HomeMy WebLinkAbout1851 LILAC CT; ; CB163495; Permit, City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-12-2016 Permit No: CB163495
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1851 LILAC CT CBAD
PME
2155211700 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/12/2016
SLE
09/12/2016
09/12/2016
Project Title: HALL: REPLACE WATER HEATER
Applicant:
COLEPEPPER PLUMBING
STE 300
11440 W BERNARDO CT
SAN DIEGO CA 92127
619 838-1322
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
STAMES JUNE REVOCABLE TRUST 08-01-02
1851 LILAC CT
CARLSBAD CA 92011
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: -~ FINAL APPROVAL
Date: 2.-.)-17 Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred 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 Municipal 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 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 service fees in connection with this project. NOR DOES IT APPLY to any
f f hi h r vi I n iv n N I i ·1 r hi r h" h u f Ii i v· I h rwi
'
' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING QBUILDING QFIRE QHEALTH QHAZMATIAPCD
<<~~; Building Permit Application Plan Check No. CA I LD 3 .... -r-
T I
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date '1 -I? -(1 o lsWPPP
JOB ADDRESS SUITEI/SPACE•/UN11 t rPN 1851 Lilac Ct ---
CT/t'ROJECT # I LOT# IPHA::iE# I" OF UNITS I# BEDROOMS # BATHRvvMS I TENANT BUSINESS NAME I CONSTR. ' PE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of AIJected Area(&)
Replace 40 gal gas water heater
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF} I DECKS (SF) FIREPLACE : rR CONDITIONING I FIRE SPRINKLERS
YES[J,, "'° YESONoO YES□No□
APPLICANT NAME (Primary Contact) COLEPEPPER PLUMBING INC APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS 11440 WEST BERNARDO COURT #300 9880 Maqnolia Ave #119
CITY STATE ZIP CITY STATE ZIP SAN DIEGO, CA 92127 Santee CA 92071
PHONE PHONE
(619) 838-1322 I FAX 619-405-2648 !FAX 619-330-4796
EMAIL EMAIL
jennifer@perm itrunner .net
PROPERTY OWNER NAME Susan Hall CONTRACTOR BUS, NAME COLEPEPPER PLUMBING INC
ADDRESS ADDRESS
1851 Lilac Ct 11440 WEST BERNARDO COURT #300
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 SAN DIEGO. CA 92127
PHONE IFAX PHONE I FAX (760) 613-9996 (619) 838-1322
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS !STATE LIC. # STATE UC.# I CLASS I CITY BUS. UC.#
999813 C36
(Sec. 7031.5 Business and Profess10ns Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such per_m1t to file a signed statement that 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 eKemption. Any vIolatIon of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and wHI 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.
IZ] I have and will maintain worl!:ers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for whictl ll1Is permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co N0RGUAR0 INS Policy No. C0WC606453 Expiration Date 01131/2017
J]li§.seclion need not be completed if 111e permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of 111e work for which this permit is issued, I shall not employ any person in any manner so as to t:iecome subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure worl!:ers' compensation COY e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as ded for i oil 3706 of the Labor code, Interest and attorney's fees.
,1$ CONTRACTOR SIGNATURE .
I hereby affirm that I am exempt from Contractor's Ucense 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
Lk:ense Law does not apply to an owner of property who builds or improves thereon, and who does such work himseH 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 ttie 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. I personally plan to provkle the major labor and materials for construction of the proposed property improvement. 0Yes ONo
2. \ (have I have not) signed an application for a building pennil 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 contractors' license number):
5. I will provide some of 111e work, but\ have contracted (hired) the following persons to provide the work indicated (ir.clude name I address I phone I type of work):
,1$ PROPERTY OWNER SIGNATURE □AGENT CATE
I
I
I
., 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
Pres\ey-T anner 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? D 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
APPLICANT CERTIFICATION
I certify that I have 188d the appllcation and state that the above infonnatlon is correct and that the infonnatlon on the plans ls accurate. I agree to comply \\flh all Cff¥oltllnan::es and State laws rela6lg 1D buildhg conswction.
I hereby authortze rerresentatlveof the City of Carlsbad toenlef UJ))(l the at:ove mentioned property klr i1spectbn JXJrp:)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1'Y OF CARLSBAD
ACAINST All LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAG/>JNST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height.
EXPIRATION: Every !):lrmlt issued by the Bulklirg Official under the pru,i;5ions of thi shall expire by limitation and tecome nuR and void n the buikling or w::irl<. authorized by such permit is not commenced within
180 days from the date of such J):lrmit or if the building or WJri< orized by rl!lit is suspended or abandoned at any time after the WJlk is commenced t>r a period of 100 dajs { Section 100.4.4 Uniform SJi\ding Code).
,#!! APPLICANT'S SIGNATURE DATE 9/12/16
' PERMIT INSPECTION HISTORY REPORT (CB163495)
Permit Type: BLDG-Residential Application Date: 09/12/2016 Owner: TRUST STAMES JUNE
REVOCABLE TRUST 08-01-02
Work Class: P/M/E Issue Date: 09/12/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 08/02/2017 Address: 1851 Lilac Ct
Carlsbad, CA 92009
IVR Number: 717033
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
02/03/2017 02103/2017 BLDG-25 Water 012491-2017 Passed Jonathan West Complete
HeaterNents
BLDG-Final 012490-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLOG-Plumbing Final Yes
February 03, 2017 Page 1 of 1