HomeMy WebLinkAbout1861 PALISADES DR; ; CB153122; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-23-2015 Permit No: CB153122
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1861 PALISADES DR CBAD
PME
2073822800
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: DODD RES-REMOVE3 SOFFITS IN
Applicant:
JULZ CORPORATION
STE B-7
KITCHEN & RE-ROUTE EXISTING PLUMBING & ELECTRIC IN TO 2ND
STORY FLOOR AREA ABOVE, ENLARGE EXISTING OPENING BETWEEN
KITCHEN & HALLWAY BY REMOVING 2 NON-LOAD BEARING SECTIONS
OF THE WALL.
Owner:
DODD TAYLOR T
26871 HOBIE CR
MURRIETA CA 92562
760-561-5016
1861 PALISADES DR
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
ISSUED
09/23/2015
RMA
09/23/2015
09/23/2015
$163.00
$38.00
$0.00
$65.00
$266.00
Total Fees: $266.00 Total Payments To Date: $266.00 Balance Due:
Inspector: Date: 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 h r I E imil hi r h" h i I
.,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □_HEALTH 0HAZMATIAPCD
( City of Building Permit Application Plan Check No. / JL, / 5 ~ I 2 2
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value '""
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. qeposlt/ email: building@carlsbadca.gov A-www.carlsbadca.gov I Date ti h ') / / 1..., ISWl'PP
SUITEf/SPACE#/UNIJI T'"'I I ---JOB ADDRESS />,,_ .J. .f\, /<if(.-/ a_{,'r er r
CT/PROJECT# LOT# I PHASE# l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE 1 occ GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) i/\u,,,.lo ,'"5 ;,v·\c
~I/'€.. s Sofh+r 1'.t K',fd,,e11. , ( ~ ro,f-e e lec.A-"·c... o..~ _s.ec:o.,,_o(
c-t,c "1 ~( cx,r, ~ \"0e K \~~"' ID'i ('2M. c v '"9 (\er,. lec0 h:1:;n~ L,_JC.. \ \
EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YESO No0 ves0No0 YESONoO
APPLICANT NAME PROPERTY OWNER
Primary Contact
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR ~~E r./1 / 7r / -. .:, cor. ·-·~
ADDRESS AOORE!Jr... K7/ Jfab,'.e {_" __ /_ /37
CITY STATE ZIP CITY /11{ urr,·e+"-~E qz'l:,~" "\
PHONE IFAX PH<lljGo -r, '-f 7-'-t<f (L/ I FAX
EMAIL EMAIL __, lfiJ • .JJ"'o c._ -I ,A 2co,.." , co IVl I STATE LIC, # STATELIC•c;sr:]~o I CLASS R J'7J411~~
(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 JChapter 9, comme_nd1ng with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or fuat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION ~
Worke11' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
B I have and wlll maintain a certlHcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
I have and will maintain workers' comDensa~as required bv Section 3700 of the Labor Code, for the pertormance ~f thfj work for which this permit is issued. My workers' compensation:suran ::_m
oumber are, los,cance Co W (:$Co J..('G,.~ e ~ '1 Policy No. IJ we s \~ l? 7 '.}.:),_ E><plcalioa Oate -'~~JO-~L___c:~~'-
~section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the pertormance 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' Compensat10n Laws of
California WARNING: Failure to secure wor1ler8' 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 as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
KS CONTRACTOR SIGNATURE
I hereby affirm 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 wori( himself or through his own employees, provided that such improvements are not intended or ottered 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 cl 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, I personally plan to provide the major labor and materials for constrl.lClion of the proposed property improvement. OYes 0No
2, I (have/ have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction {include name address I phone/ 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 maier work (include name/ address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indicated (include name/ address/ phone/ type of work):
8$ PROPERTY OWNER SIGNATURE □AGENT DATE
I
I
'
;
C:OMPLETE THIS SEC:TION FOR NON-RESIDENTIAL BUILDING PJ!RMITS ONLY ' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevent on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No
Is ltle 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above lnfonnation Is conectand that the Information on the plans Is accurate. I agree to comply with all Cllyordlnances and State laws relating to building construction.
I hereby authorize rep-esentative of the City of Car1sbad to enter ui:on the above menlklned property tJr inspection pu[JXlses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF Cl\RLSBAD
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: Ari OSHA permij is required forexcavaHons over 5'0' deep and demolijion or construction of structures over 3 stories in height
EXPIRATION: Every !X)rmit issued by the Building Offcial under the provisions of this Code shall expire by !imitation and become null and vod W the building or oork authcxized ~ such pennit IS not oommenceo' v.ithin
180 days from the date of such permit or if the bu· ing oroork autho · by such permit is suspended or abandoned at any time after the oork is oommenceo' for a period of 180 days (SectOn 100.4.4 Uniform Building Code).
,,1$ APPLICANT'S SIGNATURE 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 building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT·(Llsted above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#'------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Penn it#: CB153122 Type: PME
Date ____ Inspection Item __ _
02/19/2016 89 Final Combo
02/19/2016 89 Final Combo
02/1112016 29 Final Plumbing
02/11/2016 39 Final Electrical
02/11/2016 39 Final Electrical
10/02/2015 23 Gas/TesURepairs
10/02/2015 34 Rough Electric
Inspector Act
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DODD RES-REMOVE3 SOFFITS IN
KITCHEN & RE-ROUTE EXISTING PLUMBI
Comments
AEK CO GFCI AT OUTLET NOT PROTECTED
AEK
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Friday, February 19, 2016 Page 1 of 1
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2013 CA Building Code 2013 CA Electrical Code
2013 CA Residential Code 2013 CA Plumbing Code
2013 CA Green Code 2013 CA Energy Code
2013 CA Mechanical Code 2013 CA Fire Code
City of Carlsbad Municipal Code
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