HomeMy WebLinkAbout1721 EAST POINTE AVE; ; CB141792; Permit07-25-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB141792
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1721 EAST POINTE AV CBAD
PME
2073812700 Lot#:
BOCK: REPLACE PROPERTY DROP
CLEANOUT
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/25/2014
JMA
07/25/2014
07/25/2014
Applicant:
ARS DBA RESCUE ROOTER
STE B
9895 OLSON DR
SAN DIEGO CA 92121
858-457-6572
Owner:
BOCK ROXANN
1721 E POINTE AVE
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$158.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $158.00
Total Fees: $158.00 Total Paynnents To Date: $158.00 Balance Due: $0.00
Inspector:
FINAL
Date
^L APPROVAL
Clearance:
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 infonnation with the City Manager for
processing in accordance with Carlsbad IVIunicipal 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 oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
CITY OF
CARLSBAD
Building 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
— 1-7 21 e. Po^ntr-
SUITEII/SPACE«/UNrr« Al
ZOi a*^!-Or>
CT/PROJECT« |1.0T# | PHASE* ISOFUNrrS # BEDROOMS #BATHKOOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Inc/ude Square Feet Of Affecteif »raa(s;
dji/pLsTO^ prop^r"^ drop cL&.a..A<5vT
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) t )ECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESQ(. NoQ YEsQNOn YESpNoQ
APPUCAmpMEfPrlmary Contaot) r APPUOANfMm(Secondary Oeataot)
ADDRESS , ADORESS
crrc STATE Nv ZIP aiY STATE ZIP
PHONE FAX \^ PHONE FAX
EMAIL EMAIL
PROPERTYOWNBajftME . /TL _ i , CONTRA<Y^B^^E,^ ^ Q^^.^^
ADDRESS ' » \ ^ _ ADDRESS ^ , r>v ' r-^
CIU —, STATE ZIP ,
PHCNE_ U ~
EMAIL • ' EMAIL! i \ ^ ' '
AHCH/DESIBNER NAME * ADDRESS SIATE UC. tt STATE UC.# CLASS CnYBUS. Lie*
(Seo, 7031.5 Business and Professions Cods: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any stf ucture, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he Is licensed pursuantto the provisions ofthe Contracior's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he Is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant fora permit sub/eots the applicant to a chfll penalty of not more then five hundred dollars ($500)).
Workers'
Qlhav
Workers' Compensation Declaration: f hereliy alta umler penalty of peijury one of Itie Mowing dedarafiwis.'
have amt will maintain a certificate of consent to self-lnsuro fcr woilters' compensation as provided by Section 3700 of the Labor Code, lor the perfonnance of the work lor which this pennil Is Issued,
have and will maintain wori(4|^' compensation^ reauied by Secllon 3700 d Ihe Labor Code, lor Ihe perfonnance of Ihe work lor which this peimil Is Issued. Mv woriwrs' compensation insiyance ianler and policy
number am: Insurance Co L-l l^>g> r A • PQ!lcyNo.'~I(rt^l^Or>''^4';r-)| 3 Explralton Date [ I [ { H -
liljs seclbn need not be compleled If the perniH Is tor one hundred dolais ($100) or less. '
I I Certificate of Exemption; I ceitlly thai In the pedomiance ot the work ior which Ihis penult Is Issued, I shall not employ any person In any manner so as lo become subject to Ihe V^odteis' Compensation Laws of
Caiifomla. WARNING: Failure to secure workers' compensitlon coverage Is unlawhil, and shall subjact an employerto criminal penalties and civil fines up to one hundred thousand dollars (£109,000), In
addition lo Ihe cost of compensail^vvdfflnages IS provldsd for in Sactlon 370BoMhsU|»4code,in^ t
>€S'C0NTIWCT0RSIGNATURE O^jfeCS"? (^^C^irCv-s.^^^ ^GENT DATE I '27^1 1^1
10WNER-B0ILDER DECLARATION" ' "
/ heisby affinn thet I am exempf firm Conlracfor's tfcensa Law for the fohwing reason:
I I I, as owner of Ihe propeify or my emptoyses wilh wages as (heir sole compensalion, will do the worli and the structure Is nol Intended or offered for sale (Sao. 7044, Business and Professions Code: Tlie Contractor's
Lteense Law does nol apply lo an owner of property who bulMs or Improves thereon, and who does such woA himsell or through his own employees, provided lhal such Irop/ovoroenls are nol Inlended or offered fo;
sale. If, however, the buHding or Improvement Is soM wllhin one year ol completion, the owner-builder wl have Ihe burden of proving Ihat he did not build or Impiove lor Ihe purpose ol sale).
I I I, as owner of the property, am exclusively conlracUng with Hcensed contractors to conslwct Ihe prt^cl (Sec. 7044, Business and Prolessions Code: The Conlraclor's Lteenss Law does not apply lo an owner of
property who bulliis or Improves thereon, and conlracls lor such projects with contraclor(sj licensed pursuant Io Ihe Conlraclor's License Law).
I I I am exempt under Section Business and Prolessions Code for this reason:
1.1 personally plan lo provide the major labor and malerials lor conslrudtan of Ihe proposed properly Improvemenl. DYCS I llvki
2.1 (have / have nol) signed an applicallon ior a buikiing pemiil fcx Ihe proposed work.
3.1 have conlraded with ihe fbllowing person (flmn) to provide the proposed consinictlon (indude name address / phone /conlraclois' license number):
4,1 pian lo provide portions ofthe wodf, bul I have hired (he following person lo cooidinate, supervise and provide the maior work (Indude name / address / phone /conlractors'license number):
5.1 wU provide some of Die work, bul 1 have conlraded (hired) the follortig persons lo provkie the work IraScaled (includa name / address / phone / lype of work):
yfiS" PROPERTY OWNER SIGNATURE • AGENT DATE
.COWPJ-ETE THI5 .-SEXTTJON F O R N O N-U ES I JO E'N T^l Aa .B U I L D,l N G PJE t? (W I T S X> N.L V |
Is Ihe applkianl or future buUding occupant required to submit a business plan, acutely hazardous malerials reglstratkm form or dsk managemenl and prevenUon program under Sectkins 2S50S, 2S533 or 2S534 ol Ihe
Presley-Tanner Hazardous Subslance Accouni Act? [HiYes LZI No
Is the applicani or lulurs buiding occupant required io obtain a permil Iran Ihs air poliuiion conlroi disMcl or a^iiualily managemenl dislricl? LjYes |_J No
Is Ihe facHllylo be conslrucled wllhin 1,000leelof lha outer boundary Ola school slle? LjYes I INO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE QF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT 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 fcr the petformance of the woik this permit Is Issued (Sec. 3097 (I) CMI Code).
Lender's Name Lender's Address
LICAWT CERTirrCATION
1 ceitiiy that 1 have read the appllcaUon and slate thatthe abovslnfonnatjon Is conrect and thatthe Infornialion on the pla^^
I hereby auihoiize lepresentallVB of the CHy of Carisbad to enler upon Ihe above mentioned property for Inspsdton puiposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Om 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 perma Is isquiiBd br excavalions over OT deep arxl deriBl^
EXPIRATION: Eveiy pemiil Issued by the BuikUng Ofliciai under Ihe proviskins of this Code shaH expiie by limltailon and become nui and voU il Ihe buHding or work authorized by such perniH Is not commenced wllhin
180 days from Ihe date of such pernilt or If Ihe buldli^ or worii authoiized by such peimil Is suspended or abandoned at any Hme alter the wok Is commenced for a peijixl of 180 days (Section 106.4.4 Unlkxm Buiding Code).
APPLICANT'S SIGHATURE DATE
Inspection List
Permit*: CB141792 Type: PME BOCK: REPLACE PROPERTY DROP
CLEANOUT
Date Inspection Item Inspector Act Comments
07/28/2014 22 Sewer/Water Service PD AP
07/28/2014 29 Final Plumbing - Rl
07/28/2014 29 Final Plumbing PD AP
Wednesday, July 30, 2014 Page 1 of 1