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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