HomeMy WebLinkAbout2615 JACARANDA AVE; ; CB131308; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-23-2013 Permit No: CB131308
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2615 JACARANDA AV CBAD
PME
2551140500
Project Title: STONE RES-EXTEND GAS LINE
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
FROM EXISTING POOL EQUIP TO A FIREPIT/ RUN GAS TO STUB
OUTSIDE OF KITCHEN FOR CHANGE OUT FROM ELECT TO GAS STOVE//
ELECT TO FUTURE WATER FEATURE
Applicant: Owner:
KEONI LANDSCAPES STONE ALLEN E&MARIA C
1052 KNOWLES AV
CARLSBAD CA 92008
760-729-5845
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2615 JACARANDA AVE
CARLSBAD CA 92009
ISSUED
05/23/2013
LSM
05/23/2013
05/23/2013
$154.00
$31.00
$0.00
$0.00
$185.00
Total Fees: $185.00 Total Payments To Date: $185.00 Balance Due:
FINAL APPROVAL
Inspector: Date: } . Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/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 Government 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 attack,
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 service fees in connection with this project. NOR DOES IT APPLY to any
f whi h h I iv n N I E imil r hi whi h h f limi a i n h I
lHE FOLLOWINGAPPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING Oeu1LDING □ARE OHEAL1H OHAZMAT/APCD
~ «t~> Building Permit Application Plan Check No. CS/ "5 'oO fS
~ CITY OF
CARLSBAD
JOB ADDRESS
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Est. Value
Plan Ck. Deposit
Date.5J c:9,3 1 '?, SWPP
APN
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Aff'ected Atea(s)
Gtt_s lrt'lt:e__:dEYI. "E:.t t?l:1 Ho/),(__ e.-)Q's+; 1j fool e._30 ( f° ,~u.__-{-
-/o yie_w fj' te_ f 1 + .P fe> ~~ct ~ ee. 4° LA~ w ?<./·f-c.'4cYI.,_
for -SWVt' f-10 6ucV\., ltd l::...1-rUt-~ &t..e.~T
EXISTING USE PRO GARAGE {SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD YES D NOD
APPLICANT NAME (Secondary Contact)
ADDRESS
STATE ZIP
FAX
STATE UC.# 33k>-31'1S-
YES □ NOD
(Sec. 70 .5 Business and Professi ns Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to Its i uance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provIs1ons of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 o the B_usiness and Professions Code} or Chat he is exem9.t therefrom, and the basis for the alleged exemption. Ally violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars {$500)).
WOltKEIU' COMPENSATION
Work8f'S' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D I have and wlll 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 permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pelformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _
~ion need not be completed if the permit is for one hundred dollars ($100) or less.
1H' Certificate of Exemption: I certify that in the pelforman 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 Worl<ers' Compensation Lav,,s of
California. WARNING: Failure to secure workers' com &Ilion coverage Is unlawful, and shall subject an employer to crlmlnal penalties and clvil fines up to one hundred thousand dollars (&100,000), In
d~ for n Section 3706 of the Labor eode, interest and attorney's fee&.
f, 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
licel\Se Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own emI:foyees, provided that such improvements are not intended or offered for
sale. N, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did 1101 build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractms 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 thereo11, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Lice11Se 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. □ Yes □ No
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/ phone I contractors' license number):
4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number):
5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work):
6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure 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? □ Yes □ No
ls the applicant or future bullding 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? O 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 LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1vd Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certtfythat I have read the appllcation and state that the above lnfomiation ls colf8Ct:and 1hat the inbnnation on the plans ls accurate. I agiee ID comply with all Cilyordlnances and State IIMs relating ID bulldog construction.
I hereby authorize representa~ve of the City of Carlsbad b enterulX)l'I the atxJve mentioned property for inspecion JXJrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA pennlt is requred for excavations over 50' demolltbn or coostruction of structures over 3 stories fl heght.
EXPIRATION: Every permit issued by · Ollk:ial u p!O','isbns of this Code shall expire by Imitation and beoome null and void if the building or~ authorized by such permit is not oommenood 'Mlhin
100 days from the dale of such · or if the lding or · ch pennrt is suspended or abanckmed at any time after the v.ork is cooimenood fur a perkxl of 100 days (Section 100.4.4 Unifoml Building Code).
DATE
•,,
' 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 www.buildinq@carlsbadca.gov or Mail the completed fOOTI 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 (011 Pg . .1)
□ MAIL TO: □ CONTACT (LISted above) □ OCCUPANT {Listed above)
□ CONTRACTOR (On Pg. 1.)
□MAIL/FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
□ ASSOCIATEDCB#•-------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB131308
Date Inspection Item
09/13/2013 29 Final Plumbing
09/13/2013 29 Final Plumbing
09/13/2013 39 Final Electrical
Type: PME
06/10/2013 31 Underground/Conduit-Wirin
06/07/2013 23 GasfTest/Repairs
06/06/2013 23 GasfTest/Repairs
Wednesday, September 18, 2013
Inspector
PD
PD
PD
PD
STONE RES-EXTEND GAS LINE
FROM EXISTING POOL EQUIP TO A FIRE
Act Comments
RI FINAL GAS & ELEC
AP
RI FINAL GAS & ELEC
AP
AP
AP
Page 1 of 1
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City of Carlsbad
uilding Div_ision
MAY 2 3 20\3
APPROVEi BY_ :1 --
ISSUED B~-----t-
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610~£' pj.Slt>~"1"'-£
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