HomeMy WebLinkAbout1030 IRIS CT; ; CB160983; Permit03-14-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
KBI ELECTRIC, INC
STEA6
120 N PACIFIC ST
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB160983
Building Inspection Request Line (760) 602-2725
1030 IRIS CT CBAD
PME
2144021200 Lot#: 0
CHILLAR RES-REPLACE ELECTRIC
PANEL WITH NEW 125 AMP PANEL-SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
CHILLAR RAM T&KATHRYN M
1030 IRIS CT
ISSUED
03/14/2016
RMA
03/14/2016
03/14/2016
SAN MARCOS CA 92069
844-276-5278
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $163.00 Total Payments To Date:
Inspector: ~
$0.00
$163.00
$0.00
$0.00
$163.00
$163.00 Balance Due:
Clearance:
$0.00
NOTICE Rease tare NOTICE that wnva ci )OJ i:,tject irdudes Ire "lrrµ:sitiori' ci fee,;, decicaticrs, reseivalicrs, or dter """'ia,s -roleclivay
ra'erred to as 'Yeas'e><a:lia,s." You hM> 00 days !rem Ire dale ths pemil "'35 issue,j to prc:tesl irrµ:sitia, ci trese feas'ex,ciicns. If )OJ prc:tesl lhln\ )OJ nu;t
fdlONtre prctest prored.res set forth in GMmrert Code Secli01 60020(a), ard file tre prc:test ard "'1 ctt.r r,q.ired infonrati01 wlh tre a1y Mrnger for
p-oa,ssirg in a:x:adalcewlh Ca1sb<d Mridpa Code Seclia, 3.32.030. Falu-etotirralyfdlOIVthal p-ocecirewll ta-"'f su:,;ecµ,nl lega a:li01toatta:I<,
rEMew, sa: aside, \-Od, a cffU treir irrµ:Bition.
You ,re heret'f FlRT1-ER NOTIREDttat )OJ ng-1 to prc:tesl Ire specified feas'e,<ajja,s = NOT" APPL y tov.ata-ard ,.,,.,-oa,neclia, leas ard a,pa:ity
d-a,ges, norrJarirg, mng galrg or ctt.rsmla.-appicai01 p-oa,ssirg c:rsenarefees in oa,nectia,wth ths i:rqect. IICR!Xl,S IT APPL YtoZfff
i wi . ctlini i
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING
{'city of
Carlsbad
JOB ADDRESS/ O 5 0 /
CT/PROJECT#
EXISTING USE
ADDRESS
CITY
PHONE
EMAIL
GARAGE (SF) PATIOS (SF) DECKS {SF)
P OPERTY OWNER ,
STATE ZIP
FAX
STATE LIC. #
□FIRE
ZIP
OCC. GROUP
FIRE SPRINKLERS
YES0N00
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construe , alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he is licensed pursuant to the provisions of he 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 exem ion. 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
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarafions:
~nd wlll 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 0 I have and will maintain workers: CO!!_Pensatl n, as req1Ji'7<1 ~by Section 3700 Labor Co for the performance of rk for · ht is · ssued. My workers' compensation insuran carrier and policy
number are: Insurance Co. L!,O U Policy No. C Expiration Date __ L7 f--,,_,_""61/7":---
I hereby affirm that I am exempt from Contractor's Ucensa Law for the following reason:
□
□
□
I, as owner a ro rty 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 no a lids 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 on mpleUon, 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 contra<:ting with licensed contractors to 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) ·----..._0rsuant 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 improvem
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted wrth the following person (firm) to provide the proposed construction (include name address I phone I contrac nse 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 n address I 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 I address I phone
6$ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regist
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 dlstrict? □ 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending aaency for the performance of the work this permit is issued (Sec 3097 {1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that above Information is co1T8Ctand that the infonnation on e plans Is accurate. I agree to comply~ all City ordinances and State laws relating to bulldfng construction.
I hereby authorize representafive of the City of Carl I enter up:m the above mentioried property br inspectbn rp'.)SE!s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG-\INST ALL LIABILmES, JUDGMENTS, COS AN EXPENSES WHICH MAY IN ANYWAY ACCRUE A NST SAID CITY IN CCNSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavati s ove 5'0' deep and demolitWJn or construction of structures over 3 stories i7 height
EXPIRJ\TION: Every pennit issued by the Build' al underlhe provisions oflhis Code shall expire by limitatio and become null and vod W the building orv.ork authorized by such pennit is notrommenred "1thin
180 days from lhe date of sudl permit or if the ildin orw:xk authorized by sudl pennlt is suspended or abanOO at any fime after the v.ork is commenced fo ·a period of 80 days (Seeton 106.4.4 Unifonn Building Code).
..65 APPLICANT'S SIGNATURE DATE J
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of O cupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
DELIVERY OPTIONS
PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
MAIL TO: a CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
ZIP
MAIL/ FAX TO OTHER: ________________ _
AS APPLICANT'S SIGNATURE
CO#: (Office Use Only)
0 UPANT NAME
BU LDING ADDRESS
C STATE
Carlsbad CA
OCCUPANT'S BUS. UC. No.
o ASSOCIATED CB#------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
' j
Inspection List
Permit#: CB160983 Type: PME
Date lnspe_ction Item
03/22/2016 39 Final Electrical
03/22/2016 39 Final Electrical
03/15/2016 33 Service Change/Upgrade
03/15/2016 33 Service Change/Upgrade
Tuesday, March 22, 2016
Inspector Act
RI
AEK Fl
RI
PY AP
CHILLAR RES-REPLACE ELECTRIC
PANEL WITH NEW 125 AMP PANEL-SAM
Comments
CHILLAR RES
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