HomeMy WebLinkAbout1521 WHITE SAGE WAY; ; CB132022; Permit08-22-2013
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: CB132022
Building Inspection Request Line (760) 602-2725
1521 WHITE SAGE WY CBAD
PME
215040JZQ=>
SOBEL: ELEC. TO SPA//GAS TO
BBQ
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/22/2013
JMA
08/22/2013
08/22/201 3
DISTINCTIVE SCAPES
STE 2
131 S INDIANA AV
VISTA CA 92084
760 945-9093
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $185.00 Total Payments To Date:
Inspector:
$154.00
$31.00
$0.00
$0.00
$185.00
$185.00 Balance Due:
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
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMAT/APCD I
«~~ Building Permit Application Plan Check No. Clo l 3 • 20 22-.. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. (?eposlt CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 8" / '2 '2----/ / ~ jSWPPP
JOB ADDRESS 1521 White Sage Way
SUIT£f/SPACEI/UNITI l APN ---
I Gl/rnuJEGI • I LOT# ,,~c# I # o• UNITS I# uauR= # BATHNUUIV<> I TENANT BUSINt,,S NAME I Wl'QTR. ire< I """-"Rous
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Electrical for Spa approximate 90 In. ft.
Gas for bbq approximate: 150 In. ft.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
'
AIR CONDITIONING I FIRE SPRINKLERS
YES[), NcQ YES □No□ YES□ NO□
APPLICANT NAME (Primary Contact) Distinctive Scapes APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
131 S. indiana Ave. Suite 2
CITY STATE ZIP CITY STATE ZIP Vista CA 92084
PHONE 'FAX PHONE tAX 760-945-9093 760-945-9092
EMAIL EMAIL
info@,distinctivescapes.com
PROPERTY OWNER NAME Annette Sobel CONTRACTOR BUS. NAME Distinctive Scaoes
ADDRESS ADDRESS
1521 White Saae Wav 131 S. indiana Ave. Suite 2
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Vista CA 92084
PHONE PHONE
858-342-5499 'FAX 760-945-9093 [FAX 760-945-9092
EMAIL EMAIL
annettes@,roadrunner.com info@,distinctivescapes.com
ARCIVDESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ICLASS I c,rv eus. uc.1236697 926601 C-27
(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 !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm undel penalty of pe,tury one of the followfng declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the perfonnance of lhe work for which this pennil is issued.
[Z] I have and will maintain workers' compensaUon, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insur.wice carrier and policy
number aro: Insurance Co. Peerless Insurance company Policy No. WC1029843 Expiration Date 215/2014
~ section need nol be completed K the permtt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of tho wor1< for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws 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 cornpensaUon, dam as provided for In Section 3706 of the Labor code, interest and attorney's fees.
Ji:S CONTRACTOR SIGNATURE ---------GENT DATE
I hereby affirm that I am exempt from Contraclor's License Law for the following reason: D 1, as owner or the property or my employees with wages as their sole compensation, wiU do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclo(s
License Law does not apply 10 an owner of property who builds or improves thereon, and who does such work himseij or through his own employees, provided lhal such improvements aro 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 or proving that he did nol build or improve for the purpose of sale).
□
□
f, as owner of the property, am exdusively contracting with licensed contractors IO construct the project (Sec. 7044, Business and Professions Code: The Conlracto(s License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant lo the Conlracto(s License Law).
I am exempt under Section ___ __,Business and Professions Code for this reason:
1. I personally plan 10 provide the major labor and materials for conslruclion of lhe proposed property improvemenL □Yes 0 No
2. I (have f have not) ~ned an application for a building pennit for the proposed work.
3. I have contracted with lhe following person (finn) lo provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, bu1 I have hired the following person IO coordinate, supervise and provide the major work ~nciude name/ address/ phone/ conlraclOrs' license number):
5. 1 will provide some of the work, but I have contracted (hired) lhe following persons to provide lhe work indicated (include name/ address/ phone/ type or work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matertals reglstraUon form or rtsk management and prevenUon program under SecUons 25505, 25533 or 25534 of the
Presley-Tanner Harardous Su~stance Account Act? □ Yes □ No
Is the applicant or future building occupant required kl obtain a permit from the air pollution control dislliet or air quality management dislliet? □ 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 AND THE AIR POLLUTION CONTROL DISTRICT.
of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify that I have read the applcatlon and SlatethattheaboYelnfonnation lsconectand that the lrtormatlon on the plans lsacaJrate. t agroo to comply with all City ordinances and State laws relating to bulldngconstructlon.
I hereby aulhorize rep-esentalive of the City of Carlsbad to enter upon the aoove menlK:xled property tr nspecoon purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CllY a= CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEOJENCE ()' THE GRANTING()' THIS PERMIT.
OSHA: An OSHA perm1 is required tr excavatioos ove, 5'0' deep and <lerl'dition or construction of slructures f1vet 3 sklries il heiglt.
EXPIRATION: E"3fY pennit issued ll'f the &Jilding OOcial under the provisms or this Code shall ellpire ll'f linitaoon and become nun and \ul W the buildilg or v.ork authorized by such pennit is not convnenced withi'l
180days from the date of such pennit or if the bu ing orv.ork authorized ll'f st.dl pennil is suspended or abandorl:)d at any time after the v.ork is commencoo tr a period of 180 (Section 106.4.4 Unitlrm Building Code).
APPLICANT'S SIGNATURE DATE
lnsp~~tjon List
Permit#: CB132022 Type: PME
Date Inspection Item
01/23/2014 21 Underground/Under Floor
01/23/2014 23 Gas/Test/Repairs
01/23/2014 29 Final Plumbing
01/23/2014 31 Underground/Conduit-Wirin
01/23/2014 39 Final Electrical
08/27/2013 23 Gas/Test/Repairs
08/27/2013 31 Underground/Conduit-Wirin
08/23/2013 23 Gas/Test/Repairs
08/23/2013 31 Underground/Conduit-Wirin
Friday, January 24, 2014
Inspector Act
RI
RI
MC Fl
RI
MC Fl
MC AP
MC AP
MC co
MC co
SOBEL: ELEC. TO SPA//GAS TO
BBQ
Comments
1" CONDUIT ONLY FOR SPA
SEE CARD
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