contractois to constnid Ihe project (Sec, 7044, Business and Professions Code: The Contractor's Ucense Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law).
I [ I am exempi under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constmctkin of the proposed property improvemenl. CDYBS I INO
2.1 (have / have not) signed an applicatton for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of (he wort, but I have hired the following person to coordinate, supervise and provide Ihe major work (indude name / address / phone / contractors' license number):
5.1 will provide some of the work, but 1 have contrMted (hired) the following persons to provide the work indicated (include name / address / phone / type of mA):
^gS'pROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicani or future building occupant required lo submil a business plan, acutely hazardous matenals registration form or risk managemenl and prevenlion program under Seclions 25505,25533 or 25534 of trie
Presley-Tanner Hazardous Subslance Accounl Act? CD Yes LDNO
is the applicant or luture buiWing occupant required to obtain a permit from the air pollution conlrol district or air qualitv management dislrici? CjYes LD No
is the facilily to be constmcted within 1,000 feet of the outer boundary ol a school site? CDYeE I I No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the applicabon and state that the above Infomiation is correct and thatthe infonnation on the plans is accur^^
I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for Inspection purposes. 1 ALSO AGREE TO SAVE, INDEIVINIFY 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: An OSHA pemiil is required for excavations over 50' deep and demolilion or constmction of stmctures over 3 stories in height
EXPIRATION: Every pemiit issued by the Building Oflicial under Ihe provisions of this Code shall expire by limitalion and become null and void if Ihe building or work authorized by such pemnit is not commenced vwlhin
180 days ftom the date of such pennil or if the building cr vrori< authorized by such permit is suspended or abandoned at any time after the wori( is commericed for a p»iod of 180 days (Sectbn 106.4.4 Unifonn Building Code).
) APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB140247 Type: PME BOWMAN RES- REPLACE WTR HTR
Date Inspection Item Inspector Act Comments
04/02/2014 25 Water HeaterA/ents - Rl 9-11 AM PLS GATE CODE 4273
04/02/2014 25 Water HeaterA/ents MC AP
04/02/2014 29 Final Plumbing - Rl
04/02/2014 29 Final Plumbing MC Fl
Thursday, April 03, 2014 Page 1 of 1