HomeMy WebLinkAbout2638 SUTTER ST; ; CB153609; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-23-2015 Permit No: CB 153609
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2638 SUTTER ST CBAD
PME
1675111800
Project Title: MILLER RES-FIREPLACE-10 FT
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
HIGH-PER MASONRY INSTITUTE SPECS-GAS BY EXISTING SEPARATE
PERMIT
Applicant: Owner:
TUSCANY PAVERS
335 W 9TH AVE
ESCONDIDO CA 92025-5032
866-596-4092
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
ISSUED
10/23/2015
RMA
10/23/2015
10/23/2015
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: MK: Clearance:
$0.00
NOflCE Rease ta<e NOflCE tnat ~ ct ywr ~ect irdl.des tJ-e "lrrpootiori' ct fees, dedcations, -or ctrer exa:iions hareafter cdlectively
raa-red to as 'fees'exa:iim<" YC>J rave 00 days !ran tre date tlis pemit v.as iss..ed to prrtest irTjX)Sitirn ct these fees'exa;;tim; If yru prrtest \re'T\ yru rrust
fdlDN tre prrtest ~ set forth in GM,rmrt Cooo Sectirn 60020(a). ITT/ file tJ-e prrtest ITT/ a,ry ctrer req.ired infoomtirn wth tre Oty Mmge,for
pocess;rg in aaxroa-a,wth Catsboo M.rid!>' Cooo Sectirn 3.32.tm. Failueto tirray fdk:wtrat pocai.rewll t:... a,ysw;ecµn lega a:tirntoattocx,
re,ie..v, set a.side, \Od, cr a-ru trflir irflX$ition.
YC>J ,re reret>; F\RTl-ER NOflRED tnat yo.r rigt to p-ctest tre $p'<'.ilied fees'exa1im; cx:ES NOf /1/'PL Y to mer ITT/-...: oorredirn fees ard ~
c:m-ges, nor i,a-rirg, zairg 9<rlrgorctrer sirrila-wicatirn pocess;rg or~oefees in oorredia1wth \tis ~ect. r-m cx:ES IT /1/'PLYto a,y
f exacticnsdv.h ·a..is1 teen · sinia-tot · cr t v.tidltrestat ect ini i
. ( City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/U
Plan Check No .
Est. Value
Plan Ck. Deposit
CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
Prima Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL NAME
ADDRESS
PHONE
EMAIL
6'
PROPOSED USE
STATE
FAX
FAX
GARAGE (SF)
ZIP
ZIP
STATE UC.#
.t
PATIOS (SF) DECKS (SF)
PROPERTYOWNE~ ME
Chf-f
CITY c
PHONE ~,q
EMAIL
CONTRACTOR BUS. NAME
EMAIL
d
FIREPLACE
YES □#_ NOD
sf
STATE
C
FAX
{/._
SWPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES □ NO □
ZIP
FIRE SPRINKLERS
YES □ NO □
(Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to_ c_onstruct. alter, improve, demolish or repair ant structure, prior o its issuance, al requires the
applicant for such permit to file a sI.E(ned statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law JChapter 9, commending 1th SectI_on 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 ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perfury one of the following declara/Jons
□ I have 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 lor which this permit is issued
□ I have and will maintain workers' compensation, as required by Secnon 3700 of the labor Code, for the performance Of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are. Insurance Co. Gd/Ill. -ns (A),5 µ'e/J-nL" Policy No. \J,J:.. r367 '3kt f{.5 Expiration Date /J./dl..o/..Z.:, I 6
This section need not be completed 11 the permit is !or one hundred dollars ($100) or less □ Certificate of Exemption: I certify that in the per1ormance 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
Calilornia WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalt\es and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, d ages as provided for in Section 3706 of the labor code, interest and attorney's fees.
,g CONTRACTORSIGNATUR -'\,'i,,<-,dl.~ ?n,o--,,,_:t /77~ □AGENT
I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the woi. 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 ol property who builds or improves thereon, and who does such work himsell or through his own employees, provided that such improvements are not intended or offered for
sale. ll, 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 lor the purpose of sale)
□ I, as owner cl the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business arid 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 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 □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have contracted v.ith the following person (firm) to provide the proposed construction (include name address / phone I 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/ address I phone I 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 I address I phone I type of work):
..ft5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regislra~·on form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes O No
Is the applicant or future building occupant required to obtain a permit lrom the air pollution control district or air quality management district? 0 Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 certify th at I have read the application and state that the above infonnation Is correct and that the infonnation on the plans ls accurate. I agree to compty..,.,.,.thall Chy ordinances and State 18..w relating to building coostruction.
I hereby authon·ze representative of the Qty of CarlsbOO to enter up:in the above mentioned prq:erty lor insi:ection purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS !'ND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT
OSHA: M OSHA permit is required for excavations over 5'0' deep and demol~ion or ronstruction of structures over 3 stones in heght
EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and vo:d if the building or w::,r\i authorized by such permit is not rommenced Wthin
180 days from the date of such pennil or if the bJik:lirg or mrli authorized by such permit is suspended or abandoned at anytime after the W'.lrli is rommenced for a perod of 180days (Section 106.4.4 Uniform Building Code).
,,@$' APPLICANT'S s10,Aruad~Ca-[#m /t,P:r~f H1/K,t.?6J(!L DATE /op 3 '.;;,,,t>J 5
Inspection List
Permit#: CB153609 Type: PME
Date Inspection Item Inspector
12/31/2015 39 Final Electrical
12/31/2015 39 Final Electrical AEK
12/22/2015 89 Final Combo
12/22/2015 89 Final Combo AEK
12/18/2015 39 Final Electrical AEK
11/06/2015 66 Grout AEK
10/29/2015 603 Follow-up Inspection AEK
10/28/2015 66 Grout AEK
10/26/2015 12 Steel/Bond Beam AEK
10/26/2015 610 Verbal Warning AEK
Monday, January 04, 2016
Act
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MILLER RES-FIREPLACE-10 FT
HIGH-PER MASONRY INSTITUTE SPECS-
Comments
PLACE GFCI RESET IN ACCESSIBLE
LOCATION
NO ONE HOME
FIREPLACE TO TOP LEVEL OK TO
GROUT
BMPS IN PLACE// ALL MATERIAL
REMOVED FROM PUBLIC RIGHT OF
WAY AND LOCATED ON PROPERTY
ok to grout 1st lift
BMPS REQUIRED FOR STOCKPILES//
BLDG MATERIALS NEED REMOVED
FROM ROAD OR RIGHT OF WAY
PERMIT NEEDS OBTAINED
Page 1 of 1
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