HomeMy WebLinkAbout1839 VALENCIA AVE; ; CB142581; Permit-, , City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-06-2014 Permit No: CB142581
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1839 VALENCIA AV CBAD
PME
2072506100
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: CHESTNUT RES-REPLACE ELECT
PANEL W/ NEW 125 AMP PANEL-SAME LOCATION
Applicant:
TMAG INDUSTRIES OBA STELLAR SOLAR
SUITE 105-444
6965 EL CAMINO REAL
CARLSBAD CA 92009
760-445-1627
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
CHESNUT FAMILY TRUST 07-17-04
1839 VALENCIA AVE
CARLSBAD CA 92008
ISSUED
10/06/2014
RMA
10/06/2014
10/06/2014
$0.00
$160.00
$0.00
$0.00
$1 60.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector: 75P Clearance:
$0.00
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
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
( City of
Carlsbad
JOB ADDRESS
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
SUITEf/SPACEf/UNITI
# OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
STATE
FAX
PATIOS (SF) DECKS (SF)
ZIP CITY
PHONE
EMAIL
CONTRACTOR BUS. NAME
ZIP
PHONE
STATE UC.# STATE UC.# ?ll
Plan Check No.
Est. Value
FAX
□HEALTH O HAZMAT/APCD
SWPPP
-oo
CONSTR. TYPE OCC. GROUP
I
FIRE SPRINKLERS
YES0 N00
*O
qwo~
(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 SecUon i031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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 performance of the work for which this permit is issued.
[21 I have and will maintain work•~• compensation, as reouired bv Sectio~ 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. \\,\.$1,\,VP\,:1.I\Ct, C.p bf &t-~t..( of f'l\ Policy No. LJ CS\ 7l, 0 ~ 31 Expiration Date 'i,/Z "f / /$ )
~ section need not be completed ff 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 s provided for in Section 3706 of the labor code, interest and attorney's fees.
,J!S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the lot/owing 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 Contracto~s
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended or offered for
sale. It, 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, 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. O Yes 0 No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / 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/ 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/ address I phone/ type of work):
,J!S PROPERTY OWNER SIGNATURE □AGENT DATE
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? 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.
of the work this penmit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify that I have read the application and state that the above infonnation Is correct and that the infonnation on the plans Is accurate. I agree to complyv.1th all City ordinances and State laws relating to building construction.
I hereby authorize reJXeSefllalive of the City of Carlsbad to enter upon the above mentioned property br inspection purp,JSeS. 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 OFTHE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennn is requi"ed for excavations over 5'0' deep and demolitoo or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Buiding Offbal under the provisions of this Code shall expire by limitation and become null and vod ~ the buiding orv.orl< authorized by such pennil is not rommenoed v.1thin
180 days from the date of such pennn or if the buildng orv.oo authorized by such pennn is suspended or abandoned at any time after the v.ork is rommenoed for a period of 180days (Seeton 106.4.4 Uniform Building Code).
_g 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.
CERTIFICATE Of OCCUPANCY (Commcrc,al Pro J CCt5 0 n f y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS 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)
CONTRACTOR (On Pg. 1.J
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1.) NO CHANGE IN USE/ NO CONSfflUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB142581 Type: PME
Date Inspection Item
10/07/2014 33 Service Change/Upgrade
10/07/2014 33 Service Change/Upgrade
10/07/2014 39 Final Electrical
Tuesday, October 07, 2014
Inspector Act
RI
SP AP
SP Fl
CHESTNUT RES-REPLACE ELECT
PANEL W/ NEW 125 AMP PANEL -SAME
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