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HomeMy WebLinkAbout1615 NEW CREST CT; ; CB154576; Permitr City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-28-2015 Permit No: CB154576 Building Inspection Request Line (760) 602-2725 Job Address: 1615 NEW CREST CT CBAD Permit Type: PME Status: ISSUED Parcel No: 2159505100 Lot #: 0 Applied: 12/28/2015 Entered By: JMA Reference #: Plan Approved: 12/28/2015 PC #: Issued: 12/28/2015 Inspect Area: Project Title: REGLER: GAS TO FIREFALLI/ ELECTRIC TO SPA AND FOUNTAIN Applicant: Owner: - HARLOW LANDSCAPE N P YUCAIPA ACQUISITION L P STE 115 1067YONGEST 5927 BALFOUR CT TORONTO ONTARIO CARLSBAD CA 92008-7343 CANADA M4W 21-2 00000 760-271-7240 Plumbing Fees $163.00 Electrical 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: NolicE Flease take NOI10E that app*M of your prqed irudes the Intiorf these. dsetiors, reservatiom or other exactions, heeaftaralledidy ratan-ed toas feesfior You hee 90 days from the date this penit vas issd to protest insitia, dthm feesfecaotiom If you protest them you rrLst fdlcw the protest pvsethas sat forth in Gy'errnnt Code Section 6&)20(a), and file the protest and any other r&red infmmtiai wth the City Wager for ixoeessrrg in amordanceWth Carlsbad rvthapa Code Section a32130. FatkretotinByfdloNthet ptxizewll bar aiya ecJerti legal ationtoattedc reAeg set aside void, or arni their irrpczitiai. You are hereby RRIHER No11AEDthet ojr right to protest ft spealied feeseiors IXES NOT APPLY tovetorand sew eaTredion fees and capacity danges, ru pleinning, za-ing, gredrg or other sirnilar application processing or ser-Ace fees in connection wth ths ptect. NCR OCES IT APPLY to any ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING [--]ENGINEERING DBUILOING DFIRE DHEALTH DHAZMATIAPCD I Building Permit Application Plan Check No. CE S. 4 S7 ,t Est. Value f Cyo Ph: 1635 Faraday Ave., Carlsbad, CA 92008 Cdisbad 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: buildingcarlsbadca.gov Date l2-(24'/!( Iswppp I www.carisbadca.gov JOB ADDRESS Q y V3 ( I SUITES/SPACES/UNITS I APN CT/PROJECT # LOT S PHASE S S OF UNITS S BEDROOMS S BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) C_ /(cI 4 cdr;L i'b EXISTING ,1- ISTING USE PROPOSED USE GARAGE (SE) PATIOS (SF) DECKS (SF) I FIREPLACE I AIRCONDffIONING YES&.......... N0II YES DNO U I FIRESPRINKLERS YESEJ NO[—] APPLICANT NAME PROPERTY OWNER .—;-- 1e Primary Contact 4 tr ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP £ PHONE FAX PHONE FAX EMAIL EMAIL 4'swá-i-&./ )cee(tr DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP u - PHONE FAX PHONE FAX -06•-271-72.9`62 EMAIL 1 % EMAIL (o IL44 STATE LIC. # CLASS Y BUS. LIC.# STATE uC#1 z 7 I L -2-7 I CIT / ; 1-0 7 (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)). 0000080 1700I) -- Workers' Compensation Declaration: I hereby affirm under penally 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. U] I have and will maintain workers' compensation as r uir by Section 3700 of the Labor Code for the performa of the work for which this permit is issued. My workers' compensation insurance cam and policy number are: Insurance Co. ') c( ' hr' ti Expiration Date________________ Thisection need not be completed if the permit is for one hundred doll is ($100) or less. 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 alifomia. 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 (9100,000), in addition to the cost of compensation, da as provide n Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE -- DAGENT DATE / ®&O(!)0Q1 I hereby affirm that! am exempt from Contractor's License Law for the followingreason: [] 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). [] 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 1w 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). ) .5 [J I am exempt under Section _____________Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property, improvement. DYes [—]No 2.l(have I have not) signed an application fora building permit for the proposed work. 3.1 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 / address I phone / contractors' license number): 5.1 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): - ,.'PROPERTY OWNER SIGNATURE []AGENT DATE - COMPLETE THIS SECTION FOR NON-nESIDENTIAL BUILDING PERMITS P,NLY 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? L 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? ). jYes E— No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I 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 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 - a I Nil Icerti,thatI have read the application and state thatthe above inthirnation iscerrectand thattee InfOrmation on the plans is accurate. Iagree to complywith all Cityordinances and State laws relatir,gto buildingcenstjucdon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IA1SO 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 permit is required for excavations over 5? deep and demolition or construction of structures over stories in height. - EXPIRATION: Every permit issuedbytheBuildingclfdalundertheprovisbnsofthisCodeshallexpirebytmitatonandbecomenullandvokl if the building or work authorized by such pernritis not commenced within 180 days from the date of such permit or if the building or work authorized bysu iris suspended or abandoned at any time after the work is commenced bra period o :days 106.4.4 Uniturm Building Code). .."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. ICERTIFICATE m er c i a l Projects SZllJ Fax (760) 602-8560, Email building©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 . ZIP Carlsbad CA PHONE FAX EMAIL . OCCUPANT'S BUS. LIC. NO. DELIVERY OPTIONS PICKUP. r:: CONTACT (Listed above) OCCUPANT (Listed above) ' CONTRACTOR (On Pg. 1) ASSOCIATED CB # MAIL TO: CONTACT (Listed above) j OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL! FAX TOOTHER: J CHANGE OF USE/ NO CONSTRUCTION APPUCANT'S SIGNATURE V DATE ¼ Inspection List REGLER: GAS TO FIREFALL!!. Permit#: C8154576 Type: PME ELECTRIC TO SPA AND FOUNTAIN Date Inspection Item Inspector Act Comments 06/21/2016 29 Final Plumbing - RI 06121/2016 29 Final PlUmbing PB AP 06/21/2016 39 Final Electrical - RI 06/21/2016 39 Final Electrical PB AP 12/30/2015 23 Gas/Test/Repairs PB AP 12/30/2015 31 Underground/Conduit-Wirin. PB . AP . Wednesday, June 22, 2016 Page 1 of 1 I i- - 1' P Cl) C -D jo rJ3C) CL ril ri cn cr CL I , /6 dr1e C - — - Ao p.