HomeMy WebLinkAbout1409 CRESSA CT; ; CB161843; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-11-2016 Permit No: CB161843
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1409 CRESSA CT CBAD
PME
2156213000
CHRISTENSEN RES-ELECT TO
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
FOUNTAIN-(NOT OVER 6 FT HIGH), GAS TO FOUNTAIN & STUB OUT
FOR FUTURE USE
Applicant:
RANDALL MEANS LANDSCAPING
7331 BLACK SWAN PL
CARLSBAD CA 92011
760-936-3262
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
CHRISTENSEN NORMAN L&KARYN
1409 CRESSA CT
CARLSBAD CA 92011
ISSUED
05/11/2016
RMA
05/11/2016
05/11/2016
$163.00
$38.00
$0.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector:
FINA~PPRO/f
Date· • [J · . .. .. Clearance:
$0.00
NOTlCE Rease ta<e I\OllCE lhli ~ a yas pqOO: irdudes tte "lrrpcsitiaf ci tees, dedcaials, reservciials, a ether exa:1ia1s l"llreBter cnlec.tivay
rEterred to as "fees'SIKDals." Yoo I"6Ya 00 days fran tte date Ills penrit vas iss.Ed to pretest irTlXJ!itioo ci these fee&'SIKDals. If }OJ prdest thefT\ }OJ rrust
fdlo.vtte prdest ptlaldres set fa1h in G::Nerrmri QDe Sedialam:J(a), cn:t file tte pretest cn:t arrt ether Jal..ired irtarraia"l Wth tte aty Ma1ager fa"
poolSSirg in aa:ada mWth Ca1sbEr:l M.lidpal QDe Sedioo3.32.<m. Rih.reto tirrelyfdiONihli IJ"O(Birewll I:B" arrfSlb!eq.Jert lega a:Doo to atta:.k.
review, set aside. \tid, a lnU their irTlXJ!itioo.
Yoo ere~ FlRil£R I\OllRED that yas rigt to prdest tte spedfied fee&'eaiialS !XES 1'01" APPLY towter cn:t f!BNE!f cxmedioo fees cn:t ~
cha"lges, na plmrg, mirg, ga:Jrg a ether sirrilar ~icaioo JlOO!SSirg a seM<B fees in cxmedia1 Wth tns pqoo. l'l:R !XES IT AA=t. Y to arrt
~ . . . . . . li . . . . .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING
('atyof
Carlsbad
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNITt
PROPOSED USE GARAGE (SF) PATIOS (SF)
STATE ZIP
FAX
EMAIL
STATE ZIP
FAX
STATE LIC. #
0BUILDING DFIRE
Plan Check No.
SWPPP
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i prove, demolish or repair any structure, prior to its issuance, also r q 1res applicant for such permit to file a signed statement tl\at 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 appllcanHor a permit subjects the applicant to a civil penalty of not more than fNe hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self·lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain worke ' compensation, as required by Sectio~ 37 · the Labor Code, for the pertorrq:-~ work for which this perm~ is lssuad. My workers' compensation insurance carrier and policy
number are: Insurance Co. ;,:;. '& t6 C.O e; Policy No. ,W .NiL '3\ ~01 1p2-7 Expiration Date I 0 ... IJ
~section need not be completed ff the perm~ is for one hundred dollars ($1 00) or less. U Certlftcata of Exemption: I certify that in the performance of the work lor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Galifomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, as provided in Section 3706 of the Labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE
I hereby afflrm that I 8111 ex811!pt from Confraclor's Ucanse Law for the following teason:
D
D
D
I, as owner of the properly 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 Contracto(s
Ucense Law does not apply to an owner of properly who builds or improves thereon, and who does such work himse~ 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).
I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed puiSuant to the Contracto(s Ucense Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and matelials for construction of the proposed properly Improvement. DYes 0No
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 contraclors' license number):
5. I will provide some of the work, but I have contracled (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
,6$ PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? Ll Yes Ll No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ll Yes Ll No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ll Yes Ll 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.
Lender's Name
I oertifythat I have read the application andSiatllthatthe above Information Is conectand that the Information on the plans Is accurate. I agree to complyv.flh all City ordinances and Slata laws ralatlngto building construclion.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property b' inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGA.INST 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 permtt is requi'ed b' excavations over 5'0' deep and demolilkln or construdion of structures over 3 sklries i1 height.
, EXPIRATION: Every permtt issued by the Building Oflk:ial under the provisbns of this linttalion and beaJme nuH and void W the buik:ling or v.ork aulhorized by such permtt is not rommenred Ylilllin
100days 1iom the dale of such permtt building ormrk aulhorized by such abandoned at anytime after the v.ork is rommenredb a period of100days (Sectbn 100.4.4 Uniform Buik:ling Code).
~APPLICANT'S SIGNATURE 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@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPI'IONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER:----------------
_.6! APPLICANT'S SIGNATURE
(Office Use Only)
CA
o ASSOCIATEDCB#'-----------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Pennlt#: CB161843 Type: PME
Date Inspection Item ____ ~
1 0/13/2016 29 Final Plumbing
10/13/2016 29 Final Plumbing
1 0/13/2016 39 Final Electrical
10/13/2016 39 Final Electrical
Friday, October 14, 2016
lnsp_~c:tor Act
Rl
PD AP
Rl
PD AP
CHRISTENSEN RES-ELECT TO
FOUNTAIN-(NOT OVER 6FT HIGH), GAS T
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