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Home My WebLink About2688 OCEAN ST; ; CB153827; Permit11-09-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB153827 Building Inspection Request Line (760) 602-2725 2688 OCEAN ST CBAD PME 2031411100 Lot#: 0 SIDUN RES-CAP OFF GAS LINE IN GARAGE THAT SDG&E SHUT OFF DUE TO LEAK Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/05/2015 RMA 11/05/2015 11/05/2015 SIDUN MARIE TRUST 09-13-07 SIDUN MARIE TRUST 09-13-07 621 LAS FLORES DR SAN MARCOS CA 92078 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 621 LAS FLORES DR SAN MARCOS CA 92078 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: -~ $0.00 NOllCE: Aease la<e NOllCE tht WM d yo.r prtjed irdudes the "lrrp:,sitiai' fees, dedcaicrs, ressvai<rs, a dte" eo<a:ticrs -roledivay raem,d to as 1a,sleo<a:ticrs." Yoo t-aYe 00 days frcmthe-tis pemit was iss..al to prctest irrpa;ition d these feesleo<a:tions If yoo prctest th3rr\ yoo rrust fcJloothe prctest procedn3s set lath in Gc>.emat Code Section i:m:ll(a), ..-d file the prctest ..-d a,y ctte-req.Jred infooralion wth the Oty Mmger for proo,ssing i" amda KJewth Qr1sbal Mridpa Code Section 3.321:00. FailLretotirrelyfcJlootht poo,cl.rewll 1B" a,ysulEecµlrt lega a:tionto~ review, set Mde, \Od, er cl'l'U treir irrp:sitioo. Yoo are t-.reo; FtRT1-ER NOllFIED that yo.r ri!t( to prctest the specified feesleo<a:ticrs IXES i'Of APPLY to mer ..-d srw,; cxrrecoon fees ..-d ~ ctmges, ror paring, 2!lling, gadng a ctte-smla-,¢icaion proo,ssing er sen.ice fees in cxrrecoon wth tis prtject. 11.(:R IXES IT APPLY to a,y ~ w1i ·ven ·.,;1 a to lirri i · ·se THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD (city of Building Permit Application Plan Check No. e11, I c; J y;;_ 7 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 hi~/,<' lswPPP JOB ADDRESS 2hee ~j'\ .;;,+ SUITE#/SPACEf/UNITf IAf'N --- CT/PROJECT# # BATHROOMS rOT# I PHASE# I# OF UNITS I# BEDROOMS I TENANT BUSINESS NAME I CONSTR. TYPE . I occ. GROUP / , r I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I ~Db><-~ C...ff'~ of{--,a.5 d1Je_ to ut\ 1<. ,1e u.'.>Vl. qa.s l~k.. , Li2C< k ~ ~ p I 0«-lu. ~ -+ he. c..ppe.d off + a.ha.nde VI eee lr0e...1 w-ev-'a ~"=-r-o-f--n.ee,Jl b I c rf 7 eie...s -b c7a.."'11-sJL , EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF} FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS YES0, No0 YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER lv\A,(l f0 Primary Contact i6-$1DL\ ADDRESS ADDRESS 6?2 I t.A.sf=l.o-v€.5 w, CITY STATE ZIP CITY St; /1, ti-\ \,,.V"CoS, STAT~ ZIP <'i ~-71t3 PHONE IFAX PHONE 1bo sqq -/o!,o IFAX EMAIL EMAIL ~v-,....,_ • €, 1'd <.,\ 1/\ a:> ~ -"l.VIO O , < 0 f"l/1 DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS l CITY BUS. LIC.# {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 issuance. also reQuIres the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions oft he Contractor's License Law JChapter 9, comme_ndlng 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: I hereby affirm under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provk:led by Section 3700 of the Labor Code, for the pertormance of the work for which this pemiil is issued. D I have and wm maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _ l]!.ii,seclion need not be completed if the permit is for one hur.dred dollars ($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 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. ,65 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Uoonse 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). g 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 witt, contractor{s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ ,Business ar.d Professions Code for this reason: 1. ~ally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ~No /' _ ...... ,, 1 1 "'Pl t] f ~ 2. ~ have not) signed an application for a building permit for the proposed work. ~,..,...-u...l (..(..V'Yl 3. I have contracted with the following person (firm) to provk:le the pro!XJsed construction (include name address/ phone I contractors' license number): lc::"tp [ J /pO) ~O J -$ G, 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/ address I phone I type of work): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE " 5/,5 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 registration form or risk management and prevent on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac(? Yes No Is the applicant or future building occupant required to obtain a pemiit 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work ttus penn1t 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above info1TT1c1tion is correct and that the infonnation on the plans Is accurate. I agree to comply'Mth alt City ordinances and State lmw relating ID building construction. I hereby authorize representative of the City of Ca~sbad to enter upon the above mentioned property br inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBA.D AG<\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Im WAY ACCRUE AG<\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required br exravations over 5'0' deep and demolition or ronstruction of structures over 3 stones in height. EXPIRATION: Every permit issued by the B.Jik:ling Offcia:I under the provisbns of this Code shall expire by limitatbn and become null and voKI Wthe tx.Jik:ling orv.ork authorized by such l);!rmit is notoommenced v.ithin 180 days from the date of sud! permit or if the buik:li'lg or v.ork authorized by such l);!rmit is suspended or abandoned at any time after the v.ork is oommenced for a period of 180 days (Sectk>n 106.4.4 Uniform B.Jik:ling Code). A:S'APPLICANT'SSIGNAT\JRE ~ ~ DATE /II~ I 15 • 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 buildinq@carlsbadca.gov or Mail the completed fonn 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 OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,A5 APPLICANT'S SIGNATURE ASSOCIATEDCB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB153827 Type: PME Date Inspection Item 11/05/2015 23 Gas/Test/Repairs 11/05/2015 29 Final Plumbing Monday, November 09, 2015 Inspector Act AEK AP AEK Fl SIDUN RES-CAP OFF GAS LINE IN GARAGE THAT SDG&E SHUT OFF DUET Comments cap off line to rear bldg// connecting gas to main house only Page 1 of 1