HomeMy WebLinkAbout1525 SUNRISE CIR; ; CBR2016-0284; Permit'\
Print Date: 03/22/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1525 Sunrise Cir
BLDG-Residential
2070213700
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: GREISINGER: GAS LINE TO NEW F1REPIT ANO ELEC TO JACUZZI
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST GRIESINGER TIMOTHY J&CHRISTINA M
FAMILY08-2S-97
1525 Sunrise Cir
CARLSBAD, CA 92008
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2016-0284
Closed -Finaled
12/06/2016
12/06/2016
PBurn
$0.00
$166.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
· {cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. a'2J'2c:,"=,. -O
Est. Value
Plan Ck. Deposit
Date\~ '-IC:, SWPPP
JOB ADDRESS APN
CT/PROJECT# CONSTR. TYPE OCC. GROUP
tf+
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[),_ No0
AIR CONDITIONING
YES □No □
FIRE SPRINKLERS
YES□No□
APPLICANT NAME
Primary Contact
ADDRESS 1s1
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
\/,. l,Lc t
STATE & ZIP
'l'l,l>I ()
FAX
STATE ZIP
FAX
STATE LIC. #
PROPERTY OWNER ,i ....... Girt ' 1-S.. -
ADDRESS I s 2. s--·r,(
CITY (ct,..lsl..c:.l STATE ZIP
"IU>O
PHONE I 8 FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY ls~ ,.J.. ZclO
PHONE FAX
EMAIL
STATE LIC.# CITY BUS. LIC.#
.i\'ttl-1ED
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_nding 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D ljat(ve and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
[9i' have and wfll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberara,lnsu,am;eCo. w,.,-,st-v ... k ..... ,d :i:-~s • .-........ Pol;cyNo. 7foOlJO/t,'ll,,{/fo( E,p;,at;onDate q2.21~,7 I pil§,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 penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dam es as provided for in Section 3706 of the Labor code, interest and attorney's fees.
_a5 CONTRACTOR SIGNATURE
□
□
I, as owner of the prope or y 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 a to an owner of property who builds or improves thereon, and who does such work himselt" 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 conlractor(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 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 (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 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/ address/ phone/ type of work)
_a5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY
I; the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pre~en~on program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr? □ Yes □ No
Is the applicant or future building occupant required lo 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 AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above Information Is correct and that the lnfonnatlon on the plans Is accurate. I agree tD comply with all Chy ordinances and State lav.s relating tD building construction.
I hereby authorize representative of the City of Car1sbad lo enter upon the above mentiolled property b inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permtt is requred for excavations over 5'0' deep and demclttkln or CXlllstruclion of structures over 3 stories in height.
EXPIRAT!ON: Every pemiit issued by the Buik::ling Offcial under the provisions of this C<Xle shall expire by limitation and become null and voKI Wthe buik:ling or'Mlr1<. authorized by such permit is not commenced wthin
180 days tom the date of such permtt or if the bu· 1ng or'Mlr1<. authorized by such · suspended or abandoned at any time after the 'Mlrk is oommenced for a perwx! of 180 d ys (Seclbn 100.4.4 Uniform Buik:ling Code).
_,6$ 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@carlsbadca.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 OPTlONS
PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. :1.)
MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On pg. :1.)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
□ ASSOCIATED CB#·-------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
" PERMIT INSPECTION HISTORY REPORT (CBR2016-0284)
Permit Type: BLDG-Residential Application Date: 12/06/2016 Owner: TRUST GRIESINGER TIMOTHY
J&CHRISTINA M FAMIL Y08-25-97
Work Class: P/M/E Issue Date: 12/06/2016 Subdivision:
Status· Closed -Finaled Expiration Date: 06/05/2017 Address: 1525 Sunrise Cir
Carlsbad, CA 92008-3648
IVR Number: 647
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
Date Start Date
12/13(2016 12/13/2016 BLDG-23 005195-2016 Passed Paul Burnette Complete
Gas/Test/Repairs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-34 Rough 005196-2016 Passed Paul Burnette Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
03/21/2017 03/21/2017 BLOG-Final 017083-2017 Failed Paul Burnette Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
03/22/2017 03(22(2017 BLDG-Final 017303-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
March 22, 2017 Page 1 of 1