HomeMy WebLinkAbout1057 GOLDENEYE VW; ; CB120848; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-07-2012 Permit No: CB120848
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1057 GOLDENEYE VW CBAD
PME
2121801600
Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
05/07/2012
MDP
05/07/2012
05/07/2012 PC#:
Project Title: DELANEY RESIDENCE
GAS & ELECTRIC FOR SPA AND Fl)TURE GRILL /PIZZA
Applicant:
DELANEY STEVEN P
1057 GOLDENEYE VW
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
DELANEY STEVEN P
1057 GOLDEN EYE VW
CARLSBAD CA 92011
Issued:
Inspect Area:
$150.00
$30.00
$0.00
$0.00
$180.00
Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due:
Inspector:
FINALtPPROVAL
Date: "/fl · f "l 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
fees/exacti ns of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ir d.
CAR BAD
JOB ADDRESS t::"""-
't!J7 1
CT/PROJECT#
APP~~AME (Primary Contact)
7 I c;;..Ve'N 'b"f? L-14JJ"'i:
ADDRESS o ;-1 Gt o i-t>e
CITY
PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
# OF UNITS # BEDROOMS TENANT BUSINESS NAME ,.--·
7
CONTRACTOR BUS. NAME
ADDRESS
STATE ZIP CITY STATE
FAX PHONE FAX
EMAIL
STATE UC.# STATE UC.# CLASS
SWPP
CONSTR. 1YPE DCC. GROUP
FIRE SPRINKLERS
YES D NOD YES D NOD
ZIP
Cl1Y 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 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 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)).
Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers' 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 ________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D 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 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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE 0AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
"' 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
License Law does not apply to 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. 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 of sale).
D I, as owner of the property, 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 for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section _____ Business and Profession9 Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE CIAGENT DATE
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? Cl Yes Cl No
Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? Cl Yes Cl No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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 application and state that the above infonmation is conect and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building consbuction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I 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: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION Every pemn1t issued by the Building Official under the prov IOQl, of this C!Jde shall expire by limitation and become null and void if the building or 'Mlrk authorized by such pemnit is not commenced Within
180 days from the date of such pemn1t or if the ding or'Mlrk a · d by so~h pe n 1s suspended or abandoned at anytime after the 'Mlrk is comm~d rap nod of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE \ 't ~ , ' ,, DATE 1? 'r t,Q l '"2.--
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTlflCATE OF OCCUPANCY 1commerc12! f'ro1ects on !y I
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
-~--mm-~ .......... __ .._ --~------.... -.~ ADDRESS I BUILDING ADD-RESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
Cl PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB# ......... _ .................... ----•um••••••••••· .. -••-••••••• Cl MAIL TO: o CO NT ACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
Cl MAIL/ FAX ,:o OTHER:
o CHANGE OF USE/ NO CONSTRUCTION
,f/5 APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 06/15/2012
Permit# CB120848 Inspector Assignment: PD
Title: DELANEY RESIDENCE
Description: GAS & ELECTRIC FOR SPA AND FUTURE GRILL /PIZZA
OVEN. ALL WALLS LESS THAN 3 FEET RETAINING
Type:PME Sub Type:
Job Address: 1057 GOLDEN EYE VW
Suite: Lot: 0
Location:
OWNER DELANEY STEVEN P
Owner: DELANEY STEVEN P
Remarks:
Total Time:
CD Description Act Comments
Requested By: STEVE
Entered By: JANEAN
34 _R_o_u_g_h~E-le-c-tr-ic~~~~~~t-itf,--~~~~~~~~~~~~~~~~~~~~~ 39 Final Electrical
J4-
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lns12ection Histor~
Date Description Act lnsp Comments
06/01/2012 23 Gas/Test/Repairs AP PB
06/01/2012 34 Rough Electric AP PB
05/29/2012 23 Gas/Test/Repairs AP PD