HomeMy WebLinkAbout2744 CARLSBAD BLVD; 114; CB120411; Permit03-07-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB120411
Building Inspection Request Line (760) 602-2725
Job Address:
Pemnit Type;
Parcel No:
Reference #:
PC #:
Project Title:
2744 CARLSBAD BL CBAD St: 114
PME
2031722720 Lot#:
AGAINST THE GRAIN-ADD 2 SINKS
(TIE IN TO SEWER LINE) & INSTALL NEW 10 GAL
Status: ISSUED
Applied: 03/07/2012
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
ACME FLOOD INC
STEL
1945 CAMINO VIDA ROBLE
CARLSBAD CA 92008
760 476-3630
RMA
03/07/2012
03/07/2012
Owner:
ANASTASI DEVELOPMENT CO L L C
511 TORRANCE BLVD #200
REDONDO BEACH CA 90277
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$150.00
$30.00
$0.00
$0.00
TOTAL PERMIT FEES $180.00
Total Fees: $180.00 Total Payments To Date: $180.00 BalanceDue: $0.00
Inspector:
FINAL
Date:
^PROVAL
Clearance:
NOTICE: Please take NOTICE thjft approval of your project inoiudes the "Imposition" oWees, dedications, resetvations, 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/exactlons. 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 attacl<,
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 sen/ice 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 othenA/lse exoired.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.ca risbadca .gov
Plan Check No.
Est. Value
Plan Ck. Deposit x-v nail wn. wcpusii
t/UNIT# 7VPN "
SWPP
JOB ADDRESS , . , /A i ) ^ X SUITE#/SPACE#/DNIT# ^ TSPig '
CT/PROJECT # lOTi | PHASE # # OF UNITS j # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE J OCC GRI
\ III I \A<^AIl4fr ^rl-l. /^Ifyf/yit/
DESCRIPnONOFWORK: /nclude Square Feet of >urscte^Area(si ^ ' ^ -vir-
PHASE # # OF UNITS # BEDROOMS
SUITE#/SPACE#/IJNIT#
TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES D NOD
APPLICANT NAME (Wmary Coj 'Mmary CojUastK APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
FAX
CITY STATE
PHONE FAX
iraAiL .
PROPERTY OWNEA lOtME I CONTRAKOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE
PHONE PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC.#^ CLASS _ CIPl" 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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commenaing with Section 7000 of Division 3 ofthe Business and Professions Code) or that 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 civil penalty of not more than five hundred dollars ($500)).
MirOI7K£(?S- COMPENSATION
Workers' Compensation Declaration: //lereby affim) under penalty of peijuiy one of the following declarations:
a l^ave and will maintain a certificate of conseflt to self-Insure for woriters' compensation as provided bySection 3700 of the LaborCode, for the performance of the work for which this permit Is issued.
\S\ have and will maintain worj^ers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. My workers' compensatipn insurance canier and policy
number are: Insurance Co. Qp(^AmY\"C' Policy No. {t ( 3 "^t • I I Expirafion Date 5" " I
This section need not be completed if the permit is fbr one hundred dollars ($100) or less.
C3 Certificate of Exemption: I certify that in the perfonnance of the work for whicli this pennit is issued, I shail not employ any person in any manner so as to become sut>iect to the Workers' Compensation Laws of
Califbrnia. WARNING: Failure to secure workers' compensatian coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the co$t of compensalj&irilOTagwjtiijiiuildatlftif l^^a^iop 3706 of ths Labor code, Interest and attomey's fees.
>jES'CONTRACTORSIGNATURaJi Qifljfjfer f "^f^ OfRgENT DATE "3 "'I " C^—
6 Wf If fB'BUILDEB OfCl.-. ATION
/ hereby affirm thsi I am exempt from Contractor's Ucense Law /or fhe follomng reason:
3 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
Ucense Law does not apply to an owner of property who buiids or improves thereon, and who does such work himself or through his own empkiyees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he dkl not bulk! or improve for the puipose of sale).
• I, as owner of the praperty, 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 fbr such projects with contractor(s) licensed pursuant to the Contractor's License Law).
• lam exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement OYes DNo
2.1 (have / have not) signed an applicafion for a building permit for the proposed work.
3.1 have contracted with the following peison (firm) to provide ttie proposed constnjcfion (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired ttie folbwing person to coordinate, supervise and provide ttie major work (include name / address / phone / conb'ackirs' license number):
5.1 will provide some of the work, but I have confi-acted (hired) the following persons to provide ttie work indicated (include name / address / phone / type of work):
vfifpROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOlt NON-BESIOENTIAL BUILOINQ PERMITS ONLY
Is ttie applicant or future building occupant required to submit a business plan, acutely hazardous materials registratton fomi o r risk management and preventton program under Sections 25505,25533 or 25534 of ttie
Presley-Tanner Hazardous Substance Account Act? OYes ONo
Is ttie applicant or future buikling occupant requited to obtain a pemiit from ttie air pollutton control district or air quality management district? (3 Yes • No
Is ttie facility to be constt'ucted wittiin 1,000 feet of ttie outer boundary of a school site? OYes ONo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF 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 DISTRia.
C ONSTRUCTION LENDING AGENCY
I hereby affirm that there is a constmction lending agency for the performance of the work this permit Is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
1 certif that I have lead the applk^tion and state thatthe above infoimatkm Is coirect and thatthe Mbnnatkm on the plans Is accuiate. I agiee to comply wltti all Cily oidlnances and State lavs relating to building constiuclion.
I hereby auttiorize representative of the Qty of Carisbad to enter upon Ihe above menttoned property fbr inspeciion purposes. I ALSO AGREE TO SAVE, INDEMN IFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN GOISEQUENCE CF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit Is required fbr excavattons over S'C deep and demolitbn or constmction of sttuctures over 3 stories In height.
EXPIRATION: Every pemnit issued by the Building Official under ttie provisions of ttils Ctode shall expire by limitafion and become nuH and void if ttie building or vwrk auttiorized by such penriK Is not commenced v«ttiln
180 days from ttie date ofsuch pemilt or If the buiding or work auttiorized by such pennit is suspended or abandoned at any time after ttie work Is commenoed for a period of 180 days (Sectbn 106.4.4 Unifomn Building Oxle).
vg^APPLICANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 03/27/2012
Permit* CB120411
Title: AGAINST THE GRAIN-ADD 2 SINKS
Inspector Assignment: PY
Description: (TIE IN TO SEWER LINE) & INSTALL NEW 10 GAL
ELECTRIC WATER HEATER W/ ELECTRIC
2744 CARLSBAD BL
114 Lot:
Type: PME Sub Type:
Job Address:
Suite:
Location:
OWNER ANASTASI DEVELOPMENT CO L L C
Owner:
Remarks: OPENS AT 9AM
Total Time:
Phone: 7608776960
Inspector:
Requested By: DOROTHY
Entered By: JANEAN
CD Description
29 Final Plumbing
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments
03/15/2012 29 Final Plumbing NR PY
03/13/2012 21 Underground/Under Floor AP PY
03/13/2012 24 Roughn^opout AP PY
/U/O
(301
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