HomeMy WebLinkAbout2607 COLIBRI LN; ; CB162919; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-28-2016 Permit No: CB 162919
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
POPP KEVIN M
2607 COLIBRI LN CBAD
PME
2155351300
POPP; GAS AND ELEC TO BBQ
ADD GAS TO FIREPIT
P 0 BOX 130775
CARLSBAD CA 92013
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Owner:
POPP KEVIN M
P 0 BOX 130775
CARLSBAD CA 92013
Issued:
Inspect Area:
ISSUED
07/28/2016
JW
07/28/2016
07/28/2016
$163.00
$38.00
$0.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector: ~ Date: Clearance:
$0.00
NOTICE: Please take NOnCE that~ ci p.~r prcject inductes tre "1Tfll03itiori' d fees, dedications, resavatiors, or ctrer exroiors t-ereafter oolletiively
referred to as "feeslexoctiors." You have OOdays fum the date tlis r:emlt 'M'IS issued to pretest ifTll03itim ci these feeslexaliors. If p.~ pretest them. p.~ rrust
fdiON tre pretest p-oced.res set forth in G::rvemrent Ccx:le Sectim 60020(a), cn:l file the putest cn:l any d:rer r9:J..ired infarratim wth the Oty rvmager for
procESSing in i3CCO'dcrce wth Calsbocl l'vl.nidpal Ccx:1e Sectim3.32 030. Fcih . .re to tirrely fdloothat puarl..re wlll:a' any su~ legal cdim to attock,
reMe\N, set aside, vdd, cr crnJ treir ifTll03itim.
You are herel:7y FLRTI-ER NOn RED that your rigl"t to j)'ctest the specified feeslexaliors r:xE) NOr APPlY tov..ater cn:l &NVer oonnectim fees ard ~ty
dla1ges, nor planing, :zcrlng, gadng or ctrer sinilar wicatim procESSing cr servire fees in OO'l'led:im wth tlis prcject. NCR !XES IT .Aff'l. Y to any
feeslexaliorsctv.Aidl have 'ousl been ·venaNOnCEsinilartotns crastov.Aidltrestatutecilinitationshas 'ousl ·red.
,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD
(city of Building Permit Application Plan Check No. C(3/62-1Jq
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 lsWPPP
JOB ADDRES;,~O 7 Cot..:d3~ Lwt!'1 fAR'l.581\b CA SUITE#/SPACE#/UNIT# rPN j:Z.a:J1 ---
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Ar!la(s)
(!of.. .. ..--/;..,... "-~ .fi~p~{ { f\,.es 1 e_{e <-~' c-e._ ( '·~5. refv..esi: ~,-.,._,-/: .Cr-CIL~k BBQ t:{«\.S
u -.,
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS
YEs[]#_ NoCJ YES0No0 YESONoO
APPLICANT NAME PROPERTY OWNER /("eV;J:N J?pp Primary Contact
ADDRESS ADDRESS b )... ~0 7 Goli r-i ~-~
CITY STATE ZIP CI1:J Af<LSJ!Ab STATE ZIP C!A: P.c:c1
PHONE I FAX PHONE 3".58 .1'1S".C:.~II I FAX
EMAIL EMAIL
ke\li "'· -· rvrP (? :1 iYl"i .-!. <.! ......,.,_,
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
'STATE LIC. # STATE LIC.# 'CLASS I CI1Y BUS. LIC.#
(Sec. 7031.5 Bust ness and Professtons Code: Any Ctty or County whtch requtres a permtt to construct, alter, tmprove, demoltsh or repatr any structure, pnor to tts tssuance, also reqUires 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: D 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 work for which this penmit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the perfonmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date _________ _
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 perfonmance of the work for which this penmit 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' 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
Ji:5 CONTRACTOR SIGNATURE 0AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 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 offered 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). ~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).
D 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 )(JNo
2. ~I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finm) to provide the proposed construction (include name address I phone I contractors' license number): J:.. 4£;'~1;>~~
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 contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
Ji:5 PROPERTY OWNER SIGNATURE 0AGENT DATE
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 Act? DYes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes D 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.
I certify that I have read the application and state that the above infonnation is conectand 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 permtt is required for excavations over 5'0' deep and demolttion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the of this Code shall expire by lim nation and become null and void if the building or oork authorized by such penni! is not commenced IMthin
180days from the date of such penntt or if the building oroork i is suspended or abandoned at any time after the oork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
fl5 APPLICANT'S SIGNATURE DATE
d ' .
! 1 \ )
'
').,~"~''"''o''''d 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.
(Office Use Only)
CA
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#-------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION
.65 APPLICANT'S SIGNATURE DATE
Inspection List
CB162919 PME POPP; GAS AND ELEC TO BBQ
Date Inspection Item Inspector Act Comments
ADD GAS TO FIREPIT
Permit#: Type:
81 Underground Combo AEK AP08/01/2016
Wednesday, December 14, 2016 Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB162919)
BLDG-Commercial 07/28/2016Application Date:Permit Type:Owner:KEVIN POPP
Subdivision:P/M/E 07/28/2016Work Class:Issue Date:
2607 Colibri Ln
Carlsbad, CA 92009
Address:01/30/2017Expiration Date:Status:
IVR Number: 716097
Closed - Finaled
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
11/16/2016 11/16/2016 BLDG-Final
Inspection
001313-2016 Failed Andy Krogh Reinspection Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
BLDG-Electrical Final All outlets to be GFCI protected No
12/09/2016 12/09/2016 BLDG-34 Rough
Electrical
004867-2016 Passed Andy Krogh Complete
BLDG-Final
Inspection
005062-2016 Passed Andy Krogh Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
BLDG-Electrical Final Yes
December 09, 2016 Page 1 of 1