HomeMy WebLinkAbout1623 NEW CREST CT; ; CB160442; PermitI
City. of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-04-2016 Permit No: CB 160442
Building Inspection Request Line (760) 602-2725
Job Address: 1623 NEW CREST CT CBAD
Permit Type: PME Status: ISSUED
Parcel No: 2159504900 Lot #: 0 Applied: 02/04/2016
- Entered By: RMA
Reference #: Plan Approved: 02/04/2016
PC #: Issued: 02/04/2016
Inspect Area:
Project Title: PORTER RES-GAS TO FIRE PIT
GAS & ELECT TO BBQ, ELECT TO FOUNTAIN UNDER 6 FT HIGH
Applicant: Owner:
HARLOW LANDSCAPE GEORGE PORTER
STE115
5927 BALFOUR CT 1623 NEW CREST CT
CARLSBAD CA 92008-7343 CARLSBAD CA 92008
760-27177240
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
FINAL APPROVAL
Inspector: Date: /0 Clearance:
NO110E Reese take N[YnCE that açiwaJ dwrpred includes the 'xor' dfees dedlestias, resevvatias, or other eaas hereafter collectively
rofetred toes feeeais" You hem 60 days from the date this pemit vas isejed to protest irritia, of two fimewdsoctions, If you protest Iherr you mist
fcllcw the protest pcedmxes sat fath in G.,vemrnu,t Code section 66020(a), and file the pretest aid any other recmd information wth the Coy Wager for
pising in moordanceWth Caisbid Minicipal Code Sootion 3.32 030. Faihxeto UrryfdlaIløt procedure W11 bar ai'sutsecIJet1t legEd action to attack
rL-Aew, sat aside, vdd, or ani their irrpceIior
You are hereby RRIHER Nl1RED that ymr ngtt to protest Its specified fee adicns DOES NOT APRY to vater and sow ecn,ediai fees and capacity
danges ru p4arnr, zxnn gairg or other emilar application procasstng or service fees in oonnection with this prqed. NOR DOES IT R'-Y to any
fIjrr, ,f,Nrh un i hmm rvp%Art irhi hcn (i1 I'flfl( rriIr to this nrasto WIth the statute of limitations has a-ea1SIvdfBWse eered.
19
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING DENGINEERING DBUILDING DFIRE QHEALTH DHAZMATIAPCD
Building Permit Application I Plan Check No. j 13I b L/Lf
Est Value f 1635 Faraday Ave., Carlsbad, CA 92008 c9sbad'
Ph: 760-602-2719 Fax: 760-602-8558
Plan Ck. Depost email: building@carlsbadca.gov
ate fL, I/b Iswppp I www.carlsbadca.gov
JOB ADDRESS I SUITE#/SPACE#/UNIT# I APN 9 -
9
CT/PROJECT a LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME , ICONSTR.TYPE. 0CC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
evo c
i(e eiI
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
IYEsD#_NOE YES ENO D I YES NO[:]
APPLICANT NAME
Primary Contact t f_-
PROPERTY OWNER 6 C 776 '-it-cf r
ADDRESS
'?
ADDRESS 01 4) (- -
CITY • STATE ZIP
cm-
CITY STATE ZIP -(
PHONE lAX PHONE
I I
1PM
EMAIL EMAIL
fl— ?b (4 r-v -, -
DESIGN PROFESSIONAL I CONTRACTOR BUS. NAME
'LC1
ADDRESS ADDRESS
13.9 /1L 7órvL.e 7Y
CITY STATE ZIP CITY ... U c'f-c
STATE ZIP
,+-
PHONE FAX PHONE FAX
EMAIL . EMAIL /
LIC. # STATE LIC.# -~TSTATE I CLASS
(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, llfso requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors 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)).
®iiicoaio° ®toaawoe
Workers' Compensation Declaration: I hereby affirm under penalty of pe4ury one of the following declarations:
[J I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 370001 the Labor Code, for the performance of the work for which this permit is issued.
Ell 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
ThjSection need not be completed if the permit is for one hundred dollars ($100) or less.
'Vj.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
talifomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars ($100,000), In
addition to the cost of compensation, dam as provided f Section 3706 of the Labor code, interest and attorney's fees.
CONTRACTOR SlGNATU5 ..._.-- . DAGENT DATE
®(!)O(C(a) 1W1?O®O
I hereby affirm that! am exempt ftoni 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).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlraàtor'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).
[J 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 [-]No
2.1 (have ! have not) signed an application fora 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 ivark, 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 1 type of work):
'PROPERTY OWNER SIGNATURE []AGENT DATE
COMP.LFTE 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? ,Yes i 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 L No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name - Lender's Address
APP LICANT i ri'
IcortifljthatI havereadtheappIicatJonandstatethattheaboveinbrmationlsconectandthattheInfomiationonthepIansisajiate. I agree toarmptywithall Ciyoidinanoss and State lam relaflngtobuiidingconstnrction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly 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 CONSEQIJENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3stories in height
EXPIRATION: Every permit issued by the Building Oflisial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or mark authorized by such permit is suspended or abandoned at any time after the work is commenced bra period of 180 days (Section 1 06A Uniform BuiMng Code).
,'APPLICANT'S SIGNATURE 4 2
_,,
4i- DATE
AML
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
rag•FICATE OF OCCUPANCY (Co mmercial-Projects Only)
Fax (760) 602-8560, Email bUiIdino(carIsbadCa.pov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
FI
CO#: (Office Use Only)
CONTACT NAME
r
OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL . OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) - OCCUPANT (Listed above) -
CONTRACTOR (On Pfl. NO CHANGE IN USE/ NO CONSTRUCTION
MAIL! FAX TOOTHER: CHANGE OF USE NO CONSTRUCTION
..'APPUCANT'S SIGNATURE DATE
/
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Inspection List
Permit#: C13160442 Type: PME PORTER RES-GAS TO FIRE PIT -
GAS & ELECT TO BBQ, ELECT TO FOUNT
Date Inspection Item Inspector Act Comments
10/04/2016 29 Final Plumbing - RI
10/04/2016 29 Final Plumbing PB AP :
10/04/2616 39 Final Electrical - RI
10/04/2016 39 Final Electrical PB AP -
02/05/2016 23 Gas/Test/Repairs PY AP.
- • 02/05/2016 31 Underground/Conduit-Wirin PY AP
Tuesday, October 04, 2016 Page 1 of 1
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