HomeMy WebLinkAbout2380 SPRUCE ST; ; CB151076; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-09-2015 Permit No: CB151076
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2380 SPRUCE ST CBAD
PME
1560521700
HARRIS: GAS & ELECTRIC TO
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Fl REP IT, FIREPLACE (UNDER 6FT), BBQ, ACRYLIC SPA, OUTDOOR
SHED. PLUMBING TO MAKE OUTDOOR SHOWER.
Applicant:
ROCK AND ROSE LANDSCAPE
204 CAMINO CORTO
VISTA CA 92083-4905
619 518-8829
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
HARRIS MARK A&JENNIFER K
2380 SPRUCE ST
CARLSBAD CA 92008
ISSUED
04/09/2015
JMA
04/09/2015
04/09/2015
$160.00
$35.00
$0.00
$0.00
$195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
FINAL APPRO/kl
Date: / ..--/ 1-Clearance:
$0.00
NOTICE: Please take NOTICE thal approval of your project includes the "Imposition" of fees, dedications. reservations, or other exactions hereafter collectively
referred to as ieeslexactions." 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,
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 IT APPLY to any
f xa lions of which uh v vi I b en iven a NOTICE sirnil r to thi or a to which hes u f Ii i ati ns has reviousl oth ,wi x ired.
THE"FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
CCityof
Carlsbad
!:JUSTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITH/SPACH/UNIT#
PROPOSED USE GARAGE (SF)
STATE ZIP
FAX
EMAIL
CONTRACTOR BUS. NAME
STATE ZIP
FAX
EMAIL
STATE UC.#
Plan Check No.
Est. Value
Plan Ck. Deposit
□HEALTH 0HAZMATIAPCD
SWPPP
(Sec. 7031.5 Business and Professions Code: Any City or County which requ,res a permit to construct, alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires the applicant for such permit to file a signed statement that he ,s llcenseo pursuant to the prov1s1ons of the Contractor's License law I Chapter 9, commending w,th Section 7000 of Division 3 of the Business and Professions Code) or that he is exem~t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a c1v11 penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
WO!kers' Compensation Declaration: I hereby affirm under pen;,/ty of perjury one of the following dedaiations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of lhe Labor Gode, for the performance of the work for which this perm rt tS issued. D I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Gode, for the performance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Go. ____________________ Policy No. ______________ Expiration Date _________ _
section need not be completed tt the permit is for one hundred dollars ($100) or less.
ertlflcate of Exemption: I certify that ln the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjeci to the Workers' Compensation Laws of
California. WARNING: Failure to secure w 'compensation coverage is unlawful, and_Jhall subject an employer lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
as · ~n 3706 of the Lab6r code, interest and attorney's fees.
-~r~ □MOO OOE
I hereby affirm that I am exempt from Contl!ICtor's License Law for the following ,eason:
□
□
□
'I, as owner ol the properly or my employees with wages as their sole compensation, will do the work and the strucrure 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 properly who builds or improves thereon, and who does such work himseff or lhrough his own employees, provided that such improvements ara not intended or offeied for
sale II, however, the building or improvement is sold within one year of completion, lhe owner-builder will have the burden of proving that he did not build or improve for lhe purpose of sale).
I, as owner al the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Gode: The Contracto(s License Law does not apply to an owner of
properly who builds or improves thereon, and contracts for such projects wilh 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 materials for construction ol the proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an application lor a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide lhe proposed oonstruclion (include name addrass I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hirad the following person to coon:linate, supervise and provide the major wori( (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) lollowing persons to provide the work Indicated (include name I address/ phone I type of work):
JI$ PROPERTY OWNER SIGNATURE DATE
" " " ""
COMPLETE THIS SECTION FOR NON·RISIOENTIAL BUILDING PERMITS ONLY
Is the applicant or tuture building occupant required to submit a business plan, acutely hazardoos matenals registration form or Msk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley~Tanner Hazardous SubstallCe Account Act? Yes No
Is the applicant or future building occupant required to obtain a pem,it from the air palllllion control dislJict or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundaiy 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 hereby affirm lhat there 1s a construction lending ageocy for Iha performance of Iha work this permit 1s issued (Sec. 3097 (i) Ci~il Code)
Lender's Name Lender's Address
I C8111fythat I have read Ille appiicatlon and state that th& above lnfnrmation is 0:11,ectand that tha llllonnation on the plans Is accurata. I agree ID oomply~ all City oltllnances and State \aM; relating to buHdl ng oollStruction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned r.mperty tir inspection p.irposes. I ALSO AGREE TO SAVE, INDEMNIFY MD KEEP HARMLESS THE CITY OF CARLSBAD
AGtllNST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permtt is requred tor excavations over 5'0' deep and deroolitbn or construction of structures over 3 stories i1 height.
EXPIRATION: Every permit issued by the Building Oflbal under the provisons of this Code shall expire by liTiitaoon and berome null and voi:l if the b.Jilding or oorli authO!ized by sudl perrnrt is not commenced "Mth1n
180 days from the date of such permtt or if the b.Ji i1g or v.ork authorized by such permrt is suspended or abanooned at any time after the wrk is mmmenced for a peliod of 180 days (Section 106.4.4 Uniform Building Code).
AS APPLICANT'S SIGNATURE DATE -ZOI >
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 Iha completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Offlc11 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: ________________ _
A! APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Pennit#: CB151076 Type: PME HARRIS: GAS & ELECTRIC TO
FIREPIT, FIREPLACE (UNDER 6FT), BBQ,
Date .. __ !~~e~~tior:i_!.~~m ---1i::i~pector Act Comments
01/13/2016 29 Final Plumbing RI JUAN WILL CALL IN AM/PLANS LOST
01/13/2016 29 Final Plumblng PD AP
01/13/2016 39 Final Electrical RI JUAN WILL CALL IN AM/PLANS LOST
01/13/2016 39 Final Electrical PD AP
05/28/2015 23 Gas/Test/Repairs PD AP
05/28/2015 31 Underground/Con du it-WI rin PD AP
Wednesday, January 13, 2016 Page 1 of 1
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