HomeMy WebLinkAbout2893 SEGOVIA WAY; ; CB142304; Permit04-16-2015
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: CB142304
Building Inspection Request Line (760) 602-2725
2893 SEGOVIA WY CBAD
PME
2552803600
GOTO: GAS TO FIREPIT
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/09/2014
JMA
09/09/2014
09/09/2014
MC
HAMASAKI LANDSCAPING GOTO GARY A&SUSAN K
1191 SPRINGFIELD
SAN MARCOS CA 92078
760-803-3922
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2893 SEGOVIA WAY
CARLSBAD CA 92009
$160.00
$0.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
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SECTION 106.4.4 AS AMENDED BY C M.C.18 .030 • )'lO ~ ~
DATE~. SIGNATURE_-,,LJ,IV-·-')(----e,J t-fO v(;Y~ef\"
,---------------------· --,~ ,JfJrl
Inspector:
FINAL APPROVAL
Date: Clearance:
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 infonnation 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 \T APPLY to any
x i n fw i h vi I imil r hi r hi h h
•
. -·~-·• -------
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
{'city of Building Permit Application Plan Check No. CB l L.{ • '7---30 '+
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 'f/q lttf lswPPP
JOB ADDRESS 7--0 4 s >G-ho t11A "'1'P,V (' ;tr /.,flli}
SUITH/SPACEI/UNIT# r.PN ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I OCC.GROUP
DESCRIPTION OF WORK: Include Square Feet of Alfectad Ataa(s)
b,o ht1e /h~.,.-,a,\I
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE \AIR CONDITIONING I FIRE SPRINKLERS
YESO N<O YES □No □ YES0ND□
APPLICANT NAME H ftMp,S;:,.,IA, \ A..-J)<:,£,AD € PROPERTY OWNER
Primary Contact
ADDRESS )-l t'.J.:S f'1...-c..ulo 'S "'"{,i\~o AtrrU ADDRESS
CITY
(' .A-/IS gA;> STA~ 9~~ca CITY STATE ZIP
PHDN'tloo '1303, 3li1, -z_. IFAX < PHONE IFAX
EMA17D1'1o H-/\c/Vlt>~ ,-.,, MAI-« i ( EMAIL
• Cc>/V)
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
\
ISTATELIC.# i.ATELIC.# c-n o/()679,r IC"-55 C->1 .!TY BUS. LIC.# ' J , d
.111.-'l-"I ·,. . " I
(Sec. 7031.5 Business and Professions Code: Any City or C(!un_ty which requires a permit to_c_onstruct, alter, improve, ~emolish or re~air an;structure, p_rior to its issua~~~Jso reqyifes the applicant for such permit to file a s1 ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law C a ter • comme_ndingw1th Sectl_on 000 of D1v1s1on 3 of the Business and Professions Code) or ~at he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section t'o3i'\ 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:
B I 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 performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as reciuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carr~r and policy
number are: Insurance Co ______________________ Policy No. ______________ Expiration Date _________ _
ction need not be completed if the permit is for one hundred dollclfS {$100) or less.
ertificate of Exemption: I certify that in the pertormance of the work for which ttiis permit is issued, I shall not employ any person in any manner so as to become sub_iect to the Workers' Compensation Laws of
a. WARNING: Fallure 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, damage s prov ed for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTORSIGNATU---~~ ------
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 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. JI, however, the building or improvement is sold within orie 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 lo 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. Oves 0No
2, I (have/ 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/ 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/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worlo:: indicated (include name/ address/ phone I type of work):
JiS PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future 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
Is the applicant or future building 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 wrthin 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 appllcatlon and state that the abcwe lnfonnation Is conect and that the lnfonnation on the plans is accurate. I agl88 ID comply with all Cilyordlnances and State laws relating ID building oonstruction.
I hereby authorize representaHve of the City of Carlsbad to enter ul)Jn the aOOve mentioned property for insp;ction purposes. 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: .All OSHA permit is required for excavations over 5'0' deep and demolition or coostruction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buik:ling Official under the provisbns of this Code shall expire by limitatbn and beaJrne null and vok:I Wthe buik:ling orv.ork aulhofized by such permit is not oomrnenrect 'Mthin
180 days from the dale of such permit or iflhe building orv.ork authorized by sudi permit is suspended or abandoned at any time after the 'Mlfk is oommenred for a period of 180 days (Section 106.4.4 Uniform Building Code).
A$ APPLICANT'S SIGNATURE 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 buildinq@car1sbadca.gov or Mail the completed form 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 (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
,.65 APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSfflUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Penn it#: CB142304 Type: PME
Date Inspection Item
03/27/2015 29 Final Plumbing
09/11/2014 23 Gas/T esURepairs
Tuesday,August18,2015
Inspector
PD
MC
Act
co
AP
GOTO: GAS TO FIREPIT
Comments
No access@1 :10
Page 1 of 1
( City of
Carlsbad
July 29, 2015 Permit Number: CB142304
Issue Date: September 9, 2014
GOTO GARY A&SUSAN K
2893 SEGOVIA WAY
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: PLUMB/MECH/ELECT PERMIT
HAMASAKI LANDSCAPING
1191 SPRINGFIELD
SAN MARCOS CA 92078
ADDRESS: 2893 SEGOVIA WY
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on September 9, 2015
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "EXPIRATION."
Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null
and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days
from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within
one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee
has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day
period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at 760-
602-2725
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Maria Emery
Senior Office Specialist
Community & Economic Development
Building Division I 1635 Faraday Avenue Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov