HomeMy WebLinkAbout2668 SAUSALITO AVE; ; CB143481; Permit12-11-2014
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: CB143481
Building Inspection Request Line (760) 602-2725
2668 SAUSALITO AV CBAD
PME
1675612500
KIMBALL RES=REPLACE & ADD
Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
LIGHTS IN KIT AND BATH/ NEW SUBPANEUREROUTE WATER FROM
UNDERGROUND TO OVERHEAD/ NEW INSTAHOT/ MINOR DRYWALL
Owner:
ISSUED
12/11/2014
LSM
12/11/2014
12/11/2014
WARDELL BUILDERS INCORPORATED
STEA
KIMBALL RAYMOND&MICHELLE TRUST 01-09-04
649 VALLEY AV
SOLANA BEACH CA 92075
858-382-07 41
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2668 SAUSALITO AVE
CARLSBAD CA 92010
$160.00
$35.00
$0.00
$0.00
$195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Pf ease take NO ICE 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,
revie·w, 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 es/exa i n f whi h uh v r i I Tl E simil r hi or as to whi h th slatut f limitation h
THE FOLLOWING A'PPROVAlS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
Ccityof Building Permit Application Plan Check No. ~,w '<-'--l'><'J
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
Date I '2--) I \ I \ u lswPPP www.carlsbadca.gov
JOB ADDRESS SUITEI/SPACEI/UNITI IAPN
o-\i,t.,'I, b-."" <:,c.,. \ -.Lt:1 ~v IL ---
CT/PROJECT# rOT# I PHASE# I# OF UN!TS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Sq~eet of A"tta(s) \,-~ .,_y,,, ® Nt'w b'-'.._,~..., ... t\ (Dt~'°'"-._.,.\. ~~ ''tl ;!, "' v....~ ~" ~ Nt-.,J ::::W-!:,,} ... ~} ,n, C,O ~~<(" ~\ ~,(,~ 0-J' ( \-t...\ ( ) ~-' L --...-}<.r tto""' \j)_. ,n j \<' -6 \., \o
~ t<'(-..N.,_\\
EXISTING USE S~D 1···· .. b?b I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[), No[] YES □No □ YES□No□
APPLICANT NAME \, ~ Q.""""' --~ PROPERTY OWNER )(., ..... "'°' \ \ Primary Contact '-"""
ADDRESS Q ~ ,(). 1,< c::: "'\S'-c; ADDRES~lo(o 8 s-.-.,,, '£:p, \ ,1-o /:rv-'--
CITY~"'-\,.. \}~\-"" STATE~ ZIP CITY Cs,_(\ b ~"'~ STATE ZIP
°'I\'\ \d ill "\ <X)\ t)
PHONE I"" PHONE I"" ,,;\a.__-G\'\ ~-'8'6~ ~
EMAIL-@ t EMAIL
\ '""" c).__o..,.,..Q\U<"\Q'-( -In\ !, > (,c,,('A
DESIGN PROFESSIONAL . CONTRACTOR BUS. NAME "'3=(~\\ iv-.,\\u.,.
ADDRESS ADDRESS \I°"\\.\._, ~vll S¼-l~ Pt {. '-\. °'
CITY STATE ZIP CITY,\ ~~--~ STATE; iPr ZIP o,. 'd-ul <:" S:::i C..'<'C-.
PHONE IFAX P~ONE si-'Y15cJ-ol"\\ IFAX
EMAIL EMAIL
I STATE LIC. # STATE UC.# l"ASSo.-I c1T7u:;_;•S10 3 ~7 '\ ~ \"\
(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 prov1s1ons of the Contractor's License Law (Chapter 9, commendmg with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
I hereby affirm that I am exempt from Contracior's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and mate Mais for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (flrm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phorie / type of work):
,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON•REtlOENTJAI. BUllDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management ar.d prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air po!llflion control district or air QuaHty 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 certify that I have read the appllcation and state that the above lnfonnation Is conectand that the infonnatlon on the plans Is aa:urate. I agree tD oomply\Wth all Cit;y on:Hnances and State laws relating ID building oonstructlon.
I hereby authffl representative of the City ofCartsbad to enter u the atxwe mentioned ~perty for inspedion pul'J'.X)SeS. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL.SB/ID
AGAINST All LIAfllUTIES, JUDGMENTS, COSTS ANO EXP WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA perml is required for exc:ava · s over 5'0' dee demo@:m or coostruction of structures over 3 stories i1 he,Jhl.
EXPIRATION: Every permit issued by the su· Ofocial under rovisDns of this C'.ode shall expire by limitation and berome null and void if the buik:ling or mrk authorized by sudl rmit is not oommenced 'Mthin
180 days from the date of such perml or if k:li1g or · by sudl pennl is s nded or abandcried at any time after the 'MJrk is oommenced for a period of 1 days · n 100.4.4 Uniform Buik:ling C'.ode}.
,i!S APPLICANT'S 8'GNATURE 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 building@carlsbadca.gov or Mail the completed fom, 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. UC. No.
DELIVERY OPTIONS
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: _______________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB143481 Type: PME
Date Inspection Item
03/12/2015 89 Final Combo
03/12/2015 89 Final Combo
03/12/2015 89 Final Combo
02/02/2015 17 Interior Lath/Drywall
01/30/2015 24 RoughfTopout
01/30/2015 34 Rough Electric
Inspector
PY
PY
PY
PY
PY
KIMBALL RES=REPLACE & ADD
LIGHTS IN KIT AND BATH/ NEW SUBPAN
Act Comments
RI
AP
AP
AP
AP
AP
Friday, March 13, 2015 Page 1 of 1
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ilding Division
DEC 11 2014
APPROVED BY _____ _
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