HomeMy WebLinkAbout1275 STRATFORD LN; ; CB150547; Permit02-20-2015
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: CB150547
Building Inspection Request Line (760) 602-2725
1275 STRATFORD LN CBAD
PME
1561643700 Lot#: 0
SEARSON: KITCHEN REMODEL W/
ELECTRICAL AND NEW GAS LINE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/20/2015
JMA
02/20/2015
02/20/2015
NEW LIFE CONSTRUCTION
STEA
SEARSON STEPHEN G&JOYCE D LIVING TRUST 01-04-06
4855 RUFFNER ST
SAN DIEGO CA 92111
858-638-1900
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1275 STRATFORD LN
CARLSBAD CA 92008
$160.00
$35.00
$0.00
$0.00
$195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: r;-/4z ~ IS: Clearance:
$0.00
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 pennit 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 ·n fwhih h reviulbenivnaNTIEimilaro i r whihhetatuteoflimiationh I hrwi xird.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
Ccityof Building Permit Application Plan Check No. Cbi~-O~lf1
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. !)eposlt email: building@carlsbadca.gov
www.carlsbadca.gov Date ~/7,nf,( lswPPP
JOB ADDRESS/ :;i. 7 < s ,a.G Fut,{ 4J/V~ SUITE#/SPACEf/UNIT# IAPN ---
CT/PROJECT# 'LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
{:(, "f c.-/,,.,::,,,,._ I ~ I C, t:f--1 ~ ~,; I /}.ppL,,e.-Ld C(fLu,7' WL~-,<£'"
I
() eLou--i~ (Jt;Js L, A.Ji[
EXISTING USE<;:" ~(L I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, NO□ YES □No □ YES□No□
APPLICANT NAME \Jl:'5cN l.---\ttE. Co~--r PROPERTY OWNER ~ "'>'-f (_ e S:tE't:i_<LSo,.., Primary Contact
ADDRESSt{i<< Mfr-tL. 5--r, ADDRESS Jc> 7~ S'((Uc)'(~ .. ,.,o,{ /.Jy..,JUl'f
CITY~ 1'), (:,4"
(/4TE ZIP CITY/> ~ s~ 0;z;;cv ~ C);>ttf · ~-(l,(s b
PHON~5~, b3 ~--1°/ou I FAX PHON~/-, l/ °' . '¾: , ,,AX o~ I --o3
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR ·~J ~M w ~I e_ Co---r-r
ADDRESS ADDRESS I{ cf J~ -Ko._ J.( ,._e (L. s:::-r-
CITY STATE ZIP CITY ""'5' £:\,,_ wres-., STATO ZIP 1 '2 /J/
PHONE I 'AX PHONfif !f.-, 7 K-i<r db I FAX
EMAIL EMAIL
I STATE UC.# STATb#~q 77'J IC'!? 1°'7~~1/ b 3 =3
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, improve, demolish or re air an structure, prior to its issuance, also requires ffie applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /C~apter t, commending 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 7031.5 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: / hereby affirm under penalty of perjury one of the fol/owing declarations: D IJ:layt 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.
~ve and will maintain work_,.:.c~~o~ required bv Section 3700 of the Labor Code, for the performance of the work for wtychJhis permit is issued. My workers' compensation insu~ce carrier and policy
number are: Insurance Co. :--:2 (~ ~ ~ Policy No. 'z 11" V/ 0 (,lo O Expira~on Date~/~--~/_\.:,~-----
~section need not be completed if the permit is for one hundred 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 penattles 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.
,1/S CONTRACTOR SIGNATURE ~ (:fAGENT
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. 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 pufJX)se 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 app~ to an owner of
property who builds or improves thereon, and contracts for such protects 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 materials for construction of the proposed property improvement. 0Yes
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 l 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 fol~ng persons to provide the work indicated (include name / address I phone/ type of work):
,,6$ PROPERTY OWNER SIGNATURE DATE
I I
I
CO 1'11'.P L'e TE TH IS SECTION FOR NON· RESIDENTIAL BU IL DING PERMITS ONLY
Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management alld preventior1 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lendmg agency for the performance of the won<: this permit 1s issued (Sec 3097 (i) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and s1ate that the aoo.ie infomiatlon Is oorrectand that the information on the plans is accurate. I agree to complyv.ith all Clly ordinances and State laws relating ID building oonsb'UCtion.
l hereby authorize repesentative of the City of Carlsbad to enter upon the above mentbned property tir inspectkm pJrJX)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST Ml. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID crrr IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
OSHA MOSHA permit is requred for excavations over5'0' deep and demoli!Dn or construction of structures over 3 sbries in height.
EXPIRATION: Every pennlt issued by the Building alicial under the pro-visions of this C.ode shall expire by lrTlilation and become null and void ~ the building or v.ork authorized by such pennil is not oommenced wthJl
100 days from the date of such permit or if the buiding or~ authorized by such pennit is suspended or abandoned at any tme after the v.ork is mmmenca:I tir a pericd of 100 days (Section 106.4.4 Unitinn Building C.ode).
,.S 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: _______________ _
_MS APPLICANT'S SIGNATURE
ASSOCIATEDCB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Penni!#: CB150547 Type: PME
Date Inspection Item ---
05/04/2015 89 Final Combo
05/04/2015 89 Final Combo
02/24/2015 24 Rough/Topout
02/24/2015 34 Rough Electric
Tuesday, May 05, 2015
Inspector Act
RI
PB AP
PB AP
PB AP
SEARSON: KITCHEN REMODEL W/
ELECTRICAL AND NEW GAS LINE
Comments
AM PLEASE
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