HomeMy WebLinkAbout1611 NEW CREST CT; ; CB153459; Permit10-14-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 153459
Building Inspection Request Line (760) 602-2725
Project Title
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
KEMPER RES-GAS & ELECT TO BBQ,
GAS TO, FIRE PIT & ELECT TO FOUNTAIN UNDER 6 FT HIGH
Job Address: 1611 NEW CREST CT CBAD
Permit Type: PME
Parcel No: 2159505200
Reference #:
PC #:
Lot #: 0
/ ISSUED
10/14/2015
RMA
10/14/2015
10/14/2015
U
Applicant: Owner:
HARLOW LANDSCAPE
STE 115
5927 BALFOUR CT
CARLSBAD CA 92008-7343
760-271-7240
Plumbing Fees $163.00
Electrical Fees $38.00
Mechanical Fees $0.00
Other PME Fees $0.00
TOTAL PERMIT FEES $201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: $0.00
I
FINAL APPROVAL
Inspector: . • Date: 7 'i'b / Clearance:
NOTiCE Resse take ND11OE that ap'wal of your project includes ile rrpDorf of fees dedications, msorvaUa,s ms hereafter aAIeIy
referred toes 'YeesIeiore" You have 90 days from the date this pemit mes issued to ptteat imposition of these fies-docactiorm If you protest then OJ mist
fdlov the protest pros set forth in G,vement Coda Section 6a), ad file the protest and any other recpred 1, ib , , onWthft0tylVkWfbr
ng in accorclanceWthCarlsbad MAcipal Carla Section 332030. Fkreto dnEIyfdlowUet proerbewll bar artysubaecpient leo action to attadc
mAew, set asicip, %dd, or arnJ their irTtion.
You are hereby FURTHER NO11AEDtIet yoz right to protest the spealled feesferiar$ DOES NOT APPLY to mder and seer connection fees and capacity
charges, ia- planning, zonrig, grecling a other S liar application proesssing or senvice fees in cxmedic, wth this project. NCR DOES IT 4AfflY to any
f/vr4irn nf %Aj,Irh i •_ rtAr,tv i IJflfl( th,iIr tntIi tn With thsttiitpd liryithtirr I rip.4riiiv tl'IM XrII1
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING 'DENGINEERING DBUILDING EJFIRE DHEALTH DHAZMATIAPCD I
Building Permit Application Plan Check No. 539 cCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
i a.r1sbid. : Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: buildingcarlsbadca.gov
Date // htz/c—iswppp I www.carlsbadca.gov 49'_
JOB ADDRESS I SUITE#/SPACE#/UNIT
- /f,/( --- ( I I - - - Cl/PROJECT a I LOT # I PHASE # 1 01FOFUNITS J#BEOROOMS TWUR967EMAK BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK: include Square Feet of Affected Area(s)
to J-- c -rp e. (LC(-(- - --
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) FIREPLACE l CONDITIONING DECKS (SF)
.
sD# NO[—] I YES[:]NO
AIR
El
I FIRESPRINKLERS
YES!1 NO[—]
APPLICANT NAME
Primary Contact r._ç TT
PROPERTY OWNER
3"f—€.51 Q . e r
ADDRESS
cJ--
ADDRESS
47 ,
CITY - STATE ZIP CITY STATE ZIP
PHONE
7-z 7 -77-'7'I
FAX PHONE FAX
EMAIL
6 r) c-'-- ( c c---
EMAIL
DESIGN PROFESSIONAL
•
CONTRACTOR BUS. NAME
tl/rItCAi
ADDRESS ADDRESS
CITY STATE STATE ZIP ,. CITY .. STATE ZIP
LJL5k— eel-
PHONE FAX PHONE FAX
ø--
EMAIL EMAIL
STATE LIC. # STATE LIC.# IC5 1CI1V BUS. LIC.# It-?
(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, commendingwith 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)). -
i®wotom
Workers' Compensation Declaration: I hereby affinn under penalty of pe4ury one of the following declarations:
U 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.
U 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
Thi ection need not be completed if the permit is for one hundred dollars ($100) or less.
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
al omia. 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, damag a vid9cr)n Section 3706 of the Labor code, Interest and attorney's fees. /
CONTRACTOR SIGNATURE
-
- DAGENT DATE
e(mOe)Ot1l)OID 1,Q Oa1?OøD
I hereby affinn 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).
[J 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). -
[] I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement DYes DNo
2.1(have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):.
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! address! phone /contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone/type of wart):
.PROPERTY OWNER SIGNATURE DAGENT DATE
003 011310e0 øO MOINGM0000=17=6 OWOO(J@ 913MM0170 ®O
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 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.
G®O O®D OOJ@ QO07
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
OOI1OOO
IceitifythatI haw read the application and state thatthe above m onlsconectandthatthelnfonuatlonontheplansisaenirafu. IagmtocomptywIth all City oidisand State tewreIatingtobuiIdlngconstniction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AIM AGREE TOSAVE, 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, M OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such penriit is not commenced within
180 days from the data of such permit or if the build rworkaulho by such permit is suspended or abandoned at any time after the work is commenced bra period of 180 ys(Sedion 106.4.4 Uniform Building Code).
.APPLICANT'S SIGNATURE /1;2_6.!- 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.
ClEnTIFICATE OF OCCUPANCY (Commercial Projects Only)
Fax (760) 6028560, Email building@Carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
. EMAIL OCCUPANTS BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB-0 MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On P. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL / FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
1
!ttGNATURE DATE
Inspection List
Permit#: CBI 53459 Type: PME KEMPER RES-GAS & ELECT TO BBQ,
GAS TO FIRE PIT & ELECT TO FOUNTAl
Date Inspection Item Inspector Act Comments
03/16/2016 29 Final Plumbing - RI
03/16/2016 29 Final Plumbing PB . AP
03/16/2016 39 Final Electrical - RI
03/16/2016 39 Final Electrical PB. . AP
10/15/2015 21 Underground/Under Floor PB AP
10/15/2015 23 Gas/Test/Repairs PB AP
10/15/2015 31 Underground/Conduit-Wirin PB AP
Friday, March 18, 2016
Cityof Carlsbad
Building Division
OCT14
APPROVED BY.
ISSUED BY.
't.