HomeMy WebLinkAbout2229 CORTE ANANAS; ; CB101041; Permit06-10-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB101041
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
KING MASONRY
1137 OAK DRIVE
92084
760 727-8830
2229 CORTE ANANAS CBAD
ELEC
2552614100 Lot#:
PRZESMICKI RESIDENCE
EXTEND GAS & ELEC TO FIRE PIT AND BBQ
Status: ISSUED
Applied: 06/10/2010
Entered By: MDP
Plan Approved: 06/10/2010
Issued: 06/10/2010
Inspect Area:
Owner:
PRZESMICKI STEVEN M
2229 CORTE ANANAS
CARLSBAD CA 92009
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$27.00
$0.00
TOTAL PERMIT FEES $47.00
Total Fees:$47.00 Total Payments To Date:$47.00 Balance Due:$0.00
,7
Inspector:
FINAL APPRQVAL
Date:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
<^^1> Building Permit A|
vS^/' 1635 Faraday Ave., Carlsba
N^ CITY OF 760-602-2717/2718
/"* A n i e*n A I~N Fax: 760-602-35
CAKLbbAU www.carlsbadca.i
JOB ADDRESS -j rt
CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS
nnlirnK™ P'a" Ch6Ck N°'PpllCQtlOfl
j, CA 92008 Est. Value
/2/1958 Plan Ck. Deposit
m Date
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
£?*4<y\<A 4d5s L-W^ T~O iSSQ GHY\A, "P^v-e. I?\T oAs<!> fclPcVv\c TO P5®
w
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (It Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME _ t _
ADDRESS
CITY STATE ZIP
PHONE/ . FAX
EMAIL *•
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES O NO D YES D NO D
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS <^
CITY | STATE ZIP ^ -
PHONE ^ FAX
V"7bOj "7 "2- "I A^^o -TL-T 8X"?c>
EMAlt j f
^lV\ fli hAlu^drt /U ^J 1 ^^**'* » '
STATE LIC.# J I CLASS— CITY BUSJ|LICL#
oT.^.s§J ^ ^~ oS\T **^
(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 iemjance, alsoJequires 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
c omf. EH * &~n:&m
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
G 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.
TJy I 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. _ Policy No. _ Expiration Date _
This section need not be completed if the permit is for one hufldred dollars ($100) or less.
O Certificate of Exemption: I certify that in the performa/ioB 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 secur/woVkMVlcomieisation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in
addition to the cost of compensation, Bamaafesras/jrovnm for in Section 3706 of the Labor code, interest and attorney's fees. j /
(0 // £) / / OCONTRACTOR SIGNATURE f\OAGENT DATE
/ hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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).
n 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 contractors) licensed pursuant to the Contractor's License Law).
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, a Yes a No
2.1 (have / have not) signed an application for a 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):
4.1 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 / 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):
>eTpROPERTY OWNER SIGNATURE OAGENT DATE
s'e.crri0w "ir'OR NON-RES to ENT i AL a u ILD i NG t> E RM ITS 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 Act? Q Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes CJ No
Isttieracilitytobeconstructedwithin1,000feetoftheouterboundafyofascnoolsite? CJYes ONo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
:£O N $ T 8 M C T I O N J.*.« 0f.ISI.G
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 P P i I C A NT C B B T11H :C AT J.y&liJ
I certify that I have read the application and state that the above information is correct and that the infomvrtkm on rJie plans is accurate. I agree to oxtiplywitt all r^
I hereby authorize representative of Ihe City of Carlsbad to enter upon tie above mentioned property for 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 SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
EXPIRATION: Every permit issued by the Building Offcpl under Inewisians of this Code shall expire by limitation and become null and void if Ihe building or work authorized by such permit is not commenced within
180 days Sxm the date of such penrnt or if Ibe^ilding ^ v^ a^hcfeef bj su^
^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 08/24/2010
Permit* CB101041
Title PRZESMICKI RESIDENCE
Description: EXTEND GAS & ELEC TO FIRE PIT AND BBQ
Inspector Assignment: PD
2229 CORTE ANANAS
Lot: 0
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
OWNER PRZESMICKI STEVEN M
Owner: PRZESMICKI STEVEN M
Remarks:
Phone: 7604588500
Total Time:
CD Description Act Comments
21 Underground/Under Floor '~-
Comments/NoticesyHolds
Requested By: BRAD
Entered By: JANEAN
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
06/17/2010 23 Gas/Test/Repairs AP PD
06/17/2010 31 Underground/Conduit-Wiring AP PD
06/15/2010 23 Gas/Test/Repairs CO MC 1147 F2, NOTICE ATTACHED
06/15/2010 31 Underground/Conduit-Wiring CO MC
f
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
(760)602-2700
1635 FARADAY AVENUE
TIME
LOCATION
PERMIT NO.
FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE?
FOR FURTHER INFORMATION, CONTACT "?bg> £»<X2~ ~2^J U
YES
BUIUMNG INSPECTOR CODE ENFORCEM6NT OFRCEft
,.12.
City of Carlsbad Bldg Inspection Request
For: 06/15/2010
Permit* CB101041
Title: PRZESMICKI RESIDENCE
Description: EXTEND GAS & ELEC TO FIRE PIT AND BBQ
Inspector Assignment:
2229 CORTE ANANAS
Lot. 0
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
OWNER PRZESMICKI STEVEN M
Owner: PRZESMICKI STEVEN M
Remarks:
Phone: 7604588500
Inspector:
Total Time:
CD Description
23 Gas/Test/Repairs
31 Underground/Conduit-Wiring
Act Comments
Requested By: BRAD
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments