HomeMy WebLinkAbout2650 Gazelle Ct; TP; CBR2019-1610; PermitCcityof
Carlsbad
Residential Permit
Print Date: 08/09/2019 Permit No: CBR2019-1610
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2650 Gazellee, Tp
BLDG-Residential
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig, Plan Check#:
Plan Check#:
DPR: 200 AMP TEMP METER POLE FOR THE IONIS JOB
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date:
P/M/E
$175.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectivety referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Closed -Finaled
06/21/2019
06/21/2019
8/9/2019 1:50:22PM
$175.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMATIAPCO
,,,;,.. Building Permit Application Plan Check No. CB \2._JQ I ~ -\ ~ lu
:~ ,., '-,, %. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~; C I T Y or Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date i:e-2--1-11?\ ISWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2650 Gazelle Ct TP ---
CT/PROJECT# L I PHASE# I# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME c· TYP~rC. GROUP
---------DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
2ooamp temp meter pole for the IONIS job.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
v,so, N<O ves0No0 vesONoD
APPLICANT NAME (Primary Contact) Power Plus APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS
436 N, Quince St. ---------------CITY----9880 Maqnolia Ave #119 __ --CITY STATE ZIP STATE ZIP Escondido Ca 92025 Santee CA 92071
PHONE I FAX PHONE I FAX 760-839-9430 619-405-2648 619-330-4 796
EMAIL EMAIL
jennifer@permitrunner.net
PROPERTY OWNER NAME DPR CONTRACTOR BUS. NAME Power Plus --------------ADDRESS ADDRESS
2650 Gazelle Ct TP 436 N. Quince St.
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92010 Escondido Ca 92025
PHONE I FAX PHONE I 'AX (858) 597-7070 760-839-9430
EMAIL EMAIL
ARCH/OESIGNER NAME & ADDRESS ]STATE UC.# STATE UC.# \cB. C10, Bl;}L~jc;d.29<""6' 7 980589
(Sec, 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve, demolfsh or repair any structure, pnor to its issuance, 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 LawJChapter 9, commending with Section 7000 of Division 3 of the B_us1ness and Professions Code] orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: / hereby affinn under penalty of petjury one of the following declarations: 0 l 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 perfom1ance of the wrk for which this pem1it is issued.
[ZI 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 pem,it is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. OLD REPUBLIC GENERAL INS CORP Poliey No. A1CW37451700 Expiration Date 03131120
~section need not be completed If the permit Is for one hundred OOlla~ ($100) or less. LJ 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' compensation cove e is unlawful, and shall subject an employer to crtminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for i loM 3706 of the Labor code, Interest and attorney's fees .
.65 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 ttieir 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 w11I have the burden of provirg 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 proj8Cls 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. 0Yes 0No
2. I (have/ have not) signed an application for a building pem,it for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construcUon (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 work (include name/ 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/ type of work):
.65 PROPERTY OWNER SIGNATURE □AGENT DATE
53or6S
Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materials registration fonn or risk management and preventlon program under Sections 25505, 25533 or 25534 of the
Presley•Tanner Hazardous Substance Account Act? D Yes □ No
Is the applicant or future building occupant required to obtain a pennit 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 CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
I certify that I have read the application and state that the above lnfonnation is coll'eCt and that the information on the plans Is accurate. I agree to comply with all Cify ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon theatx:>ve mentbned property for inspecfun pul'JX)SeS. 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 permit is required for excavations over 5'0' deep and derrolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building CX!icial unde, the pl'O\llsions oflhi e shall expire by imitation and ba::ome null and ',00 if the buik:ling or work authorized by suet, permit is notromn-enced Within
180 days from the date of sl.dl pennit or if the bulling or work uthorized by .·it is suspended or abandoned at anytme after the work is C001menced for a peood of 180days (Section 106.4.4 Unifonn &iilding Code)
_,1$ APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2019-1610)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual Start Date Inspection Type
Application Date: 06/21/2019 Owner:
Issue Date: 06/21/2019 Subdivision:
Expiration Date: 02/05/2020 Address:
IVR Number: 19924
Inspection No. Inspection Status Primary Inspector
08/09/2019 08/09/2019 BLDG-32 Const.
ServlcefAgrlcultural(
Temp)
100372-2019 Passed Peter Dreibelbis
August 09, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
100492-2019
Checklist Item
BLDG-Electrical Final
COMMENTS
Passed Peter Dreibelbis
COMMENTS
2650 Gazellee , Tp
Carlsbad, 9201 o
Reinspection
Passed
Yes
Passed
Yes
Complete
Complete
Complete
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