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Home My WebLink About1768 YOURELL AVE; ; CB150430; Permit02-10-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: OROZCO City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB150430 Building Inspection Request Line (760) 602-2725 1768 YOURELL AV CBAD PME 1560510800 Lot #: 0 OROZCO:UPRGRADE PANELFROM 100A TO 200A Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ROUSH FAMILY TRUST 09-07-07 ISSUED 02/10/2015 JMA 02/10/2015 02/10/2015 1768 YOURELL AV CARLSBAD CA 92008 1810 RATCLIFF RD CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $160.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINAL APPROVAL Date: ) -Z 7 --/S 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 fees/ x ctions f which u have revi I b n iven a NOTICE similar to this or as t whi t stat te f limitation has reviousl theiwise ex ir . THE FOLLOWING APP~OVALS iEQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD I C cityof Building Permit Application Plan Check No. C?) l ~ OLJ 30 1635 Faraday Ave , Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D.eposit email: building@carlsbadca.gov www.carlsbadca.gov Date Z-11 7) 7 ( S lswPPP JOB ADDRESS lrhB ¼vi)~// A ✓E'~~BAD SUITEf/SPACEI/UNITI r PN --- CT/PROJECT# I LOT# I PHASE# 1 # OF UNITS r BEDROOMS # BATHROOMS TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) °Q~Mo\J~ £~15'1;4/6 /CDl'tmp $eQ..v,c.G ~ _Dv,smt I A ;JaJ 2o:> A""() SoQ,J lC¥ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING IFIRE SPRINKLERS YESO N<O YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER ~ 11,:,, 0(,\7,,-\ Primary Contact ADDRESS ADDRESS Jy/\, 1 VP,, .av: .. ,. o J ,t, 'i CITY STATE ZIP CITY A J')Cl. '1 -SfATAE 920D'{, t\v I.~ r r . PHONE IFAX PH0N 71,0 l 5 05 -/ t i2I FAX v (7(i 1 7YY-/0L/i v EMAIL EMAIL rn.t.,o . DfO"Z.CO @Smuso .or-q DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE rAX EMAIL EMAIL I STATE LIC. # STATE UC.# 'CLASS CITY BUS. LIC.# (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 ,ts issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov,s,ons of the Contractor's License Law (Cha'f.ter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). Wori<ers' Compensation Declaration: I hereby affi"" urx/er penalty of pe,jury one of the following decJarations: D I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the pertonnance of the won< for which this pe""n is issued. D I have and will maintain worl<ers' compensation, as required by Section 3700 of the Labor Code, for the perto""ance of the won< for which this permn is issued. My wor1<ers' compensation insurance earner and policy number are: Insurance Co. Policy No.______________ Expiration Date _________ _ ~ section need not be completed tt the permn is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which lhis permit is issued, I shall nol employ any person in any manner so as to become subject lo lhe Workers' Compensation Laws of Calrtomia. WARNING: Failure to secure wori<ers' 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees. £S CONTRACTOR SIGNATURE □AGENT DATE I hereby affi"" that I am exempt from Contractor's License Law for the following reason: D 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 Contractors icense Law does not apply lo an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, provided thal such improvements are not intended or offered for sale. If, however, the building or improvemenl is sold within one year of completion, the owner-builder win have the burden of proving lhat he did nol build or improve for the purpose ot sale). □ as owner of the property, am exciusivfR contracting with licensed contractors lo conslruct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improv<>• th••"(li\ llgd conlracts for such projects with contractor(s) licensed pursuant to lhe Contractors License Law). I am exempl under Sectio,'-____ business and Professions Code for this reason: 1. I personally plan lo provide the major labor and malerials for construction of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an application for a building pe""it for the proposed work. 3. I have contracted with lhe following person (firm) lo provide the proposed construction (include name address I 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 lhe major won< (include name / address I phone I contractors' license number): 5. I will provide some of the wori<, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone/ lype of work): £S PROPERTY OWNER SIGNATURE □AGENT DATE I Is the applicant or Mure building occupant required to submit a business plan, acutely hazatdous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance A<X:OUnt Ac(? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control dislricl 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. , •c O N S TR UC TIO N LE N DI N G A G E N C Y " •, • ' , 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 A 'PPLICANT CERTIFIC'ATION • • • • I certify that I have read the application and state that the above information is conectand that the information on the plans is accurate. I agree tD comply with all City ordinances and State law.. relating tD building cons1ruction. I hereby authcrte representative of the City of G.n;bad kl enter upon the above mentioned property i:lr rnpec:oon pulJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY CJ' CARLSBAD AG<\INST Al.1 LIABILITIES, JUDGMENTS, COSTS .AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACWNST SAID CITY IN CONSEQUENCE CJ' THE GRANTING CJ' THIS PERMIT. OSHA: An OSHA permtt is requred i:lr excavations over 5'0' deep and demoliton or constructon of slructures over 3 sk>ries n height. EXPIRATION: Every permit issued by the Building Offcial under the provisons of lhis Code shall expire by lrnttation and become nun and voo ~ the building orv.ork aulhoriz.ed by sudl permit is not commenced v.ilhin 100days from the date of sl.dl permtt or if the buiklng ormrk aulhoriz.ed by such permtt is suspended or abandoned at anytime afterthev.ork is commenced i:lr a period of 100days (Secfun 100.4.4 Unibm Buildilg Code). .£) APPLICANT'S SIGNATURE DATE 2- t-7 / STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEIITIFICATE OF OCCUPANCY ( C o m m c r c , ., I f>rOJCCtS 0 r, I V I Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form 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. UC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. l.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. l.) NO CHANGE IN USE/ NO CONSmUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION .65 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150430 Type: PME Date Inspection Item 03/24/2015 33 Service Change/Upgrade 03/24/2015 33 Service Change/Upgrade 03/24/2015 39 Final Electrical 03/24/2015 39 Final Electrical Wednesday, March 25, 2015 Inspector Act PB PB RI AP RI AP OROZCO:UPRGRADEPANELFROM 100A TO 200A Comments DISCONNECT/RECONNECT DISCONNECT/RECONNECT Page 1 of 1