HomeMy WebLinkAbout1730 HAVENS POINT PL; ; CB150739; Permit03-10-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 150739
Building Inspection Request Line (760) 602-2725
1730 HAVENS POINT PL CBAD
PME
2073112200 Lot#:
MCMAHON RES-GAS TO FIRE PIT
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ELECT TO SPA-ABOVE GROUND, 2 OUTLETS, GAS FOR FUTURE
PROPANE HEATER@ FUTURE PATIO
Owner:
ISSUED
03/10/2015
RMA
03/10/2015
03/10/2015
MCMAHON THOMAS M&TINA M MCMAHON THOMAS M&TINA M
1730 HAVENS POINT PL
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1730 HAVENS POINT PL
CARLSBAD CA 92008
$160.00
$35.00
$0.00
$0.00
$195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
Inspector: Date: Clearance:
$0,00
NOTICE: Please take NOTI pproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exaction : 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
f /exactions f whi h o have revi I n iven a NOTICE imil r this or as w i h he s atute f imi i ns has r v· I herwise ex ir
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE ::lie e,LTH OHAZMATIAPC0
{'cicyof Building Permit Application Plan Check No. ~ ISn ·7 -?G
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value . I
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov ~ www.carlsbadca.gov Date '-< I ID ~ lswPPP
JOB ADDRESS \'130 f>.; ... + Pt._~ SUITEf/SPACEf/UNITf IA, .
\...\, c. II '"'.s ---
Cl/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Gc..s \,'fl..-t..-i;:..,J) £'..tu..t,-.cc. I l,._._ ,&J '::,\""' ) F:"'p;\ ' 4 C.\>.,_.,.. t' "='t'e....-
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YESQ Nc0 YES•No• YES•No•
APPLICANT NAME PROPERTY OWNER loM I', 'Tl"'-t-,,\_C Mo\. • .,., Primary Contact
ADDRESS ADDRESS p.,4 Plo..u.. \13 0 \\,;v<,-~
CITY STATE ZIP CITY STATE ZIP
(,,;-,-\ s b,_.9. CA ~~oa~
PHONE IFAX PHONE ,IFAX 71, c ~-4c,-;i_ :"\1.:>'5
EMAIL EMAIL 't'T\..\i'\<-.M,_\~ &. y,,M«;\,e,c,"""
DESIGN PROFESSIONAL CONTRACTOR Bu:.. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE l'AX
EMAIL EMAIL
I STATE UC.# STATE UC.# I CLASS I CITY BUS. 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 per_mit 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 Div1s1on 3 of the B_usiness and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of5ection 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' !:OMPENSATION
Worilers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: 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 the perfonnance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ______________________ Policy No. ______________ Expiration Date _________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less, LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,8$ CONTRACTOR SIGNATURE •AGENT DATE
OWNER-BUILDER DE!:LARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: •
~
•
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, Busil'\ess 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 Ucense 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 constructkln of the proposed property improvement. Oves °'ENo
2. 1@j) have not) signed an application for a building permit for the proposed work.
3. I have contracted with the fol/owing person {firm) to provide the proposed construction (include name address/ phone/ contractors' license number): D l"lt.a ~~
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/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wort. iridicated (include name I address I phone I type of work)
,6$ PROPERTY OWNER SIGNATURE •AGENT DATE \ s-
COMPLE'TE 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 u11der Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr/ 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
ls 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction leodmg agency for the performance of the work this perm~ 1s issued (Sec 3097 (i) C1V1I Code)
lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnatlon Is conac:t and that the information on the plans is accurate. I agree to comply'Mth all City ordinances and State laws relating to building oonstructlon.
I hereby authorize rei:resentative oflhe City of Carlsbad b enterup::lll the alxlve mentioned property br inspecoon JXJIJ'.X)SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LINlllfllES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN f.M' WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA perm~ is required for excavations over 5'0' deep and demolioon or coostruction of structures over 3 sbries in height.
EXPIRATION: Every permit issued by the B.Jik:ling Offdal under the prtMSioos of this Code shall expire by Imitation and t:eoome null and voij W the buik:ling or \Mlrk authorized by such permit is not commenood 'Mlhin
100 days from the dale of sldl ~rmlt or if th iklhg or rk authorized such permit is sus~nded or aband:Jned al any time after the v.ork is oommenood for a perkxl of 180 days (Section 106.4.4 Uniform Buik:ling Code).
,1$ APPLICANT'S SIGNATURE DATE 5 l C) 1-S-
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 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
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ______________ _
A! APPLICANT'S SIGNATURE
ASSOCIATED CB#•------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB150739 Type: PME
Date Inspection Item _
0512612015 29 Final Plumbing
0512612015 29 Final Plumbing
0512612015 39 Final Electrical
05126/2015 39 Final Electrical
0311112015 23 Gas/TesURepairs
0311112015 31 Underground/Conduit-Wirin
Thursday, May 28, 2015
MCMAHON RES-GAS TO FIRE PIT
ELECT TO SPA-ABOVE GROUND, 2 OUTL
Inspector Act Comments
RI FRIENDLY DOGS -ALRIGHT TO ENTER
PY AP
RI FRIENDLY DOGS -ALRIGHT TO ENTER
PY
PY
PY
AP
AP
AP
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