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HomeMy WebLinkAbout1640 FRAZIER AVE; ; CB163474; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-09-2016 Permit No: CB163474 Building Inspection Request Line {760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1640 FRAZIER AV CBAD PME 1562124000 Lot#: MCCUSKER:RUN GAS AND ELECTRIC TO FIREPIT & BBQ 0 Applicant: Owner: STONEBROOKLANDSCAPES 414 CAMINO HERMOSO SAN MARCOS CA 92078 760 445-4242 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $201.00 Total Payments To Date: Inspector: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/09/2016 SF 09/09/2016 09/09/2016 $38.00 $163.00 $0.00 $0.00 $201.00 $201.00 Balance Due: Clearance: $0.00 NOnCE: Aease ta<e NOnCE thct ~ d yax prqect indudes tl"e "lrrpa;itioti' d fees, deda:tiCl"lS, reservatiCl"lS, cr cther exadia1s herectta" cx:AIEdivay ra'erred to as "fees'exadials." You l"lMl 00 days fran tl"e date tlis perrrit v.es issued to pretest irrpa;iticn d these fees'exadials. If~ prctest them, ~ rru;t fdlo.vthe pretest ~set forth in GolaTmrt Qx.le Secticn60020(a), crd file tl"e prctest crd arrt cther req..ired irfutr£ticn Y.ith tl"e aty M:nager fer IJOOOSSirg in ~Y.ith Ca1stm M.ridpa Qx.le Secticn3.32.030. Faih.retotirrelyfdlo.vthal p1XlldreY.illl:a" artfSlbleq.lert lap a::.ticntoatta:l<, I"EMew, set aside, \del, cr CI"TlJ treir irrpa;ition. You ere heret1y FI..RTI-£R NOTlRED that your rigt to pretest tl"e spedfied fees'exa:lions !XES NOT APPLY to w:ter crd &3Nii!l: canedicn fees cn::l ~ cha1ges, ra plarirg, :zoirg, ga:lrg cr cther sinila ~iccmcniJOOOSSirg cr servioo fees in canedicn Y.ith tlis prqect. t-m !XES IT APPLY to arrt ~ · dWi · · NOTl sinila tli crast Widl statliedli · i ·ous1 · "red • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OF IRE DHEALTH DHAZMAT/APCD ("City of Carlsbad JOB ADDRESS lb CT/PROJECT # Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACEI/UNITI Plan Check No. Est. Value Plan Ck. Deposit Date APN #BATHROOMS TENANT BUSINESS NAME SWPPP OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) FIRE SPRINKLERS YESONoD APPLICANT NAME ADDRESS CITY ZIP PHONE PHON EMAIL )L.-.~ CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX EMAIL EMAIL STATE UC. # STATE LIC.# (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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: ~ave and will maintain a certificate of consent to self·lnsure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. !:::::11 have and will maintain workers' compensation, as required by Section 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. ~ M B "'.,I-J N >. C d) • Policy No. ""'I\.. vJ t-G. L-X..._ 3 3 ° 3 Expiration Date l o J I // (,. ]J!i§,section need not be completed ~the permit is tor one hundred dollars ($1 OO) or less. ( I U Certificate of Exemption: I certify that in the performance of the work lor 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 Cal~omia. WARNING: Failure to secure workers' Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as of the Labor code, interest and attorney's fees. f#S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law D D D I, as owner of the property or my employees with wages as 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. II, 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 tor 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 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. DYes ONe 2. I (have I have not) signed an application for a building permit for the proposed worl<. 3. I have contracted with the following person (firm) to provide the 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 following person to coordinate, supervise and provide the major work (include name I 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): J#S PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Acfl Ll Yes Ll No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ll Yes Ll No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ll Yes Ll 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. Lender's Name I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and Slate lav.s relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property kJr inspection purposes. 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 permit is required for excavations over 5'0' deep and · or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the Code shall expire by limitation and berome null and void if the building or 0011< authorized by such permit is not commenced within 180 days from the date of such permit or if the building or oork permit is suspended or abandoned at any time after the oork is commenced for a period of 180 days (Section 106.4.4 Uniform 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER:---------------- A$ APPLICANT'S SIGNATURE (Office Use Only) CA o ASSOCIATEDCB#------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List CB163474 PME MCCUSKER:RUN GAS AND ELECTRIC Date Inspection Item Inspector Act Comments TO FIREPIT & BBQ Permit#: Type: 23 Gas/Test/Repairs PD AP10/06/2016 31 Underground/Conduit-Wirin PD AP10/06/2016 23 Gas/Test/Repairs PB AP09/15/2016 31 Underground/Conduit-Wirin PB AP09/15/2016 23 Gas/Test/Repairs PB CA09/13/2016 23 Gas/Test/Repairs PB CA09/12/2016 31 Underground/Conduit-Wirin PB CA09/12/2016 Tuesday, November 15, 2016 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB163474) BLDG-Residential 09/09/2016Application Date:Permit Type:Owner: Subdivision:P/M/E 09/09/2016Work Class:Issue Date: 1640 Frazier Av Carlsbad, CA Address:Issued - Active 04/04/2017Expiration Date:Status: IVR Number: 717012 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/15/2016 11/15/2016 BLDG-Final Inspection 001100-2016 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Strutural Final Yes BLDG-Electrical Final Yes November 15, 2016 Page 1 of 1 -L--------------~' -11', t ~-\J <'"'ro--n~~t::;~ :A m --"' ... -~ CJ\ \) o:l \.... m • ; ~ !Pj\) i ' 1 l ~ ~ l I 1.. 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