HomeMy WebLinkAbout1048 LIGHTHOUSE RD; ; CB152327; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-23-2015 Permit No: CB152327
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1048 LIGHTHOUSE RD CBAD
PME Status:
Parcel No: 2145314400 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
MCGEE RES-GAS LINE FROM METER
TO FUTURE FIRE PIT AREA
MCGEE FAMILY TRUST 05-24-90
35744 ROSEMONT DR
PALM DESERT CA 92211
858 245-3807
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MCGEE FAMILY TRUST 05-24-90
357 44 ROSEMONT DR
PALM DESERT CA 92211
ISSUED
07/23/2015
RMA
07/23/2015
07/23/2015
$160.00
$0.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
FINAL APPROVAL
Inspector: f.!1. ~ Date: 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
fe ex lion f whi h u have · u I been iven a N Tl E imi\ar to th' whi h he tat f \imi a i n ha r vi sl herwi e e ir d.
······-·----
THE FOLLOWIN4 APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING 'f'tiBUILDING □FIRE □HEALTH OHAZMAT/APCD
·(city of Building Permit Application I Plan Check No. . 'IL I 5 'J ? .J '7
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value , v' T 7
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. pepo!jlt email: building@carlsbadca.gov JJA--www.carlsbadca.gov ~Date 7/.)._} /!) /SWPPP
JOB ADDRESS i-, t:l nTO:M!) e_ -P,J.. SUITE#/SPACEI /UNA'# (PP! I 04 'il ---.
CT/PROJECT# LOT# I PHASE# I# OF UNITS I# BEDROOMS 1, BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
&Ja. ~ \ :· Y"I e., 1 ~ 0 y,, ~'<'"' to -fu¼y-.e,__ 8 .~ ~-,--\-•
,., / L~ i ✓{,,IA. f .t-LL ~ Z:, "h{___
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF)
YES[],
I AIR CONDITIONING I FIRE SPRINKLERS
No[] YES0No0 YESONoO
APPLICANT NAME PROPERTY OWNER C\'lvi61V r, Sco't\ LJIO\y'oe\\ Primary Contact
ADDRESS ADDRESS j,,.,<;,\'0'\n0,-1, ~€,, ?A \DL\ </,
CITY STATE ZIP CITY o\ STATE ZIP Cf )D\ \ C..,l\t' \~ 'oQ C""\
PHONE IFAX P~NE S"b--y-i.45-3307 !FAX
EMAIL EMAIL \ C n '('; 5 \,,,\ 0 ~,,rz-e., GI O 4 ( c:> YT"-)
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE IFAX
EMAIL EMAIL
I STATE UC.# STATE UC.# I CLASS l CITY BUS. 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, comme_nding with Section 70_0D of Division 3 of the 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 c1v11 penalty of not more than five hundred dollars ($500)).
Work.en' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owtng declara6ons:
B 1 have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ol the Labor Code, for the perfomiance of the work for wtlich this pemiit is issued.
I have and will maintain work.en' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to becOme subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawhlt, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
a$ CONTRACTOR SIGNATURE □AGENT DATE
.!1!r affirm that I am exempt from Contractor's License Law for the following reason: rfll ~, .~s 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
License Law does not apply to an owner of property wt,o 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
_ .)llie. If, 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 ol sale). LY" I. as owner of the property, am exclusive\y 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
roperty who builds or improves thereon, and contracts for such proJects with contractor(s) licensed pursuant to the Contractor's License Law).
am exempt under Section Business and Professions Code for this reason: () )./,,
1. I personally p\an to provide the major labor and materials for construction Of the proposed property improvement. es ~o
2. ~ have not) signed an application for a buikl1ng permit lor the proposed work.
3. 1)miife contracted with the following person (firm) to provide the proposed construction (include name address/ phone I_ contractors' license number): J 12.. V
4. I plan to provide portions of the work, but\ have hired the following person to coordinate, supervise and provide the maJor work (include name/ address I phone '~ntractors' license number):
5, I will pro ide some of the work, but I have contracted {hired) the following persons lo provide the work indicated (include name/ address I phone/ type of work)·
A:$' PR0PE □AGENT DATE
I
COMPLETE THIS SECTION FOR NON•Rl!SIDENTIAL BUILDING PERMITS ONLY
' ~ ' "" "
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk 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 occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility lo 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.
I certify that I have read the appllcatlon and state that the abcwe lnfotmatlon is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter UJX)n the aOOve mentioned property for inspection purp:ises. l ALSO AGREE TO SAVE, INDEMNIFY 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 AA OSHA pellTI~ is required for excavations over 5'0' deep and demolition or constl\lClion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Ofroal under the provisions of this Code shall expire by limitation and become null and vod t the building orv.ork authorized by such permit is not commenced Wthin
180 days from the dale of such permit · e building or v.ork authorized by such permit ls suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building C.ode),
~ APPLICANT'S SIGNATURE DATE 7
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 byilding@carlgbadca,gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Caf1sbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELIVERY OPTIONS
PICK UP:
MAIL TO:
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
ZIP
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
L5 APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
carlsbad CA
OCCUPANT'S BUS. UC. No.
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB152327 Type: PME
Date lnspectionltem
12/1612015 29 Final Plumbing
12116/2015 29 Final Plumbing
1211512015 29 Final Plumbing
1211512015 29 Final Plumbing
1011612015 23 Gas/TesURepairs
10/1412015 23 GasfTesURepairs
Wednesday, December 16, 2015
Inspector
MC
MC
MC
MC
Act
RI
Fl
RI
co
AP
co
MCGEE RES-GAS LINE FROM METER
TO FUTURE FIRE PIT AREA
Comments
MCGEE RES
NO ACCESS.
SEE CARD, INCORRECT TRACER WIRE
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