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Home My WebLink About1028 DAISY AVE; ; CB132190; Permit09-12-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CB132190 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 1028 DAISY AVCBAD COGEN 2144021700 $0 00 Sub Type EVG Lot# 0 Constuction Type NEW Reference # Status ISSUED Applied 09/12/2013 Entered By JMA Plan Approved 09/12/2013 Issued 09/12/2013 Inspect Area Plan Check # UYS EV CHARG STATION IN GAR Applicant IES RESIDENTIAL INC Owner UYS 240 OTT ST 1028 DAISY AVE CORONA CA 92882 CARLSBAD CA 92011 951-737-8870 Building Permit $0 00 PLUMBING TOTAL $0 00 Add'l Building Permit Fee $156 00 ELECTRICAL TOTAL $0 00 Plan Check $0 00 MECHANICAL TOTAL $0 00 Add'l Plan Check Fee $0 00 Additional Fees $0 00 Plan Check Discount $0 00 Strong Motion Fee $1 00 Green Bldg Stands (SB1473) Fee $1 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00 Inspector FINAL APPROVAL Date Clearance 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 nght 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIVIIT ISSUANCE OPLANNING •ENGINEERING •BUILDING QFIRE nHEALTH • HAZMAT/APCD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www.carlsbadca gov Plan Check No. Ctbi^- Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS 1028 Daisy Avenue SUITE*/SPAOE*/UNIT# 24^- HOZ - 17 ^ I CONSTR TYPE j OCC GROUP CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK Include Square Feet Of Affected Area(s) Install 1 Level 2 40A/240V Electric Vehicle Charging Station in garage. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESj |# NoQ YES| |NO| 1 YES| |NO| 1 APPLICANT NAIVIE (Primary Contact) Jim Jordan APPLICANT NAME (Secondary Contact) j ADORESS 1240 Railroad Street ADDRESS _ ' ' CITY Corona STATE . CA ZIP 92882 CITY -STATE ZIP PHONE 951-737-8870 FAX 951-737-9419 PHONE , . FAX EMAIL dawn.rios@les-co.com • EMAIL , „ _ - , , _ PROPERTY OWNER NAME Aubrey Uys CONTRACTOR BUS NAME ES Residential Inc. ADDRESS 1028 Daisy Avenue ADDRESS 1240 Railroad Street CITY Carlsbad STATE .ZIP CA 92011 CITY Corona , . STATE CA ZIP 92882 PHONE , . 619-928-2739 FAX PHONE 951-737-8870 . FAX 951-737-9419 EMAIL . , , , . , _ EMAIL ,dawn.rios@ies-co.com ARCH/DESIGNER NAME & ADDRESS STATE LIC # STATE LIC # 912189 CLASS clO 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 its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that 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 ciuil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereiiy affirm under penalty of peijury one ofthe following declarations • I have and will maintain a certificate of consent to self-insure for vwDrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation, as required bv Section 3700 of (tie Labor Code, for tfie performance of (tie worts for whicti (his perniit is issued My workers' compensation insurance earner and policy number are Insurance Co _ Old Republic General Ins Co PolicyNo . A6DW98631202 Expiration Date _ 10/1/2013 This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in the perfonnance 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 employerto cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as^pf^ded for in Section 3706 of the Labor code, interest and attomey's fees CONTRACTOR SIGNATURE [7] AGENT DATE / hereby affirm that I am exempt from Contractor's bcense Law for the following reason , 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 whofloes sucti workrtmself 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 oj^ompletion, the owner-builder will hafe me burden of proving that he did not build or improve for the purpose of sale) I, as owner of the properly, am exclusively contractinJwith licensed/iontractors to consttffctlhe projective 7844, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contraalafor such ptojects with contractjil^s) licensed piquant tp the Contractor's License Law) I am exempt under Section Busines/ arp Profeaeions Code for thiyeason 1 I personally plan to provide the major labor sfid nfetenatf for constmction af the proposed afepertyirrmrCvement •Ves I |NO 2 I (have/have not) signed an application fof a builaing/ermit for the profiosed work 3 I have contracted with the following persm (firm) tapBvide the proposed constmctioytmclude nam6 address / phone / contractors' license number) 4 I plan to provide portions of the work, Mt I have hired the followinj^erson to coordinate, supen/ise f nd provide the major work (include name / address / phone / contractors' license number) • • • 5 I will provide some of the work, but I h?ve contracted (hired) the Icllowing persons to provide the wofk indicated (include name / address / phone / type of work) ^gS'pROPERTY OWNER SIGNATURE AGENT DATE : I, : Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the ,°resley-Tanner Hazardous Substance Account AcP Yes No IS the applicant or future building occupant required to obtain a permit from the air oollution control district or air quality management districP Yes No Is the facility to be constructed wtttiin 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 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 1 certify that 1 have read the application and state thatthe aboveinformation IS coHBCt and thatthe mformaton on the plans IS accurate lagree to comply with all City ordinances and State laws relatingto building construction I hereby authonze representative of the Cityof Cailsbad to enter upon the above mentioned property for inspecton puiposes 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 An OSHA pennit is required lor excavations over 5'0' deep and demolition or conslructcn of structures over 3 stones in height EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitaton and become null and void if the building or woik authonzed by such permit is not commenced within 180 days fnom the date of such permit or i the buikjio^or work authonzej^by such permit is suspended or abandoned at any time after the vroik is commenced for a penod of 180 days (Secton 106 4 4 Unifomi BuiHing Code) STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. N; C y (COI O ml y I Fax (760) 602-8560, Email vi/ww buildinglScarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008 C0#: (Office Use Only) CONTACT NAME ^ OCCUPANT NAME ADDRESS BUILDING ADDRESS STATE CITY STATE Carlsbad CA In'itell 1 Levsl 2 40A/240V fclpclic Vsh di Chf rarin Stdfinn irt Or rdO. 13 EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS •PICKUP: /CONTACT (Listed above) OCCUPANT (Listed above) , • CONTRACTOR (On Pg 1) IVIAIL TO: ' CONTACT (Listed above) ' OCCUPANT (Listed above) ' , CONTRACTOR (On Pg i) MAIL / FAX TO OTHER: ' • '1028 Daisy'Avenue,\ • ASSOCIATED CB#__- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION .ef APPLICANT'S SIGNATURE DATE 1635 Faraday Ave.; Carlsbad, CA 92008 Inspectiori List Permits: CB132190 Type: COGEN EVG UYS: EV CHARG STATION IN GAR Date Inspection Item Inspector Act Comments 10/04/2013 39 Final Electrical - Rl 10/04/2013 39 Final Electncal PB AP Monday, October 07, 2013 Page 1 of 1