HomeMy WebLinkAbout1737 ROGUE ISLE CT; ; CB131684; Permit07-16-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB131684
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1737 ROGUE ISLE CT CBAD
PME Status: ISSUED
07/16/2013
JMA
07/16/2013
07/16/2013
Parcel No: 2072112000
Reference #:
PC#:
Project Title: MURPHY: ELECTRIC TO SPA
Applicant:
KIMOS LANDSCAPING
210ACACIAAV
CARLSBAD CA 92008
760-758-3595
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MURPHY ROBERT A&VIRGINIA H
1737 ROGUE ISLE CT
CARLSBAD CA 92008
$0.00
$154.00
$0.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector:
FINAL APP
/2... Date: Clearance:
$0.00
at 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
f whi h h v r vi I b n i N Tl E imilar hi r whi h limi i h i I h rwi
-----------------------------····-·-···
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
«~-Building Permit Application Plan Check No. Cl;:>\~-11,,.,J-lf
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
0 f •~ CITY Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 7',,_7 ,~ ISWPPP
JOB ADDRESS Court, ctzooez1 SUITE#/SPACEI/UNIT# \'"" r<c>lc..-c..,rl-'.,bad, <-A ---IT=i1 l<o~u.e
CT/PROJECT# I LOT# I PHASE# I# OF lJNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROlJP
DESCRIPTION OF WORK: Include Square Feet of Atfected Area(s)
L q n d 3 c_c ()ft. /::>raj CLt r e'(v,·, '"j e./ecfr ,·c ~e.r111·ce -\-o ne..,__, sfq
u?in5 e.. )<( ,;,-f ,· ....,5 <.o" QI u , t '4 50 <>...,..., f' kl r = ~ e. r.
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES[),
lAIR CONDITIONING I FIRE SPRINKLERS "'° YES □No □ YES□No□
APPL~NT NAME {Primary f ontact) \-rnl'l'~ -·...1<,.c_--•. · .. ,..
APPLICANT NAME (Secondary Contact)
ADDRESS c...J C: da.," ..uo D cl I _.} ADDRESS
·2-1 I(,,
CITY STATE ZIP CITY STATE ZIP
Clo.eo.n ~; d c: C:,'\
PHONE I FAX PHONE lFAX tlao <t>o I ·71 D7
EMAIL \
EMAIL
PR0PEnOWNER N~
U"f'"l:> LI
.. ~TRACTOR BUS. NAME
ADDRESS 1 K' T ,_J-Cov,-f ~ESS
17'>7 o .. -t"
CITY ._, STAiE c:A ZIP CITY STATE ZIP
( -.r \. \...__ --1 92.0D~
PHONE IFAX PHONE IFAX
700 '-13'-I <-j .. "" 7
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# _ ~''""c•0 ~ 0 <:ti I CLASS iCITYi;_2'. ,z_ n, 2-
(Sec_. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to I1s 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 LawJChapter 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 031.5 by any applicant for a permit subJects the applicant to a
ctvll penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
WOl"il;ers' Compensation Declaration: I heleby affirm under penalty of perjury one of the following declarations: Q I have end 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.
~ have and will maintain work~' compensatioo, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation rurance carrier and policy
,)/numberare:lnsuranceCo.f"C"'lCCVC< In~, ( o PolicyNo. \A.JCL 70 llj)i-tlJ ExpirationDate L-/ I/ '2oJ'j
J:ba.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 pelformance 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 wo rs' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
for In Section 3706 of the Labor code, Interest and attorney's fees. /
~GENT
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 trial 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, B1.1siness 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 Irle proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the followir,g person (finn) to provide the proposed construction (include name address/ 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 /address/ 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/ phone I type of worll):
8$ PROPERTY OWNER SIGNATURE □AGENT DATE
i
I
I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or ful\KE! 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-Talljler Hazardous Substance Account Acrt 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.
CONSTRUCTION LENDING AG£NCY
I hereby affirm that there is a construction lendmg agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v,I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have lead the application and state that the above infonnatlon is oonectand that the information on the plans is accurate. I agree ID oomplywith all City ordinances and State laws relating ID building oons1ructlon.
I hereby authorize representative of the City of Carlsbad to ter upon the above mentioned property br inspection pulJXlses. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEB' HARMLESS THE CITY OF CARLSB.AD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND SES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CCT;SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA J):lrTTiit is required for excavations over 0' deep and demolioon or CXlllStruclion of slructlJres over 3 stories in hei;Jht.
EXPIRATION: Every pemiit issued by the Building I under the provisbns of this Cocle shall expire by limitation and beo:lme null and vokl W the OOilding or v.ork authorized by such pennit is not oommenced 'Mthin
180days from the date of such J):lrTTiit or if the build. or mrk auth y ~rmit is susl):lnded or abandoned at any time after the 'Mlrk is oommenred for a ~riod of 180 days (Section 100.4.4 Uniform Building c:ode).
A5 APPLICANT'S SIGNATURE DATE ' 11..o I
• 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 buildinq@carlsbadca.gov or Mall 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
Carlsbad
STATE
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/FAXTOOTHER: _______________ ~
~ APPLICANT'S SIGNATURE
ASSOCIATED CB#'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB131684
Date Inspection Item
12/17/2013 39 Final Electrical
12/17/2013 39 Final Electrical
Type: PME
07/18/2013 31 Underground/Conduit-Vlllrin
Wednesday, December 18, 2013
MURPHY: ELECTRIC TO SPA
Inspector Act Comments
RI
PY AP
PY AP
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