HomeMy WebLinkAbout2495 WELLSPRING ST; ; CB161570; Permit04-22-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
TOLL BROTHERS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB161570
Building Inspection Request Line (760) 602-2725
2495 WELLSPRING ST CBAD
PME
2081929000
MODEL HOME= PLUMB & ELECT
Lot#: 0
TO WATER FEATURE IN FRONT YARD UNDER 42"
Owner:
TOLL BROTHERS
STE 200
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/22/2016
LSM
04/22/2016
04/22/2016
725 W. TOWN AND COUNTRY RD
ORANGE CA 92868
725 W. TOWN AND COUNTRY RD
ORANGE CA 92868
760-877-9885
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
760-877-9885
$38.00
$0.00
$38.00
$0.00
$76.00
$76.00 Total Payments To Date: $76.00 Balance Due:
FINAL APPROVAL
Date: S !/ -I~ Clearance:
$0.00
NOTICE: Please take NOTlCE that aprroval of your project includes the "lrrpa;itiori' ri fees, dedications, rese!Valions, or other exactions hereafter <Xlilectively
referred to as "fees/exactions." You have 00 days from the date this perrrit 'M:lS issued to protest ir11XJSition of these fees/exactions. If you protest them, yw rrust
foil ON the protest procedures set forth in Governrrent Code Section 60020(a), and file the protest and any other required infonration wth the Oty rv1anager for
processirgin acrodancewth Carlsbad l\ll.Jnid[Xll CodeSectim 3.32.030. FailuretotirnelyfdiONthat procedurewll baranysutsequent legcd action to attack,
review, set aside, void, or annul their irrpa;ition.
You are hereby FURTHER NOTlRED that ywr rig,! to protest the specified feffi'exac:tims !XES NOT APPLY to W31:er and reNer cmnectim fees and capa:;ty
changes, ror plannirg, zonirg, gradirg or other sirrilar applicatim processirg or service fees in cmnection wth this project. NCR !XES IT AFflL Yto any
feeslexactimsofVIIlich have ·ousl been ·venaNOTICEsirrilartothis orasto'JI.hichthestatuteoflirritationsras ·ous1 otherv~se ·red.
TliE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMATIAPCD
( Cicyof Building Permit Application Plan Check No.ffi 1 c,_ 1 S'7V
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date 4-/ u_f I {4 ISWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
IAPN 208 2495 Wellspring Street -192 -90 -00
CT/PROJECT # I LOT#
1
P;s~~el
1
#oF uNITs
1
#BEDRooMs #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
CT 13-03 206 V-8
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~
Application to construct a water feature/bubbling urn in the front yard of a model. Requires a ~~6'~ line. and an electrical
line for the pump. I V~ ~--··
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
Vacant land SFD YESO NoD YES0No0 YESONoO
APPLICANT NAME Rancho Costera LLC PROPERTY OWNER NAME Rancho Costera LLC Prinarv Contact
ADDRESS ADDRESS
725 W. Town & Country Dr., #200 725 W. Town & Country Drive, #200
CITY STATE ZIP CITY STATE ZIP
OranQe CA 92868 OranQe CA 92868
PHONE PHONE
760.720.5485 I FAX 760.720.5488 760.720.5485 I FAX 760.720.5488
EMAIL EMAIL
jepstine@tollbrothersinc.com jepstine@tollbrojthersinc.com
DESIGN PROFESSIONAL SJA Landscape Architecture CONTRACTOR BUS. NAME Toll! Bros .. Inc.
ADDRESS ADDRESS
31726 Rancho Vieio Road,# 201 (same as property owner)
CITY STATE ZIP CITY STATE ZIP
San Juan Capistrano CA 92675
PHONE I FAX PHONE I FAX 949-276-6500
EMAIL EMAIL
russ@sjainc.com
I STATE LIC. C3229 STATE LIC.# I CLASS 8 I CITY BUS. LIC.1238689 Russ Johnston 683543
(Sec. 7031.5 Busmess and Professions Code: Any C1ty or County wh1ch requ~res a perm1t to construct, alter, 1m prove, demolish or repa1r any structure, pnor to 1ts ISsuance, also requ1res 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}).
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 worl< for which this permit is issued.
[Z] 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 workers' compensation insurance carrier and policy
number are: Insurance co. Old Republic Insurance Company Policy No. MWC30267701 Expiration Date 91112016
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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' 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 3706 of the Labor code, interest and attorney's fees .
.J/:S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
0
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 ofiered 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).
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 DYes DNa
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 construction (include name 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 (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
.J/:S PROPERTY OWNER SIGNATURE ~AGENT DATE
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every penn it 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 penn it is not commenced within
180days fi"om the date of such penn it or if the I or work by such penntt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ~APPLICANT'S SIGNATURE DATE y I!
Ins
Permit#: CB161570
Date Inspection Item
05/09/2016 29 Final Plumbing
05/09/2016 29 Final Plumbing
05/09/2016 39 Final Electrical
05/09/2016 39 Final Electrical
Type: PME
05/04/2016 21 Underground/Under Floor
05/04/2016 21 Underground/Under Floor
05/04/2016 31 Underground/Conduit-Wirin
05/03/2016 21 Underground/Under Floor
05/03/2016 21 Underground/Under Floor
05/03/2016 31 Underground/Conduit-Wirin
05/03/2016 31 Underground/Conduit-Wirin
Monday, May 09, 2016
lnsp~c~or
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MODEL HOME= PLUMB & ELECT
TOWATER FEATURE IN FRONT YARD UN
Comments
FIRST AM PLEASE
FIRST AM PLEASE
PM PLEASE
PM PLEASE
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LOT 206
PLAN4C
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