HomeMy WebLinkAbout2737 BERKELEY AVE; ; CB132568; Permit10-21-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 32568
Building Inspection Request Line (760) 602-2725
Job Address.
Permit Type.
Parcel No
Reference #
PC#
Project Title
2737 BERKELEY AV CBAD
PME
1675614300 Lot#
•ERICKSON GAS & ELECT TO FUTUR
BBQ & FIREPIT & FOUNTAIN
Status
Applied
Entered By.
Plan Approved
Issued
Inspect Area
ISSUED
10/21/2013
JMA
10/21/2013
10/21/2013
Applicant
LORCO
Owner.
ERICKSON FARSHID TRUST 07-24-13
4488 SALISBURY DR
CARLSBAD CA 92010
619-434-8945
2737 BERKELEY AVE
CARLSBADCA 92010
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$158 00
$33 00
$0.00
$0 00
TOTAL PERMIT FEES $191 00
Total Fees $191 00 Total Payments To Date $191.00 Balance Due: $0.00
Inspector
FINAL A,
Date iX
\PPROVAL
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 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 nght 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired
/THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIVIIT ISSUANCE. nPLANNING nENGlNEERING nBUILDING nFIRE ] HEALTH • HAZMAT/APCD .^••
W CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov
Plan CheckNo.03)3-.2^6<^
Est. Value
Plan Ck. Deposit
Date iOl'U 13 SWPPP
JOB ADDl SUITE«/SPACE«/UNIT#
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: /ncfude Square Feet Of A/fectedArea(s> -T>
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES I |# N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT mflffiqumary^Contact) APPLICANT NAME (Secondary Contact;
ADDRESS ADDRESS
CITY STATE
EMAIL •
f2i£>/d STATE
FAX PHONE FAX
PROPERTY OWNER NAME
ADDRESS
^^NTJ
A nnDC
NTRACTOR BUS. NAMR
'ADDRESS
' STATE ZIP i CITY STATE CITY
PHONE PHONE FAX
EMAIL
E LIC# Z I CLASS I CITY BUS LIC # ARCH/DESIGNER NAME * ADDRESS
(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 ofthe Contractor's License LavK (Chapter 9, commendingwith 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
numbei are Insurance Co _ PolicyNo , Expiration Oate _ l±.
Workers' Compensation Declaration / ftereby affirm underpenalty ofpequry one ofthe following declarations
_ I have and will maintain a certificate of consent to self-insure for workeis' compensation as provided by Section 3700 of the Labor Code, for the perfomnance of the work for which this permit is issued
I i have and will maintain wnrl^r;;' rnmrrmntlrn as reguired by Secjion 3700 of the Labor Code, for the performance of the work for which this permit is issued My wori(ers' compensate instance earner and poiicy
tf^fV^ Policy No Expiration Oate
This section need not be completed if the permit isM one hundred dollars ($100) or less
I I Certificate ot Exemption i certify that in tha performance of t[)e wori( for which this perniit is issued, I shaii not employ any person in any manner so as to become subject to the Wori(ers' Compensation Laws of
California WARNING Failure to secure nonds' compep<j{ion coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to Ihe cost of compensation, damagesas prm/md for in Section 3706 of the Labor code, interest and attomey's fees. / /
JS^ CONTRACTOR SIGNATURE l/y^ QAGENT DATE /^Q fXf /
/ fierehy affirm that I am exempt from Confracftr's License Law for the following reason
I I I, as owner of the property or my empioyJes 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 lo 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 II, 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 I I, as owner of the property, am exclusively contracting with licensed contractors to construct the praject (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of
propeity who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
I I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement QYes I |No
2 1 (have / have not) signed an application for a building pemiit for the proposed work
3 I have contracted with the following person (firni) to provide the proposed constniction (include name address / phone / contractors' license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some of Ihe work, but I have contracted (hired) the following persons to provide the work indicated (indude name / address / phone / type of work)
^gS'pROPERTY OWNER SIGNATURE QAGENT DATE
is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk 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 oxupant required to obtain a permit from the air pollution control district or air quality management distncf ' Yes No
Is the facility to be constnicted 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.
1 hereby affii m 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 thati have read the applicaton and state that theabove Informafion is conect and that the infbnriabon on the plans Is accuiate. I agree to complywith all City ordinance
I hereby authonze lepresentative of the City of Carlsbad to f
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND i
OSHA An OSHA permit is required for excavations over 5'l
EXPIRATION Every pemiit issued by the Building Official (
180 days fitim the date of such permit or ifthe building or v
ygS*APPLICANT'S SIGNATURE
(ter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
[deep and demolton or construction of stmctures over 3 stones in heght
|der the proviscns ofthis Code shall expire by limitation and beoome null and void if the buikJing or work authonzed by such ^mnit is not commenced within
authonze#y such permit B suspended or abandoned at any time after the work is oommenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
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 buildinQ(5)carlsbadca QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
OCCUPANT'S BUS LiC No
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) . OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CBI32568 Type: PME ERICKSON: GAS & ELECT TO FUTUR
BBQ & FIREPIT & FOUNTAIN
Date Inspection Item Inspector Act Comments
11/13/2013 29 Final Plumbing -Rl AM PLS
11/13/2013 29 Final Plumbing MC Fl
11/13/2013 39 Final Electrical -Rl
11/13/2013 39 Final Electncal MC Fl
10/22/2013 23 Gas/Test/Repairs MC AP METER TO BBQ, FIREPIT
10/22/2013 31 Underground/Conduit-Wirin MC AP HOUSE TO BBQ, FOUNTAIN
Thursday, November 14, 2013 Page 1 of 1