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HomeMy WebLinkAbout1373 NIGHTSHADE RD; ; CB160411; Permit02-02-2016 City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB16041 I Building Inspection Request Line (760) 602-2725 Job Address: 1373 NIGHTSHADE RD CBAD Permit Type: PME Status: ISSUED Parcel No: 2156412700 Lot #: 0 Applied: 02/02/2016 Entered By: SLE Reference #: Plan Approved: 02/02/2016 PC #: Issued: 02/02/2016 Inspect Area: Project Title: JONES:GAS LINE TO BBQ & FUTURE FIRE PLACE (NOT TO EXCEED 6 IN HEIGHT) II ELECTRIC TO BBQ & OUTLET Applicant: . Owner: AAA LANDSCAPE SPECIALISTS HOUSTON SARAH M 1260 WHITE SAND DR 1373 NIGHTSHADE RD SAN MARCOS 92078 CARLSBAD CA 92011 7.60 295 1980 Plumbing Fees $163.00 Electriäal Fees $38.00 Mechanical Fees $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: $0.00 FINAL APPROVAL Inspector: Date: Clearance: NOTICE Rem take NOTICE that appod of your project includes tha lrrition" dfees, deflcs, rservaticns, or other exactions, hereafter Iledivsty raterred toes feese,kxts." You have 90 days frern the date this pernit Ym issued to protest inpsrtjm of these fe&a irns. Ifyouprotedthemyourrust fdlcm the protest procedures set forth in Gaverrment Code Sector, 66020(a), ard file the protest and arry other mquued infmiethor, wlh the OtyFvWerfor .ing in accordanoaWith Carlsbad rvuidpst Cute Section 3.32 030. Faikreto tindy fdlaN that pswlI bar any subaerluent leg action toaUaJ reAew, set aside sod, or arn.d their irrpceitiort You are hereby RR11-ER NOTIFIED that your right to potest the specified fe&eiais DOES NOT APPLY toeter and saw connection fees and capacity dwige nor pIarrr, zcnrlg, grarirg or other sirrilarapplication processing or service fees in connection wth this project. NOR DOES IT Y to any ITHE FOI:LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING DENGINEERING [:]BUILDING OFIRE DHEALTH DHAZMAT!APCD (City of Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value C ìr1sbad. Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building©carlsbadca.gov Date Z-L - t(, lswppp I www.carlsbadca.gov JOB ADDRESS /37-3 k 1-r I AO 1SUITE#/SPACE#/UNIT$ 1APN .1/PROJECT # LOT # 1 PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME I CONSTR. TYPE I I 0CC. GROUP I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) —') p4h bed 4 j., F. ,C ,Vr 1—. "cptJ 6' 14 £1ij o M- Cev t3I3 61 412o(' 1a-8 ciit—lej' r USE I PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS(SF) FIREP(fi,CE AIRCONDiTIONING I EXISTING YESD NO[—] I YES [:]NO E-] IFIRESPRINKLERS - YESD NOD APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS p ADDRESS CITY ic, /'uJ STATE ZIP CITY Ctcd STAT, ZIP PHONE FAX PHONE FAX EMAIL (1&VJ4 /_JfcpC4pf4"7 /a (I'—, C MA EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS 4,/41V . CITY STATE ZIP CITY STATE ZIP J(' /(4,'tuJ C/19- PHONE FAX PHONE FAX EMAIL _______ EMAIL t Iet-J/c4Ør I LL,.f4: /(f\ qC(.ASS STATE LIC. a STATE LIC.# IL2- I CITY BUS. LIC.# I (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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars ($500)). 000130009 C®OJ3WO®() Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 for which this permit is issued. Tirave and will maintain work 'compens •o as maui by ection 37 of the Labor Code, for the performance f the work for which this permit is issued. My workers compensation ins #ance rrier nd policy numberare:lnsuranceCo._Pf L/'' $ H)tfL,fk11 Policy No. _)4ttA) 06 SS— 2 ExpirationDate_Oft)1i / d This section need not be completed if the permit or one hu red dollars ($100) or less. [J Certificate of Exemption: I certify tha i the performa of the rk 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 sec workers' co ensati coverage is unlawful, and shall subject an employer to criminal penalties and Civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost of compensatio damages asp vided f r in Section 3706 of rcáde, interest and attorney's tees. / CONTRACTOR SIGNATURE 0 AGENT DATE ( I hereby affirm that lam exempt from Contractor's License Law for the following reason: [.I 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 purpose of sale). D. 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 contractor(s) licensed pursuant to the Contractor's License Law). [] I am exempt under Section Business and Professions Code for this mason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement DYes [:]No 2.1(have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction[Include name address! phone! contractors' license number): I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name! address/ phone! contractors' license number): 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): / ..PR0PERTY OWNER SIGNATURE DAGENT DATE ®(POG 7O6 6(G?000 (®(D (N)OQ(DO()@ 9)&00017 00CM Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk 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 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. ®'O®1) 11113WOOG90 8@0690V I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) CMI Code). Lenders Name Lende?s Address O(C (O0901?0®() Icertifythati have read the application and state thatthe above information is conectand thatthe information on the plans is accurate. lagreetocomplywith all Cityordinances and Slate laws relating to buitdingconstiuction. I hereby authorize representative of the Cfy of Carlsbad IWAter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS 0 SES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavali over5 pa F itbn or construction of sbucturesover3 stories in height. EXPIRATION: Every permit issued by the Buildi Officialu er the pro s of this Code shall expire by limitation and become null and void fithe building or work authorized by such pemritte not commenced within 180 days from the date of such permit or if the g or authosuch pe spended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). ,'APPLICANT'S SIGNATURE ('7 DATE -/u . / , 6 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a'Certificate of Occupancy will be requested at final inspection. IE CERTIFIC ATEI%(Com m ercia l Projec ts .Only) Fax (760) 602-8560, Email buildina(äCarlsbadCa.ciOv or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME - OCCUPANT NAME ADDRESS - BUILDING ADDRESS CITY STATE ZIP CITY STATE . ZIP Carlsbad CA PHONE FAX EMAIL . . OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ..APPLICANT'S SIGNATURE DATE c I Inspection List JONES:GAS LINE TO BBQ & FUTURE Permit#: CB160411 Type: PME FIRE PLACE (NOT TO EXCEED 6 IN HEIG Date Inspection Item Inspector Act COmments 07!12/2016 29 Final Plumbing - RI 07/12/201629 Final Plumbing AEK Fl 07/1212616 39 Final Electrical - RI 07/12/2016 39 Final Electrical AEK Fl 02I04/2016 23 Gas/Test/Repairs PY AP 02/04/2016 31 Underground/Conduit-Wirin PY PA C ) I Tuesday, July 12, 2016 -\ Page 1 of 1