HomeMy WebLinkAbout2558 TOWN GARDEN RD; ; CB143085; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical {PM E) Permit
11-10-2014 Permit No: CB143085
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2558 TOWN GARDEN RD CBAD
PME
2131305700 Lot#:
TOMLIN RES-MASONRY FIREPLACE
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/10/2014
RMA
11/10/2014
11/10/2014
9 FT HIGH, GAS TO FIREPLACE, ELECT FOR FOUNTAIN
Applicant:
ARTISTIC LANDSCAPING
1260 DEL SOL WY 92159
619 690-0510
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOT AL PERMIT FEES
Owner:
Total Fees: $260.00 Total Payments To Date:
Inspector:
$160.00
$35.00
$0.00
$65.00
$260.00
$260.00 Balance Due:
Clearance: ______ _
$0.00
that approval of your project includes the "lmpo lion" of ees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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
fe s/exactions of which o have reviousl b en iven a TICE similar tot is or as to which t e statute of limitation has re iousl othe ise e ired.
THE FOLLOWING Aft"ROVAL,: REQUIRED PRIOR TO PERMIT ISSUANCE: C]PLANNING []ENGINEERING []BUILDING []FIRE LJHEALTH []HAZMAT/APCO
{_ City of
Carlstiad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.cartsbadca.gov
Plan Ck. Depos·:t
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
1-C~ITY ____________________ ST_A_T_E __
PHONE
EMAiL __ ,
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
FAX
STATE
FAX
GARAGE (SF)
ZIP
ZIP
STAfE UC.#
SOITE#/SPACEtjlJNITJ
# BATflROOMS TENANT BUSINESS N/1.I\IE
FIREPlACE
YESC), N<O
SWPPP
CON5TR. TYPE OCC. GROUP
AIR CONDITIONING
YES0No □
FIRE SPRINKLERS
vESONoO
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issu Isa requires he applicant for such permit to file a signed statement t~at he is licensed pursuant to the provisions of the Contractor's License Law IChaPter 9, commending with Sect"O 7 0 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation or 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 Declaration: I hereby affl{1T) under penalty o/ pe,;ury one of the following declaraffons: D 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 lhe performance of the work for which lhis permit is issued D I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which lhis permrt is issued. My workers' compensaljon insurance carrier and policy
number are: Insurance Co. Poley No. ______________ Expiration Date-----~----
~
i section need not be completed if the permit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shaU not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
all omia. WARNING: Failure to secure worllers' compensatlon cover119e Is unlawful, and shall subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensaliO!l, dam ro "ded Section 3706 of the Labor code, interffl and attorney's fees.
NS CONTRACTOR SIGNATURE
r hereby affirm /ha! i am exempt from Contractor's Uc,mse Law tor ffle following reason:
□
□
□
I, as owner ol lhe 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 or property who builds or improves thereon, and who does such work himseH or through his own employees, pro~ded Iha! such improvemenls are not intended or offered for
sale. If, however, the bu;lding or improvement is sold within one year ol completion, the owner-builder will have the burden of proving that he did nol build or improve lor the purpose or sale).
I, as owner ol the property, am exclusively contracting w~h licensed coWaclors to construct t11e projecl (Sec. 7044, BI.ISiness and Professions Code: The Contracto(s License Law does not apply to an owner of
property who builds or improves thereon, and contracts for suet, projects with contraclor(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. Oves 0No
2, I (have I have not) signed an applicalion for a building permil for lhe proposed work.
3.1 have contracled w~h the f~lowing person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the !~lowing person lo coordinate, supervise and provide the mai<Jr work (include name I address I phone I contractors' license number):
5. I will provide some of \he work, but I have contracted (hired) the following persons to provide t'le work indicated (include name I address I phone I type of work):
NS PROPERTY OWNER SIGNATURE DATE
I.. '
Is the applicant or future building occupant required to submit a business plan. acutely hazardous ma1erials registration form orris~ management and prevention 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 pollullOn control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet o!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.
I certify that I hmie read the application and state that the above lnfoITTJation is correct and that the info,mauon on the plans is accurate. I agree to comply with all Ci1y ordinances and Stare laws relafog to building construction.
I hereby authorize representative of the City of Car1sbad to enler upon the above rnentJoned properly for inspecton purp:ises, I ALSO AGREE TO SAVE. lflDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILlTIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA pem1R is required for excavations over 5'0' deep and dernoliti:Jn or construction of structures over 3 stones 1n heghl.
EXPIRATION. Every permit issued by the Building Official under 111e provisklns of 111is Code shall expire by limitation and beOJme null and vokJ if the building or l\llrk authorized by suer, perrnil is nol commenced 111tnin
180 days from the dale of such permit or if the building or l\llrk authorized by such permit ,s suspended or aoonooned al any lime after the l\llrk 1s commenced for a per()(! of 180 days (Section 106.4A Un1fo,m Bu11d1ng OXle).
fl5 APPLICANT'S SIGNATURE DATE
_ _J
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY fCommercial P.-ojects 0 nly/
Fax (760) 602-8560. Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Buildi~ Division 1635 Faraday Avenue. Carlsbad. California 92008
-~ I CO#: (Ofllce Use Only)
CONTACT NAME OCCUPANT NAME
-~ ADDRESS BUILDING ADDRESS
-~ ·~ CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
I
~-FAX
EMAIL OCCUPANTS BUS. LIC No. -~
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above} OCCUPANT (Listed above}
CONTRACTOR (On Pg. 1)
I ASSOCIATED CB# -----~
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above}
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
..#5 APPLICANT'S SIGNATURE DATE
i
I
Inspection List
Permit#: CB143085 Type: PME
Date Inspection Item
12/17/2014 21 Underground/Under Floor
12/17/2014 39 Final Electrical
12/16/2014 23 GasfT est/Repairs
12/16/2014 23 GasfT est/Repairs
12/16/2014 29 Final Plumbing
12/16/2014 29 Final Plumbing
12/16/2014 39 Final Electrical
12/16/2014 68 FireplacefTie Straps
12/16/2014 68 FireplacefTie Straps
11/20/2014 66 Grout
11/17/2014 11 Ftg/F oundation/Piers
11/17/2014 23 GasfT est/Repairs
11/17/2014 26 Plumbing Repairs/Sprinkler
Thursday, December 18, 2014
Inspector Act
RI
SP Fl
RI
SP AP
RI
SP AP
SP
SP
SP
SP
SP
RI
RI
AP
AP
AP
AP
AP
TOMLIN RES-MASONRY FIREPLACE
9 FT HIGH, GAS TO FIREPLACE, ELECT F
Comments
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