HomeMy WebLinkAbout1872 PALISADES DR; MULTI-PERMIT FILE; CB122188; Permit..
10-23-2012
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB122188
Building Inspection Request Line (760) 602-2725
1872 PALISADES DR CBAD
PME
2073810400
LYONS: REPLACE WTR. HTR.
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Owner:
LYONS JASON J
1872 PALISADES DR
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
1012312012
JMA
1012312012
1012312012
$31.00
$0.00
$0.00
$64.00
TOTAL PERMIT FEES $95.00
Total Fees:
Inspector:
$95.00 Total Payments To Date: $95.00 Balance Due:
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION '106.4.4 AS AMENDED BY .C.18.04.030
DATE~IGNATURE:6'~_,...,--__ _
FINAL APPROVAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectlvely
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
I x i n f w i h h r i I i n N Tl hi r i h h f ·mi . n h
City of Carlsbad €iJ Plan Check No. (' Al 7 • 7 .. \ _Q,g
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719
Fax: 760-602-8558 . Plan Ck. Deposit
Building Permit Application Date l O ( ,z., 3 \ l'Z .. ----I
JOB ADDRESS SUITE#/SPACE#/UNIT# I APN 1872 Palisades Dr ---
CT/PROJECT# I LOT# I PHASE# l#OFUNITS [#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. n'PE I OCC, GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
v,so NcCJ v,s □NoD v,s□NoD
CONTACT NAME (lfO/lfe,ontFomApplloant) California Felta Mechanical Inc. APPLICANT NAME Galina Pavlova
ADDRESS ADDRESS
6056 E Baseline Rd # 155 6056 E Baseline Rd # 155 --
CITY STATE ZIP CITY STATE ZIP
Mesa AZ 85206 Mesa AZ 85206
PHONE [FAX PHONE TFAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677
EMAIL EMAIL
california(@,deltamechanical.com galinap(@,deltamechanical.com
PROPERTY OWNER NAME Jason Lyons CONTRACTOR BUS. NAME California Delta Mechanical Inc. --ADDRESS ADDRESS
1872 Palisades Dr 6056 E Baseline Rd # 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 Mesa AZ 85206
PHONE I FAX PHONE I FAX
540-421-3741 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS TSTATE UC.# $TATE UC.# TCLASS ICITYSUS "'1214281 811114 c-36
(Sec, 7031.5 Business ,;ind P.rofe~ions Code: Any City or Coun_ty which requires a permit to_c~nstruct, alter, improve, demolish or repair any structure, pnor t~ its ISS!,lance, also re~!-l1r-es the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law JChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation 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 Declaration: / hereby affim1 under penalty of petjury one of the following dectaratlons:
[ZJ 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 ttie performance of the work for which this permit is issued.
[Z] I have and will maintain workers' compensation, as re(luired bv Seeton 3700 of ttie Labor Code, for the performance of the work for 'Mlich this pennit is issued, My workers' comper,.;atlon Insurance carrier and policy
number are: Insurance Co State Fund Policy No. 1697823 Expiration Date 01101113
This section need not be completed if the permit Is for one hundred dollars ($100) or less. [Z] 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
California. 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 Section 3706 of the Labor code, Interest and attorney's fees .
.Ji6 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 far 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 owr,er-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 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 construction of the proposed property improvement. OYes ONo
2, I (have t have not} signed an application for a building peTlTlit for the proposed work.
3. I have contracted with the followil'\Q person (finn) to provide the proposed constructlon (Include nane 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 the work but I have contracted (hired) the followmg persons to provide the work 1nd1cated (include name I address I phone I type of work)
I ,@$' PROPERTY OWNER SIGNATURE DATE
-------·-·
~CARLSBAD
Community & Economic Development www.carlsbadca.gov
February 26, 2013
RECORD COPY
Permit Number: CB122188
Issue Date: October 23, 2012
LYONS JASON J
1872 PALISADES DR
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: PLUMB/MECH/ELECT PERMIT
REPLACE WATER HEATER
ADDRESS: 1872 PALISADES DR
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on April 21, 2013
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 permit is not commenced within one hundred eighty calendar days
from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within
one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee
has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day
period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at 760-
602-2725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Janean Hawney
Office Specialist
,,..,r..,. Building Division
1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10/19/2000 Plumbing Permit Permit No:CB003868
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1872 PALISADES DR CBAD
PLUM Status: ISSUED
10/19/2000
CB
10/19/2000
10/19/2000
Parcel No: 2073810400 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: SMITH RES NEW WATER HEATER Inspect Area:
Applicant:
TORREY PINES PLUMBING
STE 101
6121 NANCY RIDGE DR
SAN DIEGO CA92121
619 677-5445
Total Fees: $27.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
Inspector:
Owner:
PRECISO CATHERINE A
1872 PALISADES DR
CARLSBAD CA 92008
Total Payments To Date: $0.00 Balance Due:
0
0
0
0
1
0
0
EXPIRED PERMIT
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
,.---.. -P.\c; EXPIRED IN ACCORDANCE wm1 U.B.<f27-00
-• -~ 4 4 , , t., ..... I
t. .. r._o,:;:;.,,;,i-1\,...1 'l.i.i\ .... q1_ SIGNAnm:_d}l;: ___ _ \ "-f'&-
FINAL APPROVAL
Date: Clearance:
$27.00
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. Fanure 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 feesfexactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired.
-------·~•····---···.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. Gf2t!tJ3R;ldb
.. CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _______ _
Plan Ck. Deposit --=------
Validated By ~
Date !Ojtq/itrro
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
SFR
Existing Use Proposed Use Assessor's Parcel #
Replace water Heater
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON If different from applicant)
ST
Name City State/Zip Telephone# Fax#
A ent for Owner
San
Name City State/Zip Telephone#
!4. PROPERTY OWNER
Franklin S m ith 1872 Palisades Dr
Name Address
Carlsbad Ca 92008 760/729-4998
City State/Zip Telephone#
5. CONTRACTOR-OMPANYNAME
(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, 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]).
ARS of California Inc. 6162 Nancv RidQe Dr. #100 San DieQo CA 9212 1 8586775455204
Name Address City State/Zip Telephone#
State License# .,_7..:,4c..2..,.O""3""9 _____ _ License Class B C16 C2O C36 HIC City Business License # 1030700
ST
Designer Name Address City State/Zip Telephone
State Licence# _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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. i2I 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 worke(s compensation insurance carrier and policy number are:
Insurance Company American H ome Ins. Policy No. WC7O8297 3 Expiration Date 04/01/2001
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT JS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
D 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 California.
WARNING: Failure to secure workers' compensation cov age 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 com n, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ___________ _. -----------DATE....:.1O.:..:/...:.1.::.:6/.=2=.0O.::.0=------
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors Licens
D 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).
D 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 threreon, and contracts for such projects with contractor(s) licensed
e.!,!!Suant to the Contractors License Law). U I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES ONO
2. I (have/ have not) signed an applicant 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 / phone number/ contractors license number):
<Name> <Address> <Work Phone> <State License>
4. I plan to provide portions of thR wnrk hut I h~vP. hirAn thP. fnllnwinn OP.r~on to coordinate, supervise and provide the major work (include name / address / phone
number I contractors license number) <Nam e> <Address> <Work Phone> <State License>
5. I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name I address/ phone number I type
of work): <N ame> <Address> <Work Phone> <Work Type>
PROPERTY OWNER SIGNATURE DATE
OMPLETE THIS SECTION FOR NON-RESIOENTIAl 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? 0 YES D 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 0 NO
Is the facility to be constructed within 1.000 feet of the outer boundary of school site? D YES D 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.
8. CONSTRUCTION LENDING AGENCY ---------.---------
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. 'PD~TCERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives 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 LIABILITIES,
JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 permit is not commenced within 1 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a perio days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ______ ...,.,, DATE --'-1O:../.:.1.::61.=2c:.O.:.OO=--------