HomeMy WebLinkAbout2823 LIDO PL; ; CB163315; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-29-2016 Permit No: CB 163315
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2823 LIDO PL CBAD
PME
1562006400 Lot#:
HARPER: GAS FOR BBQ & FIREPIT
ELECTRICAL FOR BBQ & FOUNTAINS
0
Applicant: Owner:
BARRON LANDSCAPE
769 S CITRUS AVE
ESCONDIDO CA 92027-4205
760-580-6365
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $201.00 Total Payments To Date:
Inspector: Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/29/2016
JMA
08/29/2016
08/29/2016
$163.00
$0.00
$38.00
$0.00
$201.00
$201.00 Balance Due:
Clearance:
$0.00
NOTICE Aeaseta<e NOTICE 111a wwa ci\QJI" r,tjed irdudes Ire "lnµ:stiai' ct fees, decicaicrs, reservatioos, er ctherexa:ticrs tmatl.-c:dledively
relened toas 'fees'exa:tions." You rawOOdaysfromtredateths permt "'8S issue,j to pretest inµ:stirn cttresefeas/exa:tirns. If )00 protest therT\ )00 rrust
fcilootreprctest prcx:ec1res "31 forth in GMmrent Code Sectirn €00:!J(a), ard filetre protest ard a,ycther req.ired infcrrrairn wlh Ire OtyMmgerfrr
proressing in a:xmla1cewlh Ca1sboo M.ridpa Code Sedjrn 3.32.030. Falcretotirreyfdlooll1a p-ocedrewll ta-a,ySLtEeq..e,t lega octirn to atta::l<.
review, set cSde, \Od, a clTU tter irrp:stioo.
You ire hereby Fl.RTl-ER NJTIREDthat \QJ ri!tl to protest Ire simfialfees'exa:tirns IXES NOf APPLYto',\01er ard SBNer ornnedirnfeesard ~
da'g,s, ncr plaring, 2'll"ing, ga::lng er ether simla-applicairn proressing er servioe fees in ornnedi"1 wlh ths r,tjed. NCR IXES IT APPLY to a,y
f ex.:di wiich CE sirril th o wi ·rus1
'
{city of
Carlsbad
JOB ADDRESS
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 780-802,27:1.9 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date g.zq_
APN
PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
L
•
EXISTING USE PROPOSED USE GARAGE (SF)
Cl1Y STATE ZIP
C.A q-,_..-,.,-,
PHONE FAX
11.o
EMAIL
ADDRESS
? I '2,<\ ,..
CITY STATE ZIP
CM-\.s c..d-CA 1-0
PHONE FAX
11,,c;
EMAIL
Ml
STATE LIC. #
PATIOS (SF) DECKS (SF)
PROPERTY OWNER NAME
ADDRESS
'l.&l: 1.-,6-0
CITY
(64
PHONE
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
1!A <; .
CITY
PHONE
FIREPLACE
YES □#_ NO □
Ol,,.c....c...
STATE CA
FAX
STATE
CLASS
C'l.1
SWPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING FIRE SPRINKLERS
YES □ NO □ YES □ NO □
ZIP
'\«>I \l
ZIP
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuan , so 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 JChapter 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 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
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
□ I have and will maintain a certificate of consent lo self-insure for workers' compensation as provided by Section 3700 of the Latlor Code, for the performance of the work for which this permit is issued.
i;J,1'have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for wtiich this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. 6¥ ~ ,c :f Qd nJ. Policy No. °', l (' :2-0 b?;, Expiration Date (\ fa l C:!3 ) ) 7
This section need not be completed if the permit is for one hundred dollars ($100) 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' CompensaHon 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
add ii ion to the cost of compensation, damages as provi r in Seel ion 3706 of the Labor code, interest and attorney's fees.
_AS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License 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 sale (Sec. 7044, Business and Professions Code: The Controctor'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).
O I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major laOOr and materials for construcijon 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 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 contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regis1raton form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? O 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? D Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O 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 Is issued {Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that 1 have read the application and mite that the above Information Is conect: and that the infonnation on the plans is accurate. I agree to comply with all City ordinarx:es and Sta1B lav.s relating to building construction.
I hereby authorize representative of the City of Ca'lsba:I to enter ui:on the alxlve mentioned property b inspection J:X.Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: ki OSHA pennit ls required brexcavations over 5'0' deep and demolltOn or oonstruction of structures over 3 slories in height.
EXPIRATION: Every permij issued by the BJilding OffK:ial under the provisionsofthis Code shall expire by limitation and become nu! and vod if the building orv.or1< authorized by suc:11 permit is notrommenced Wthin
180 days from the date of suc:11 permit or if the buik:ling or 'MXk authorized by suc:11 pennit is suspended or abanooned at any time after the 'MXk is rommenced IDr a perbd of 100days (Section 106.4.4 Unifonn Building Code)
A$ APPLICANT'S SIGNATURE DATE ~I / lb
" PERMIT INSPECTION HISTORY REPORT (CB163315)
Permit Type: BLDG-Residential Application Date: 08/29/2016 Owner:
Work Class: P/M/E Issue Date: 08/29/2016 Subdivision:
Status: Issued -Active Expiration Date: 05/25/2017 Address:
IVR Number: 716750
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
11/22/2016 11/22/2016
January 13, 2017
BLDG-23
Gas/Test/Repairs
002193-2016
Checklist Item
BLDG-Building Deficiency
BLDG-34 Rough
Electrical
002194-2016
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
002746-2016
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLOG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Peter Dreibelbis
COMMENTS
Passed Peter Dreibelbis
COMMENTS
Passed Peter Dreibelbis
COMMENTS
2823 Lido Pl
Carlsbad, CA
Reinspection
Passed
Yes
Passed
Yes
Passed
No
Yes
No
No
No
Complete
Complete
Complete
Complete
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