HomeMy WebLinkAbout2624 SAUSALITO AVE; ; CB161854; Permit05-11-2016
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: CB161854
Building Inspection Request Line (760) 602-2725
2624 SAUSALITO AV CBAD
PME
1675116800 Lot#: 0
PINCUS: GAS TO BBQ & FIRE BOWL
& ELECTRIC TO BBQ
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/11/2016
SLE
05/11/2016
05/11/2016
PINCUS JEFFREY N&GIGI TRUST 06-09-98 PINCUS JEFFREY N&GIGI TRUST 06-09-98
2624 SAUSALITO AVE
CARLSBAD CA 92010
949-212-0325
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2624 SAUSALITO AVE
CARLSBAD CA 92010
$163.00
$38.00
$0.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector:
FINAL APP1/R;OV~L lo. f ,-,,6) F ,, Date: ,, Clearance:
$0.00
NOTICE: Aease ta<e NOTICE that~ d )OJ ~ed irdl.des tte "lrrpcoitiori' d fees, de::lcatiors, -= ex are-exldicrs -roledivay
rderred to as "feesle>odicrsi' Yoo rave 00 da)s from tte cl3te tris pemil w,s i""-'ldto prctest irrpcoition d ttese feeslexldi01s If yoo prctest tt-e-n yoo rrust
fotlONthl r,ctest l")C8Cires set forth in GM,m-nrt Code Section 6&!20(a), ard file tte prctest ard z,r; are-racµmd inforrratjon wth tte Oty Mmge,-fa
proo,ssirg in a:wda <e"'1h Csisboo Mridpa Code Section 3.32.000. Falu-etotirrayfotlONthat prcxm.rewll l>Y e,r;subseqJert lega a:lion to attad<,
review, set aside, -.tid, er c:m.J their irrp:sition.
Yoo ae t-,recy F1..R11-ER NOTIFIED It-al )OJ rigt to prctest tte specified feeslexldicrs llCES f'Of APPLY to va...: ard ,,,_ oonnedion fees ard ~
ctu-ges, ncx plmrg, zmrg IJ<drg ex are-sinrila-~icaion proo,ssirg ex '"""ce fees in oonnedion wth tris ~ed. NCR DCES IT Nl'L Y to err; i · · · · sim1-•-u.:---•-mc:t,•i.....~.1--r11irrit,:11i-· •se__,;---'
HE FOLI.OWltJG-ROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANfflNG D ENGIHEER~G 0BULDIHG □-
(city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: bulldin9@caMsbadca.gov
www.cartabadca.gov
Plan Check No.
SWPPP
SUIT6f/SPAC&f/UNITfl
CONSTR. ,.,,.,
GARAGE (Sf) PATIOS (SF) DECkS ISF) AIR CONDITIONING FlRE SPRINKLERS
YES □No□ YES□NoO
PROPERTY OWNER NAME
I t'JC.\.l .S ~''"' $11 i<. '!>It. I ; A.te.
0/ 0 Z!tt, l~bt,.d ?'Jf.-ZIP'! /)Dlo
.. ,r.11. ti~-0"!,Z, FAX
EMAIL J~# .
' DESIGN PROFESSI c. I\DORESS ADDRESS
:;J-
Cll'/ STATE ZIP CITY 'St) ZJP 'l',1?,3
PHONE FAX PHONE tss-';)-1'1-0,
EM/\tl EMAIL
COI-ICIZf:Je@ we. .COM
STATE UC. I a,ss CITY 606. UC.I I a l
(Sec. 7031.5 Businos9 {Ind Professions Code; Any Ci~ or C:OOnty which requJ,es a i.mlt to construct. alter, imPfO't'.8, demolish or repair any_ st~uctUf'8, r to Its !sswmoe, RO ~ulres \he applicant for such perm I: to file e slW!ed staternent ffiBt he Is lk:ensed pursuant to the l)l'OVIB«>ns of the Contractor's Ucsnse Law IChllpter 9, with Sedlon 7000 of DMslon 3 af the Buslnes& end Professions Code) OJ that he bl exem_R\ therefrom, and the basis fOf the alleged exomptloo. ArtJ VIOiation of SecUon 7031.5 by any app8can or a perrnltsub}eob tho appffcant to a CIVH penally of not more than filie hundred dollars ($500)1.
~ w OR« E R S COM P E 1\1 S AT I 0-N ' :, _, _ _ _-' , , _ _ ;
Worken' Comp1111atlon Oeclmtloft: t herob)' r,#Jfm under pens/I'/ of pe,flly oou of the followlnQ declana6lons.· D I haY8 and will mallttlln a catllcabl of C0090Rl lo Nlf-lntura !of 'Mm),s' (;(lfflpensalioo BG provided by SoclloTI J700 of Iha Lahor Coda, IOI' Iha pedolmanoo of lh8 work tor whdl lhki ponqt ill lawed.
(CL bffll and wlll matlltlin wot'kan' com0tnutlon, as reQ!Jred bv SeclkJn 3700 of lhO labor Code, for lho porf~ol~ a wl\1Ctl 1hls permit ls. ISslled. My 'Mltbai' compemalloo lrmaooe ~ and Jdcy
""""'""' """""" ""eeter: iJOrTK\ !4L -, "" ~SJ ..,.,.., °"' S:::<.?-LL Jbli.sectmfl need not bEt C01111eled If 118 pe,mR I& tw one llundrad dOlals ($100) or lBS&. LJ certlftcato Of Ex~: I _,.,.1"11t19 paffOmUn:eofthawork lorwh~ ws permllls ISsl.led, 1 shal no1 amp1oy 8Jllf person ii W'I/ mtlffllerao as 10bacome~ ~ thit Wolken' Compensation Laws 01
Calfomla. WARNING: Fall11'8 eecu '1;11mPIJINtlon «.ova-age Is vnl•ful, snd lhal 1ubj8,ct II employer ta crlnmal psilllea and d¥II lines up to one mmdnJd thousand doffws {&100,008). In
iddlllon to lhe cosl of eornp&M ded for In Settlon 3 • Labor codt, lni..t 111d lllomey's fooe.
NS CONTRACTOR SIGIIATIJ,,,...__,,...., ....
I he,rsof a/lTtm 11!81 J am eismpt l1om Conhcfon lt:M$O LaW Ior II& lalowlng roason: 0 I, as ov.ner of \he property 01 my~ wflh wages as fllW solt COOlp8rlllallon, 1111 do tho WM 8M the struct!Jra Is not ~Oded or ol8rad ror salB {Sec. 7044. Busmss and Protassms Coda: The Coruacton.
Ltense Lawtloea no! apply ti oo ownarOI properly Vltlo bullds or lmprowle llareOn, and MID does such MO tirntetf or 1htoogh tu OoY11 en,byaas, prowled that IIJCfl lmprovomenls n nol irmldad or offered for
sale. If, OO'MWBI', the b161q) Of fmprovamenl Is sold wb1 ooe yeir of complellon, Ille ov.nar-bulkler wll haYO the butderl ol ~ Uiat he .i not bull! rx 1.,.,-ovo rot lhe plll'p088 of •i
ITJ I. 116 O¥Nr ol lte property, 11'1\ ~ contraclng 'Mill llcansed OOIV1Effl ~ COl'IS1lw lhe prO,SCt {Sec. 704-1, lllmess and Prolessk;ns. Ctxlo: The Conlractor's 1.lcanse law does no1 apply 10 811 Ol,Wl8f of ~ propooy WOO buids orhlpram llenla1, inl CORhds for auch p,ejlcls 'Ml arttraciOl'(s) lcenaed pursuant to Iha Cordra:tn Ucens& Law).
□ I mn eumpt under S9Ctlon Al!Slness BOO Pr°'1sslons Cods for ltlls r&aSOll;
1.1 perSOl'llllly ~!WI kl proyfde the major raocr in! malellats Jar ccrimcLfon rJ Iha p-oposec1 property 1111)rownmt. Oves DD
2.1 (have I hlMII nol) sigfll!d an appllcatton tor a bvltlng permltfortlle proposed WOlt.
3. I nave con\l'a:ted Ylfttl lhO ~ pGl$(ll (1ml) to provk!e lhe proposed conslnlclkln {lnchK!e name IDkess / poorlD / cootracm' lleeRse l'U008I):
<1. lplefl 10 prowJe pmlons of fla¥.(lrk, but I h!Ne hhtd lhe no pe,son locootdlnate, sL4)(1f'Vise anCI provide tio ma))a"work (kldllde name/ adtwsS I phone/contraclora' bMe nl.mlel):
5. 1 wl provide soma of Iha Wll;Jlu"41&W conlracted lie pe,sons to pRl\'ldo lho work n:lk:iied ~nclll4:le Rllll8 / illdrea I phone I type of 'Mlfk~
NS PROPBITY OWNER SIGNATURE 0AOEHT 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 registration form or risk management and prevention program und8f 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? D Yes □ No
Is the facility to be constructed within 1,000 feet Of the outer bOllndary 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 Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above Information Is correct.and that the infom1ation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authcxize representative of the City of Carlsbad to enter upon the above men~oned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH WtAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: MOSHA pem11t is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: EV9l'Y permit issued by the Building Olfcial un e visKlns of this Code shall expire by !mitatbn and becorre null and void if the building orwo~ authorized by such permit is not commenced within
180 days from the date of such pe e building or ulho · by such permit is suspended or abandooed at any time after the work is comrrenced a perk>d of 180 days (Section 106.4.4 Uniform Building Code).
DATE 5 /I /6
Inspection List
Permit#: CB161854 Type: PME
Date Inspection Item
10/20/2016 23 Gas/T esVRepairs
10/20/2016 29 Final Plumbing
10/20/2016 31 Underground/Conduit-Wirin
10/20/2016 39 Final Electrical
07/01/2016 23 Gas/TesVRepairs
07/01/2016 31 Underground/Conduit-Wirin
06/29/2016 23 Gas/TesVRepairs
06/29/2016 31 Underground/Conduit-Wirin
Friday, October 21, 2016
Inspector Act
RI
AEK Fl
RI
AEK Fl
AEK AP
AEK AP
AEK AP
AEK AP
PINCUS: GAS TO BBQ & FIRE BOWL
& ELECTRIC TO BBQ
Comments
AM PLEASE
AM PLEASE
NO CARD ONSITE
NO CARD ONSITE
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