HomeMy WebLinkAbout1591 MARBRISA CIR; ; CB121039; Permit5411 COLUMBUS CIR
IS NOW
1591 MARBRISA CIR
2/7/2013
06-15-2012
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 21039
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No'
Reference #:
PC #:
Project Title:
5411 COLUMBUS CR CBAD
PME
2111310700 Lot#
GRAND PACIFIC RESORTS: SITE
LIGHTING
Status:
Applied'
Entered By
Plan Approved'
Issued.
Inspect Area:
ISSUED
06/04/2012
JMA
06/15/2012
06/15/2012
Applicant.
DAN TALANT/CATHY SMITH
2398 SAN DIEGO AV
SAN DIEGO CA
92110
619-297-8066
Owner:
GRAND PACIFIC CARLSBAD L P
5900 PASTEUR CT #200
CARLSBAD CA 92008
Plumbing Fees
Electncal Fees
Mectianical Fees
Other PME Fees
$0.00
$150.00
$0.00
$130 00
TOTAL PERMIT FEES $280.00
Total Fees: $280.00 Total Payments To Date: $280.00 Balance Due: $0.00
Inspector:
FINALAPPROVAL
Date: U'^^?^ Clearance.
NOTICE Please take NOTICE that approval of your pro|eot includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed to as "fees/exactions" You have 90 days Irom 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 Secfion 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
tees/exactions of which vou have pieviouslv been given a NOTICE similar to this, or as to which the statute ol limitations has previouslv othenvise expired
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.carlsbadca gov
Plan Check No. ^jg) {^\D3^
Est. Value
Plan Ck. Deposit
Date SWPP
IJOBADDRESS , i /I 1 1 F\ SUITE#/SPACE#/UNIT# APN
-
CT/PROJ ECT #' LOT # PHAS E # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES • # NO • YES • NO • YES • NO •
APPLICANT NAME {Primary Contact) , APPLICANT NAME (Secondary Contact)
ADDRESS , . .-^ ft ADDRESS
CITY STATE ZIP
PHOWE ^ FAX ~ PHONE FAX
EMAIL
PROPERTY OWNER NAME „ ^
- /6>^/U0 PPlCl^C dJBSdiT
.CONTRACTOR BUS. NAME ^ ^ ^ ^
^'^^L</5/v) a ^^^^^ CITY/^> /• / / STATE ZIP
C4rf5^rY at PHONE . „ ^ FAX PHONE ' ~ |VAX
EMAIL EMAIL
ARCH/DESIGNER NAME Si ADDRESS STATE LIC # STATE LIC # CLASS CITY BUS LIC#
(Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any 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 Law (Chapter 9, 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 70315 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / terefty affirm unrfer pena/fy of p&jupj one of ttie foiiowing dedarations
a I have and will maintain a certificate of consentto self-insure for vjorkers'compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
O I have and will maintain workers' compensation, as required by Section 3700 ofthe Labor Code, for the performance ofthe work for which this permit is issued My workers' compensation insurance carrier and policy
number are Insurance Co Policy No Expiration Date
Tks section need not be completed if Ihe permit is for one hundred dollars ($100) or less
*flL Certificate of Exemption: I certify that in the performance of Ihe work for which this permit is issued, I shall nol 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 employerto cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as proviiled1^n,S8etn)i)>3706 of the Laborcode, interest and attorney's fees.
JS^ CONTRACTOR SIGNATURE J0AGENT DATE
I
i tiereby affirm that i am exempt from Contractor's License Law for ttie foiiowing reason
O I, as owner of Ihe property or my employees with wages as their sole compensation, will do the work and the structure is not inlended 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 purpose of sale)
}lA I as owner of Ihe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code The Conlraclor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with conlraclor(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 Ihe major labor and matenals for conslruction of the proposed property improvement • Yes • No
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with Ihe following personJimiJjLPilMdtthe proposed constmctioniinclude-name address / phone / co ntractors' license number)
4 I plan to provide portionsofjtgJwergJuT^ supervise and provide the major work (include name / address / phone / contractors' license number)
5 I will providejgSie^Sfmevork, but I hav|^ierTfra5lsd-(tlifed) the following persons to provide the work indicated (include name / address / phone / type of work)
I PROPERTY OWNER SU IGl^fuRE^^ JAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncf? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' • Yes ONo
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 that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certfy that I have nead the applicabon and state thatthe above infonnation is correct and that the infomiabon on the plans is accurate. I agree to complywith all City oidinances and State laws nelabng to building consbucton.
I hereby authonze representative of the City of Cailsbad to enter upon the above mentioned property for inspecton puiposes 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 An OSHA perniit is required for excavations over 5'0' deep and demolition or constmction of stnjctures over 3 stories in height
EXPIRATION Every pemiit issued by lhe«tiild|ng.Official underlie provisions of this Code shall expire by limitation and become null and void if the building or woik authonzed by such peimit is not commenced within
180 days from the date of such pennit/rjHtleb^ilding or work auffiotizedby sudi perniit is suspepded or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code)
APPLICANT'S SIGNATURE I DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy wili be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects Only}
Fax (760) 602-8560, Email www buildinq(5)carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
CONTACT NAME
C0#: (Office Use Only)
OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DEUVERYOPTIONS
• PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• IVIAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL / FAX TO OTHER:
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
vSj"APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB121039 Type: PME GRAND PACIFIC RESORTS: SITE
LIGHTING
Date Inspection Item Inspector Act Comments
06/21/2013 39 Final Electrical PD AP
Wednesday, June 26, 2013 Page 1 of 1
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 12-1039 DATE6/4/12
ADDRESS 5411 Columbus Circle
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
VILLAGE FAIRE SOLAR PANELS
OTHER site electrical pian
PLANNER (lAoU.^A^a^ DATE^'.^^/^
II \AllMIN\(illli\TEII/l'LANMN(,/l Ni;iNH:illN(, AI'I'IUIVAIS