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HomeMy WebLinkAbout2285 VISTA LA NISA; ; CB110630; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-29-201 1 Cogeneration Permit Permit No:CB110630 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2285 VISTA LA NISA CBAD COGEN Sub Type: Lot #: Status: Valuation: 2552701100 $0.00 Construction Type: EVG 0 NEW Applied: Occupancy Group: Reference #: Entered By: Project Title: GERBER RES-INSTALL ELECTRIC VEHICLE CHARGER IN GARAGE Applicant: SUNWEST ELECTRIC INC 3064 E MIRALOMA AV 92806 714 630-8700 Building Permit Add'I Building Permit Fee Plan Check Add'! Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $1.00 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: HAILEMICHAEL TESFAYE 2285 VISTA LA NISA CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES ISSUED 03/28/2011 RMA 03/29/2011 03/29/2011 Total Fees: $22.00 Total Payments To Date: $22.00 Balance Due: Inspector: Date: Clearance: $0.00 $20.00 $0.00 $0.00 $22.00 $0.00 pproval of your project includes the 'Imposition" o fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yo ave 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 ou have revi us en iven a NOTICE similar to thi or as to which the statute f limitations has revious otherwi x ired. <<1 Building Permit Application Plan Check No. If(), {) V' - ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value C I TY O F 760-602-2717 I 2718 I 2719 Plan Ck. pepoi,it CARLSBAD Fax 760-602-8558 (M-www.cartsbadca.gov l>ate <-/CJ~/ ( / lswPPP JOB ADDRESS SUITE#/:WAC;t#/UNIT# IMr" V ' 2285 VISTA LA NISA --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I w 1-.:,TR. 1TeE I """· GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INSTALL 2P40A BREAKER IN EXISTING PANEL AND 6-50R FOR ELECTRIC VEHICLE EQUIPMENT EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS {SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING IFIRE SPRINKLERS YES[)t N<O YES□No□ YES□No□ CONTACT NAME (If Different FomAppllcant) APPLICANT NAME MATTHEW STROZEWSKI ADDRESS ADDRESS 3064 E MIRALOMA AVE CITY STATE ZIP CITY STATE ZIP ANAHEIM CA 92806 PHONE IFAX PHONE IFAX 714 630 8740 EMAIL EMAIL mstrozewski@,sunwestelect.net PROPERTY OWNER NAME JOSH GERBER CONTRACTOR BUS. NAME SUNWEST ELECTRIC ADDRESS 2285 VISTA LA NISA ADDRESS 3064 E MIRALOMA AVE CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92009 ANAHEIM CA 92806 PHONE IFAX PHONE IFAX 714 630 8740 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICLASS I CITY BUS. LIC.# 511697 C10 {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 !hat 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 a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ot the Labor Code, for the performance of the work for which this permit is issued. [Z] 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 OLD REPUBLIC GENERAL INSURANCE Policy No. A1CG41121003 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 empk>y 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 addttlon to the cost of compensation, d ges as provided f • ion 3706 of the Labor code, Interest and attorney's fees. '7_ ' ('J l ~ CONTRACTOR SIGNATURE ?--r-;;,c:::;;;::;;z~~~-----DATE ✓ 'l T) u □ □ 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, 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 O o 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 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 I 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/ address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE DATE 3 f; (( Is the applicant or fulure building occupant requred lo submit a business~. acutely hazardous materials regisb'alion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes LJNo Is the applicant or fulure building occupant requred lo obtain a permit from the air pollution conb'ol district or a~alily management district? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school stte? 0 Yes LJNo 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 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 I certify that I have read the application and state that the above information Is correct and that the Information on the plans is accurate. I ai,-eeto comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the Ci1y of Carlsbad to enter upon the 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavaoons over 5'0' deep and derroilion or construction of structures over 3 stories in height. EXPIRATION: Every perm~ issued by the Buildi1g Official under the provisions of this Code shall expire by limitation and become null and void ff the building or work authorized by such permit is not commenced within 180days from the date of such permit or ff the • , or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unfform Building Code). DATE t I City of Carlsbad Bldg Inspection Request For: 04/07/2011 Permit# CB110630 Title: GERBER RES-INSTALL ELECTRIC Description: VEHICLE CHARGER IN GARAGE Type:COGEN Sub Type: EVG Job Address: Suite: Location: 2285 VISTA LA NISA Lot: APPLICANT SUNWEST ELECTRIC INC Owner: HAILEMICHAEL TESFAYE Remarks: P M PLEASE Total Time: CD Description 39 Final Electrical 0 Comments/Notices/Holds Date Associated PCRs/CVs/SWPPPs Original PC# CV040742 CLOSED CV050300 CLOSED 0-8.8 . HOOP IN R.O.W.; 0-8.8. HOOP IN R.O W.; Inspection History Description Act lnsp Comments Inspector Assignment: Phone: 7142643390 Inspector: ---- Requested By: JESSEE Entered By: CHRISTINE