HomeMy WebLinkAbout2683 WATERBURY WAY; ; CB153652; Permit10-27-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 153652
Building Inspection Request Lin e (760) 602-2725
2683 WATERBURY WY CBAD
PME
1674412100
CAMPBELL: 200 AMP METER
Lot#: 0
REPLACE -NEED CORRECTED SDG&E WORKORDER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/27/2015
SLE
10/27/2015
10/27/2015
CARTER ELECTRIC, INC.
8983 COMPLEX DR
CAMPBELL TIM FAMILY TRUST 09-28-01
SAN DIEGO
CA 92123
858-278-7878
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2683 WATERBURY WAY
CARLSBAD CA 92010
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Clearance: ------
$0.00
NOTICE; Rease la<e NOTICE tha ~ d ~ ~ed irduoos the "lrrpa;itia," rj fees, oo:iCi.ii01S, resa'Vciia,s, ()' cttB' e<a:ii01S l'Erectter cnledively
rel'erroo to as "fees'e<a:ii<ns. • Yoo rave 00 days frcrn tre date ths pemit v.as iSSU3d to p-ctest in,::ositial d these fees'exa::ti<ns. If >OJ p-ctest tt-an >OJ rrust
fdlON Ire p-dest ~ set forth in GoJaTirai C.c.de Sfxl]a, 60020(a), a-cl file the p-dest a-cl any cttB' J'EQ..ired infamiia, wth the Oty ~ fa-
p-oalSSirg in ro:x:mrce wth Ca1sboo M.rid~ C.c.de Sfxlja, 3.32.03'.l. FailLre to tirrely fdbN tha p-cxm.re wll ta-any Slbsecµrt legal octia, to atta:x,
re-i,e-N, set aside, vcid, a-crru treir in,::ositim
Yoo ere ~ F\.RT1-ER NOTIRED that~ rigt to p-dest the specified fees'8)(,Xlicns cx::ES NOT APPLY to wa.er a-cl re.tver ccmectia, fees and ~ty
d'a1gas, na-plmrg, zmng. goorg a-cther sirrilcr Wicaticn p-oalSSirg a-sa-vioo fees in ccmectia1 wth ths ~ed. l'.cR cx::ES IT N'PL Y to any
fees'8)(,Xlicns dwi • been ·veri ·rn1 • as towid1 t ue lirritai has •
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
{'cicyof Building Permit Application Plan Check No()_f½ l J:"'),q fj~ 2._
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date iU /0 7/1~ lswPPP
JOB ADDRESS SUITEt/SPACEt/UNITI IAPN 2683 Waterbury Way, Carlsbad, CA 92010 -- -
CT/PROJECT# I LOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s}
Install new 200Amp meter panel at existing location
EXISTING USE
'
PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
Electrical Same YES[), No[] YES □No □ YES□No□
APPLICANT NAME Randy Carter PROPERTY OWNER NAME Tim Campbell D-•--Cnntll':t
ADDRESS ADDRESS 8983 Complex Drive 2683 Waterbury Way
CITY STATE ZIP CITY STATE ZIP San DieQo CA 92123 Carlsbad CA 92010
PHONE rAX PHONE rAX 858-278-7878 858-278-7801 760-434-07 48
EMAIL EMAIL
randy@carterelectric.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Carter Electric. Inc.
ADDRESS ADDRESS 8983 Complex Drive
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92123
PHONE PHONE I FAX 858-278-7878 I FAX 858-278-7801
EMAIL EMAIL
randy@carterelectric.net
I STATE UC.# STATE UC.#
I
CLASS 1~:U~t A.2 ti. 516405 C10
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, Improve, demolish or repair an~ structure, prior to Its issuan~e. 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 Chat 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)).
WO(l(er,' Compensation Declaration: / hereby affirm under penalty of perjury one of the following deciaralions:
0 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.
[Z] I have and will maintain wO(l(er,' compensation, as reQuired bv Section 3700 of the Labor Code. for the performance of the work for which this permit Is Issued. My workers' compensation insurance earner and policy
number are: Insurance Co. Ace American Insurance Company Policy No. RWC C48110228 Expiration Date 09/01/2016
Jll!Z,section need not be completed ~ the permitis for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In o nee of the work for which this permit is Issued, I shall not employ any person In any manner so as to beccme subject to the Workers' Compensation Laws of
Cai~omla. WARNING: Failure to secur orkers' c pensatlon coverage Is unlawf and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, rovlded for In S on 3706 Labor code, Interest and attorney's fees.
HS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the foltowfng 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 sate (Sec. 7044, Business and Professions Code: The Contractors
Ucense 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. If, however, the building or improvement is sold within one yea, of completion, the owner-builder wiH 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 llcensed contractors to construct the project (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 contracts for such projects with contractO!(s) licensed pursuant to the Contractors Ucense Law).
I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials fO< construction of the proposed property Improvement. D Y es 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 fol1owlng 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 / phone I type of work):
HS PROPERTY OWNER SIGNATURE 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? D Yes D No
Is the applicant o, future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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.
Lender's Address
I certify thatl have read the application and state that the above infonnation Is correct and that the infomlation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building cons1ruction.
I hereb'{ authorize representative of the Ci1y of Cal1sbad to enter upon the alxlve menooned property br ilspection pul]))S8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS8AD
AGAINST ALL UABllJTIES, JUDGMENTS, W~~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OOHA permn is required b' exca s (Ml( O' deep and dendcion Of' construction f structures (Ml( 3 stories in height.
EXPIRA TK>N: Every permn issued by the iding • under the provisoos of this Code expie by imitaoon and beoome nul and ..oo tt the buil:Jing Of' v.ori< authorized by sudl pemit is not con-menced 'Mthin
100days tom the daleof sudl permn !the • • v.ori< authorized by perml • s Of' abandoned at anytime a~the 'MXk is oommenced b' a peood of 100days {Sediln 1~.4.4 l.klibm &Jil:Jing Code).
A$ APPLICANT'S SIGNATURE DATE 5
Inspection List
Permit#: CB153652 Type: PME
Date Ins ection Item -----
11/19/2015 39 Final Electrical
11/19/2015 39 Final Electrical
11/04/2015 33 Service Change/Upgrade
Thursday, November 19, 2015
Inspector Act
PD
PD
RI
AP
AP
CAMPBELL: 200 AMP METER
REPLACE -NEED CORRECTED SDG&E W
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