HomeMy WebLinkAbout2217 CORTE ANANAS; ; CB112423; Permit11-15-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB112423
Building Inspection Request Line (760) 602-2725
Job Address:
Pennit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2217 CORTE ANANAS CBAD
PME
2552617200 Lot#:
TROSTLER: ELECTRIC TO SPA//GAS
TO FIREPIT & FUTURE BBQ
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
GREEN THUMB LANDSCAPE
11139 GATEMORE WY
SAN DIEGO CA
92131
858-243-5576
Owner:
TROSTLER MARK E&MICHELLE M
2217 CORTE ANANAS
CARLSBAD CA 92009
ISSUED
11/15/2011
JMA
11/15/2011
11/15/2011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$150.00
$30.00
$0.00
$0.00
TOTAL PERMIT FEES $180.00
Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: ( ' Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/atlons, or other exactions hereafter collectively
refen'ed to as lees/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 Govennment 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 attacii,
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 sewice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired.
«3i>
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
vwv>>.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
PHASE# * OF UNITS
SUrrE#/SPACE#/UNIT#
CT/PROJECT #
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
» BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • #_ NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NOD
APPLICANT NAME (Primary Contact) APPLICANT NAME (Second«i> Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
EMAIL
FAX PHONE FAX
PROPERTY OWNER NAME
ESS ADDRESS
CONTRACTOR BUS. NAME ,
CITY STATE
CA
_ ZIP CITY_
<ii^/J P/^o
STATE
PHONE FAX PHONE _ ,
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC » _ CITY BUS. LIC.#
Civil penalty of not more than five hundred dollars ($500)).
WORKERS- COMPENSATION
Workers' Compensation Declaration: / hereby affimi und&-penalfy of perjury one ofthe fbilowing declaraSons:
m 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 perfonnance of the work for which this permit is issued.
G 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 pemiit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date
Thissecton need not be completed if the pennit is fbr one hundred dollars ($100) or less.
<9~Certificate of Exemption: I certify that in the perfomiance of the work for whk:h this perr
California WARNING: Failure to securtf^SorinTk' cpnuensatlcn coverage Is unlawful/ifid s
addttion to the cost of compensationMamiges a|t msMeA fbr In Section 3706 of the Lmari
yfiS* CONTRACTOR SIGNATURE \ \ U
O WNER-BUiLOER DECLARATION
^shall not employ any person in any manner so as to become subiect to the Woriceis' Compensation Laws of
(ubjcct an employer to criminal penalties and cMI fines up to one hundred thousand dollars (&100,000), In
interest and attomey's fees. ^
•AGENT DATE
/ hereby affinn 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 bulMs or improves thereon, and who does such work himself or through his own employees, provkjed that such improvements are not intended or offered for
sale. If, however, the building or impmvement is sold within one year of completion, the owner-builder will have the burden of proving that he dkl not buiki 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 bulkls or improves thereon, and contracts fbr such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law).
• I am exempt under Sectton 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. • Yes O No
2.1 (have / have not) signed an applicaton for a building pemiit for the proposed wori<.
3.1 have contracted with the foilowing person (fimi) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the fbltowing person to coordinate, supervise and provkle the major work (include name / address / phone / contractors' license number):
5.1 will provkle some of the woric, but I have contracted (hired) the following persons to provide the work indtoated (include name / address / phone / type of wori():
^PROPERTY OWNER SIGNATURE •AGENT DATE
COMPtETE THIS SECTION FOR NON-RE SIOSNTIAL BUILDING PERMITS ONLY
Is the applicant or future buiiding occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sectkins 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Ad? • Yes • No
IstheapplicantorfuturebuildingoccupantrequiredtoobtanapemiitfromtheairpollutioncontroldistrictQrairqualityman^^ QYes OHa
is the faciiity to be constaicted 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.
CONSTRUCTION LENDIN6 AGENCY
I hereby affirm that there Is a construction lending agency for the perfomiance ofthe work this pemiit Is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I cettl^ that I have read the applkatkin and state that the above Infbiinatkin is conect and that the infbrmatkin on the
I hereby authorize representative of the Qty ot Carlsbad ID enter upon the above mentioned property Ibr Inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITr' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required Ibr excavations over 5'0' deep and demolition or construction of stmctures over 3 stories in height.
EXPIRATION: Every pennit issued by the BuiWinsOflicial under jie provisKins of this Code shall expire by limitation and become null and vokl if the building or vtork authorized by such permit is not commenced within
180 days tan the date of such pemnit or/the buiWing or work authorized by such pemiit is suspended or abandoned at any time after the mk is commenced for a period of 180 days (Sectkjn 106.4.4 Unifonn Buikling Code).
ygfAPPLICANT'S SIGNATURE DATE
City ofCarlsbad BIdg Inspection Request
For: 01/03/2012
Permit* CB112423
Title: TROSTLER: ELECTRIC TO SPfiJIGAS
Description: TO FIREPIT & FUTURE BBQ
Inspector Assignnnent: PD
2217 CORTE ANANAS
Lot: 0
Type: PME Sub Type:
Job Address:
Suite:
Location:
OWNER TROSTLER MARK E&MICHELLE M
Owner: TROSTLER MARK E&MICHELLE M
Remarks:
Phone:
Inspecto
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
Requested By: RON
Entered By: JANEAN
Act Comments
4
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
11/30/2011 23 Gas/Test/Repairs AP PD
11/30/2011 31 Underground/Conduit-Wiring AP PD