The URL can be used to link to this page

Home My WebLink About2330 HOSP WAY; ; CB153076; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-17-2015 Permit No: CB153076 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2330 HOSP WY CBAD PME Status: Parcel No: 1672504301 Lot#: o Applied: Reference #: PC#: Project Title: Applicant: THE GROVE: GAS REPAIR IN UNDER GROUND PARKING COASTAL PLUMBING 4882 HILLSIDE DR CARLSBAD CA 92008 760 720-2991 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: BINTLIFF SCOTT R 765 TAMARACK AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 09/17/2015 SLE 09/17/2015 09/17/2015 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APP 9 Date: Clearance: $0.00 r-.onCE: Roose ta<e cJ )OJI' prtjed irdL.des o,, "lrrpc:sticn' ci fees, dedcaicrs, reservations a ctrer ex,dicrs -c:ctlectively r,;{em,d to as "fees'ex,dicn;." Yoo rave 00 day.! frrrn th, -th• pemit v.as iSSUld to pretest irrpc:stion ci ttese feeslexoctions If yoo pretest ttan yoo rrust falo,,tre pretest proceci.res set forth in G:Mmnrt Code Section 66020(a), a-d file th, pretest a-d any ctrer recµred infonraion wth th, Qty Mmger fa processing;,, amda a,,.;th Qr1sl:a:I M.ridpa Code Section 3.32.03'.J. Falu-eto tirrelyfdlo.vtra ;:roa,drewll ba' anysu~ l<gal a::aon to attoo<, revieN, set aside, vcid, a cYru tter irrp::sition. Yoo ae 1-erecy FlRTl-ER t-.OllRED that )OJI' ri[tt to pretest th, specified fees'ex,dicn; DC.ES NOf APPLY to\M31er a-d """"a:mection fees a-d ~ ctmges, na plmng, zxring, goong a ctrersml,.-applicaion processing crsen.icefeas in cx:m,ctiaiwthtns prtjed. N'.RDCES IT APPLY to any fees/ · ·1cr t tlis W'1 rJ ini i cthav.1 THE FOLLOW1Nf3 APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Ccityof Carlsbad JOB AOORESS 2... 3 JO CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov # BEDROOMS Plan Check No. Est. Value Plan Ck. Deposit Dateq-\ DESCRIPTION OF WORK: Include Square Feet of Al'fected Area(s) Q;Ji/ G qS Rtp°i,/V--v( ~ W 3 VV IA ~, 1,ii'+-by -f-v-vic le EXISTING USE PROPOSED USE GARAGE (SF} PATIOS (SF) DECKS (SF) APPLICANT NAME DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# □HEALTH OHAZMAT/APC0 SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES□No□ / (Sec~ 7031.5 Business and P_rofessions 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 per_mIt 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 exemP.t 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)). WORKERS' COMPENSATION Jl!,§.sedion need not be completed if th permit is for one hlmdred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for wtiich this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Ca!ifomia. 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, dama 'lded for i Section 3 of the labor code, Interest and attorney's fees. _g 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 sa~ (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 comp~tion, 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 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 0No 2. I (have/ have not) signed an application for a building pennit for the proposed work 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address/ 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 major woni: (include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of woni:): ,65 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION fOR NON,Rl:SIDENTIAL IIUILDING 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 Acr? Yes 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 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 AND THE AIR POLLUTION CONlROL DISTRICT. CON$TRUCTION LENPING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify1hat I have read the appllcallon and state that the above lnfonnadon Is correct and that the infurmadon on the plans Is accurate. I agree tD'Comptywilh all City ordinances and State laws relating 1D bulldog construction. I hereby authorize representative of the City of Carlsbad to enter u~n the aoove mentioned property for inspection pufJXJses. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAD AG'>INST All LIAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AG'>INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: />ri OSHA permit is required for excavations over 5'0' deep and demolitbn or coostructkm of structures over 3 sbries in hefJht EXPIRATION: Every pennit &ued by the Buik:ling Offi:ial under the provisbns of this Code shall expire by limitaOOn and t:eo:nne null and VClKl W the buik:lir,g or 'M'.lrk authorized such permit is not CXlfTlmenced 'Mthin 100 days from the dale of such permit or iflhe build' g or'M'.lrk authorized by such It is suspended or abandoned at anytime after the 'M'.lrk is commenced for riod of 1 days (Secoon 100.4.4 Uniform Building Code), _,g APPLICANT'S SIGNATURE DATE • I 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 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 OPTIONS 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 OTIIER: _______________ _ A!$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB153076 Type: PME Date Inspection Item 09/22/2015 23 GasfT esURepairs 09/22/2015 29 Final Plumbing 09/18/2015 21 Underground/Under Floor 09/18/2015 21 Underground/Under Floor Tuesday, September 22, 2015 Inspector Act PY AP PY AP RI PY NR THE GROVE: GAS REPAIR IN UNDER GROUND PARKING Comments GC •4352 Page 1 of 1