HomeMy WebLinkAbout2008 HUMMINGBIRD RD; ; CB151465; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-13-2015 Permit No: CB151465
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2008 HUMMINGBIRD RD CBAD
PME
2156002400 Lot#:
LOSADA RES-GAS & ELECT TO BBQ
CONNECT SINK TO SEWER
0
Applicant: Owner:
WESTERN PAVERS
STE D
1937 FRIENDSHIP DR
EL CAJON CA 92020
619-931-3900
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $195.00 Total Payments To Date:
Inspector: ti'.\· ~s Date: oli?> 3
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/13/2015
RMA
05/13/2015
05/13/2015
$160.00
$35.00
$0.00
$0.00
$195.00
$195.00 Balance Due:
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 !T APPLY to any
fees/a cti n f whi h have revi u I iv n a NOTICE similar i r s t which t t of limit ti h revi usl th rvvi x ire .
-I' r THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
Ccityof
Carlsbad
JOBADDR
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEI/UN
□BUILDING QFIRE
Plan Check No.
Est. Value
SWPPP
ur;e,
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Al'fected Area(s) --
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE ZIP
FAX
STATE ZIP
FAX
STATE UC.#
•<0 YESO•oO YESONoO
ADDRESS Z-«J'i} Iii
CITY ~B,4-/) ZIP
~ z.._O t I
PHONE jlt?-()7~S-Zf FAX
EMAIL
CONTRACTOR BUS. NAM (I(//!.-,
ADDRES~o I £-_ (31/-11-.l-llf-!Pl !J/l .. ,
CITY 5 STAZa. ZIP
lrlv' ,e,t 9W'7
FAX
CLASS 7
(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 perm1t to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 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 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
Worken' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
8 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provicled by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain worken;' compensation, as required by Section 3700 of e Labor Code, for the perfom1ance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: lnsuranceCo. · , Policy No. "Z-0 7 ,z,'{ 91, 71 .> Expiration Date 1-Z-'-{-Z.,,,,I (,
~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 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
Calrfomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll 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 .
./IS 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
License law does not apply to an OWller 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 exciusively contracting witti 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 wittl 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 lo provide the major labor and materials for construction of the proposed property improvement. OYes
2, I (have I 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 construcijon (include name address I phone/ contractors' (ic:ense riumber):
4. I plan to provide portions of the work, but I have hired the followirig 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 coritracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work):
Jl'S PROPERTY OWNER SIGNATURE □AGENT DATE
• COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
rs the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk ma11agement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr? Yes No
Is the applicant or Mure building occupant required to obtain a permit from the air pollubon control district or air Quality management district? Yes No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? Yes No
1F 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 1s a consbuction lending agency for the perfonnance of the work this perrmt 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have iead the appllcation and state thatlhe above Information Is oorrectand that the lnfonnatloo on the plans Is accurate. I agn,e to comply'llith all City oldlnances and State laws relatlng to buUclng construction.
I hereby authorize representative of the City of Carlsboo to enter uixm the atxJve mentioned J)'Operty br ins~ purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CllY OF CAALSBAD
AGAINST Ali UAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pemilt is requi"ed br excavations over 50' deep and clemolnOn or construction of structures ove, 3 stories in hE!ght.
EXPIRATION: Every pennit 5Sued by the Building Qffcial under the provisOns of this Code shall expire by !imitation and berome null and vokl W the building or 'Mlfk authorized by such pennlt is not rommenced 'Mthin
180days from the date of sl.dl permit or if the buikling or'o\Ork authorized by such pemilt is suspended or abandoned at any time after the Vt{)rk is commenced bra period of 11:K'.l d~ (Seclion 106.4.4 Unifoon Building Code).
,.S 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 buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, 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 OPl'IONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1.)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
_,g APPLICANT'S SIGNATURE
ASSOCIATED CB#------------~
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB151465 Type: PME
Date Inspection Item
08/31/2015 29 Final Plumbing
08/31/2015 29 Final Plumbing
08/31/2015 39 Final Electrical
08/31/2015 39 Final Electrical
07/29/2015 29 Final Plumbing
07/29/2015 39 Final Electrical
06/25/2015 31 Underground/Conduit-Wirin
05/14/2015 21 Underground/Under Floor
05/14/2015 23 Gasrr esVRepairs
05/14/2015 31 Underground/Conduit-Wirin
Monday, August 31, 2015
Inspector Act
RI
MC Fl
RI
MC Fl
MC co
MC co
PD AP
MC AP
MC AP
MC AP
LOSADA RES-GAS & ELECT TO BBQ
CONNECT SINK TO SEWER/ ELECTRIC T
Comments
NOTICE
WASTE TO P.O.C.
HOUSE TO BBQ
CONDUIT ONLY, HOUSE TO BBQ
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