HomeMy WebLinkAbout2570 TOWN GARDEN RD; ; CB121709; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-31-2012 Permit No: CB121709
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
2570 TOWN GARDEN RD CBAD
PME
2131306000
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Project Title: MURRANT RES· GAS TO BBQ & Inspect Area:
FIRE PIT, ELECT TO ABOVE GROUND APPLIANCE TYPE SPA
Applicant:
MURRANT DAVID&JULIE
2570 TOWN GARDEN RD
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
MURRANT DAVID&JULIE
2570 TOWN GARDEN RD
CARLSBAD CA 92009
ISSUED
08/31/2012
RMA
08/31/2012
08/31/2012
$150.00
$30.00
$0.00
$0.00
$180.00
Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: f-:7' I :J. Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your pfoject 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 lees 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
fee lex
' □PLANNING 0 ENGINEERING □BUILDING 0FIR£ □HEALTH 0 HAZMAT/APCO THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE:
/r~-.~ Building Permit Application Plan Check No. f :A I ;J I 7/'J /J
<.:~ ~4J!,·· ,.., I f '\ ~ /,,' 1635 Faraday Ave., Gar!sbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: buldllng@cartsbadca.gov QA Plan Ck. Deposit
www.carlsbadca.gQv Date p /JI /J 1[ SWPP
JOB ADDRESS c.~~ SUITE#/SPACE#/UNIT# ... ,~ .. 2.Glo -IG,~tJ ---
CT/PROJECT# ,LO,# I PHASE# r VF UNITS r BEDROOMS # BATiiROOMS I TENANT BUSINESS NAME I co NSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: lncrudfl Square Feet of Atfected Area(s)
-:t-½AS t.-t~E-F-e.arv\. -sru..e.su.T 10 &MAi;Q..U...~ ANO F\tee:-.f tT
-k-~C.. l--tNG ~Ae,c,.Jt¼~b "5f'A,
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) IDECKS (SF) !FIREPLACE
I
AIR CONDITIONING IFIRE SPRINKLERS
YES □#~ NO □ YES □ NOD YES □ NOD
APPLICANT NAME (Primary Contact) APPLICANT NAME (Se.,ondary Cofff.Ct)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
',PHONE I FAX PHONE IFAX
EMAIL EMA1L
PROPERTY OWNER NAME':bA\J \b \\,\,u.U-ANT CONTRACTOR BUS. NAME
ADDRESS
-r&\,,ON C~t:£:N P--h ADDRESS
'2-5-10
CITY CA-a-L.s-bA-0 STAC,A-ZIP Cl'IY $TATE ZIP -,'ZClO"I
p76o t;t,1-'\ 'bbl.4--I FAX PHONE rAX
EMAlb (Q i A'11.D-M\A.U:ANT Ue'\!Nl.A: l L. c:..o f'V'
EMAIL
ARCfl/DESIGNER NAME&ADDRESS I STATE UC.# STATE LIC.# IC~ I CITY BUS. UC.#
(Sec, 7031.5 Business and P_rofess1ons Code: Any City or Cqun_ty which requires a permit to_construct, alter. improve, qernohsh or repair ani structure. pnorro itS ,ss~ance, also requires the applicant for such permit to file a signed statement tnat he Is licensed pursuant to the provIsIons of the Contractors License Law (Chapter 9, commending with Section 7000 of DIVisiOn 3 of the Business and Professions Code) or that he iS exem11t 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 {$5001).
Wor1<.ers' Compensation Declaration: I ~ereby affl,m under penalty of pefjury one of the following decianmons:
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 performance Of Ill! woll< for which lhiS pem,il is issued.
D I have and will maintain workers' compensation, as required by Section 370D of the labor Code, for the performance of tile work for which this perrnH is issued. My workers· compensalion insll'ilnce carrier and policy
number are: Insurance Co. ____________________ Policy No, ______________ Expiration Date _________ _
This section need not be completed if !he permit iS for one hundred dollars ($100) or less. D Certificate of Exemption: I certffy that ;n the pelformance of the work for which this pennit iS issued, I shall not employ any person io any manner so as to become subject 10 the Workers' Compensalio~ Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject., employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the labor coda, interest and attorney's fees.
AS CONTRACTOR SIGNATURE □AGENT DATE
I here_)Y affirm that I am exempt from Comractor's Ucense Law for the following reason:
f)I' I, as owner ol lhe property or my employees wtth wages as their sole compensation, w!I do the work and the structure is not in1ended or Offered for sale (Sec. 7D44, Business and Professi011S Code: The Contractor's
License Law does not apply 10 an owner of property who builds or improves thereon, and who does such work hlmse~ or through tis own empbyees, provided that such improvements are not inlended or offered for
_9ie. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of pmving 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 Contraclor's License Law does not apply to an owne,-of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to !he 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 prol)0$8d property improvement. □ Yes p-No
2. I (have I have nol) signed an application for a building permn for the proposed work.
3. I have contracted with the following person (firm) to provide tile proposed construction (include name address/ phone I contractors' license mmber): I 6. "b
4. I plan to provide portions of the work, but I have hired lhe foiowing person to coordinate, supeivise and provide the major work [ineli.de nime / adD"eSS / phone / contractors' icense mmbef):
5. I will provide some of the work. but I have contracted (hired) the following persons 10 provide the work indicated (include name/ address / phone / type of WO'ik):
AS PROPERTY OWNER SIGNATURE □AGENT DATE 12-
I
I
I
I
Is ttie applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or rtsk management and prevention program under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Substance Account Act? D Yes D No
ts ttie applicant or future building occupant required lo obtain a permit from lhe air pollution control district or air quality management distrtct? D Yes □ No
ls the tacility to be constructed within t,00Ofeet of 1he outer boundary of a school si!E? □ 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.
1 certify that I have read the application and state that the above information is oorrect and !hat the infunnalioo on the plans is accurate. I agree 10 oompfywilh all City oldinances and Stile laws relating 10 building oonstructlon,
I hereby authorize rep-esentative of lhe City of Carlsbad to enter upon the atove mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: Ni OSHA pemnrr is requi1Bd for excavations over 5'0' deep and demolition or oonstructbn of structures over 3 stories in height.
EXPIRATION: Every pemnit iSsu lhe liJilding Official under the provisions of this Code shall expire by limrtation and become nun and vod lthe building or wir1< authorized by sud\ pemiil is not oommenoed v.ithin
180 days from ttie dale of such pemi uilding or l',llrK authorized by such pemnrr is suspended or ndoned at any time after the l',llrk is oommenced lor a peri::ld of 180days (Section 106.4.4 Unifomn Building Code),
_,g APPLICANT'S SIGNATUR
L .. ~---
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
,Ci;:'HT!FH .. ATE or OCCUPANCY jComm,-v,1;,! PrOJCCtS 0 n IV i
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail !he completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office use Only)
CONTACT NAME OCCUPANT NAME
AOORESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
□ PICKUP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
u CONTRACTOR (On Pg. :L)
□ ASSOCIATED CB# .... ,, ................... □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. :L) □ NO CHANGE IN USE/ NO CONSTRUCTION
□ MAIL/ FAX TO OTHER: __ "' □ CHANGE OF USE/ NO CONSTRUCTION
,6 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB121709 Type: PME MURRANT RES-GAS TO BBQ &
FIRE PIT, ELECT TO ABOVE GROUND AP
Date Inspection Item Inspector Act Comments
08/07/2013 29 Final Plumbing RI NO DOGS TAKE NEW CARO
08/07/2013 29 Final Plumbing PB AP
08/07/201 3 39 Final Electrical RI
08/07/2013 39 Final Electrical PB AP
02/05/2013 29 Final Plumbing PB NR
02/05/2013 39 Final Electrical PB NR
09/04/2012 23 Gasff esVRepairs PB AP
09/04/2012 34 Rough Electric PB AP
Thursday, August 08, 2013 Page 1 of 1
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