HomeMy WebLinkAbout148 BREAKWATER RD; ; CB131646; Permit07-11-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB131646
Building Inspection Request Line (760) 602-2725
Job Address 148 BREAKWATER RD CBAD
Permit Type PME Status-
Parcel No 2146000410 Lot# 0 Applied
Entered By
Reference # Plan Approved
PC # Issued
Inspect Area
Project Title POLl RES-ELECTRIC FOR SPA-
ABOVE GROUND, WATER FEATURE & OUTLET AT BBQ, GAS TO 2
FIREPITS&BBQ
ISSUED
07/11/2013
RMA
07/11/2013
07/11/2013
Applicant
PRO EARTH LANDSCAPE INC
STER
2210 ENCINITAS BLVD
ENCINITAS CA 92024
760 633-3120
Owner.
POLl LUIZ F&PEREIRA CHRISTINE
148 BREAKWATER RD
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$154 00
$31.00
$0 00
$0 00
TOTAL PERMIT FEES $185 00
Total Fees $185 00 Total Payments To Date $185 00 Balance Due: $0.00
Inspector
FINAL APPROVAL
Date- /-/jy/ Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refened 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 ft/lunicipal 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 nght 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/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenivise expired
THE FOLLOWING APTOOVALS REQUIREO PRIOR TO PERMIT ISSUANCE: • PLANNING • ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD
Plan Check No. \ J I (> H^l '•"^ e&^g4.e,n.it Applicalion
1 CQK ParoHo., AWQ r^orlcharl I^A QOnnQ
^ CITY OF
CARLSBAD
1635 Faraday Ave., Carlsbad, CA 92008
Pti: 760-602-2719 Fax: 760-602-8558
email: buldling(3carlsbadca.gov
www carlsbadca gov
JOB ADDRESS
Est. Value
Plan Ck. Deposit
SUITE#/SPACE#/UNIT#
SWPP
" I CONSTR TYPE | OCC GRO CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
i/0 €Uc7^'/7e^ 7t> 3^ Wli^'f^M'^
USE I PROPOSED USE I GARAGE (SF) IPATIC EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NOD
APPLICANT
ADDRESS
-PRO-gARTH LANDSCAPE, |NC APPLICANT NAME (Secondaiy Contact)
2210 ENCINITAS BLVD. SUITE K>2 ADDRESS
tNCINITASrCA 92024' CITY CITY ZIP
PHONE
PROPERTY OWI CONTRACTOR BUS. NAIVIE
PRO EARTH LANDSCAPE, INC.
2210 F,NCINIT>^^^^LVD. K-2 I7K Or€o^::.uja>k^%JL^
' r _ STATE Zi^
ADDRESS
CITY
^iE I FAX
ENCINITAS. CA 92024
%0 655 6*7^7
OTATI- I IO Ji • J I m ACC I r»IT\/ Cl IC I 44. ARCH/DESIGNER NAME & ADDRESS STATE LIC # CJ^§^^ CITV BUS LIC # . _
(Sec 7031 5 Business and Professions Code Any City or County vKhich 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 LavK (Chapter 9, commending with Section 7000 of Division 3 of the
Business and Professions Coda) 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 / herehy affirm unrfer penalty of perjury one of the following declarations
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 370C ofthe Labor Code, forthe performance of the work for whrch Ihis permit is issued
O I have and will maintain woAers' cwnpensation, as required by Secton 3700 of the Labor Code, for the perfomiance of the work for which this peiTTiit is issued My workers' compensation insurance carrier and policy
number are InsuranceCo Policy No,
Tnance of the work for which tjiis permit is issued
Expiration Date _
alien insurance carrie
4fiff This section need not be completed if the permit is for one hundred dollars ($100) or less
O Certificate of Exemption-1 certify that m 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 Wooers' Compensation Laws of
California WARNING' Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (S100,000), in
addition to the cost of compensation,^lli|u/es asprovided for in Section 3706 of the Labor code, interest and attorney's fees.
vgS" CONTRACTOR SIGNATURE'TtV/rTJ^i- ' OAGENT DATE ^7f'f3
I hereby affimn that I am exempt from Contactor's bcense Law for the following reason
D I, as owner of the property or my employees vnth wages as their sole compensation, will do the wort 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, Ihe 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 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)
O I am exempt under Section Business and Professions Code tor this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / co ntractors' license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some ot the work, but I have contracted (hired) the following peisons to provide the work indicated (include name / address / phone / type of work)
ygS'pROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP d Yes • No
Is the applicant or future building occupant required to obtain a pennit from the air pollution control distnct or air quality management distncP • Yes • No
is the facility to be constmcted within 1,000 f«et of the outer boundary of a school site'' O 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
1 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
I certify ttiat I have read the application and state thatthe above infoimaton is conectand thatthe infomiaton on the plans is accurate. I agiee to comply with all City ordinances and State laws lelatng to building constucton
I hereby authorize representative of the City of Carlsbad to enter upon Ihe above mentoned propeity for inspecton purposes 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITV OF CARLSBAD
AGAINST Aa 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 pemiit is required for excavatons over 5'0' deep and demolition or constnjction of structires over 3 stones in height
EXPIFiATION Eveiy pennit issued by the Building Oflicial under the provisions of this Code shall expire by limitaton and become null and void if the building or wort authonzed by such permit is not commenced within
180 days from the date of such penrat or if the building or wort authonzed by such penrat is suspended or abandoned at any tme after the wort is commenced fbr a penod of 180 days (Section 106 4 4 Unifomi Building Crxis)
ygS"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.
CERTIFI Commercial Projects O n I
Fax (760) 602-8560, Email www buildina(5)carisbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
• PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On pg 1)
• MAILTO: p CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On pg 1)
O IVIAIL / FAX TO OTHER:
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^gS"APPLICANTS SIGNATURE DATE
Inspection List
Permit*: CB131646 Type: PME
Date Inspection Item Inspector Act
01/09/2014 39 Final Electrical -Rl
01/09/2014 39 Final Electrical PB AP
11/13/2013 29 Final Plumbing PB CO
11/13/2013 39 Final Electrical PB CO
07/12/2013 21 Underground/Under Floor PB AP
07/12/2013 31 Underground/Conduit-Wirin PB AP
POLl RES-ELECTRIC FOR SPA-
ABOVE GROUND, WATER FEATURE & O
Comments
GATE CODE 1123
Friday, January 10, 2014 Page 1 of 1