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Home My WebLink About1679 CALLIANDRA RD; ; CB142669; Permit10-14-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB142669 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1679 CALLIANDRA RD CBAD PME 2159000600 GILLONE: ELECTRIC TO EXT. OUTLET FROM BBQ Lot #: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/14/2014 JMA 10/14/2014 10/14/2014 Applicant: J REINHARDT ELECTRIC INC Owner: GRILLONE LISAR 7920 CALLE SAN FELIPE CARLSBAD CA 92009 760 942-7378 1679 CALLIANDRA RD CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL AI?PfpVAL Date: ^/ //^/S^ Clearance: NOTICE: Please take NOTfcE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this permit was issued to prcitest 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 tinnely 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 sen/ice fees In connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING •ENGINEERING • BUILDING •FIRE OHEALTH •HAJMAT/APCD ^ City of Co-rlsbfld Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. | 2M> Est. Value Plan Ck. Deposit MS Date SWPPP SUITE#/SPACE#/UNIT# APN - CJ/PROJECrtt LOT* PHASE# # OF urMrrs # BEDROOrviS # BATHROOrviS TENANT BUSINESS NAIVIE CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES I^NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL DESIGN PROFESSIONAL .CONTRACTOR BUS. NAME , • / -T itf C:iJLUil> hr ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE ^ FAX 7 6^)'65?-336^ EMAIL STATE LIC.# CITY BUS. LIC.# (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 pursuantto the provisions ofthe Contractor's License Law (Cnapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) orfnat he is exempttherefrom, 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' COMPeNiAT Workers' Compensation Declaration: / hereSy affimi under penalty of perjury one of the fcllowing declarations: 131 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 perfomiance of the work for which this pemiit Is Issued. • I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of the work for which this oermit is issued. My workers' compensation insurance canier 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. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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 SectlonJZOS^ the Labc|^ cy^j interest and attomey's fees. ^eS" CONTRACTOR SIGNATURE C^^^HVA, • AGENT DATE 10 Ifffi t V>(.M:|iflf>.R:)i:l I. rs i= R OecL SMATJ 9 W / hereby affirm that I am exempt from Contractor's License Law for the following reason: I [ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture 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 properly 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 Ucense Law). I I 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. QYBS I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following petson to coordinate, supereise 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 work): jS^PROPERVf OWNER SIGNATURE •AGENT 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? Yes No Is the applicant or future buliding occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted 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 I hereby affirm that there Is a construction lending agency for the performance of the woik this pemiit Is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I PICA L 'its' I certiiy that I have read the appllcatkin and state thatthe above Infbmnaton is conect and thatthe infomiation on the plans is accuiate. I agree to complywlth all CKy oidlnances and State laws relating to building construction. I hereby authorize nepresentative 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 LIABILITES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THiS PERMIT. OSHA; An OSHA pernilt is required for excavations over 5'0' deep and demolition or constmction ot stmctures over 3 stories In height. EXPIRATION: Every pemiit Issued by the Building Oflicial under the provisions ofthis Code shall expire by limitation and become null and vokJ'«the building or vrork authorized by such pemiit Is not commenced within 180 days from the date of such pemiit or If thertsuildlnajDr work authorized by such pemnlLis suspendeim a|<6ndpned at any time after the work is commenced tbr a period of 180 dgys (Section 106.4.4 Unifonn Building Code). ^yfiS*APPLICANT'S SIGNATURE lit^^-I^Jlyy rL r^,J¥ . . /^Ti 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 buildinotSjcarlsbadca.QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB142669 Type: PME GILLONE: ELECTRIC TO EXT. OUTLET FROM BBQ Date Inspection Item Inspector Act Comments 03/25/2015 33 Service Change/Upgrade - Rl 03/25/2015 34 Rough Electric PY PA 03/25/2015 39 Final Electrical - Rl 03/25/2015 39 Final Electrical PY AP 03/23/2015 34 Rough Electric - Rl 03/23/2015 34 Rough Electric PY NR Thursday, March 26, 2015 Page 1 of 1