HomeMy WebLinkAbout1055 PALM AVE; ; CB131397; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-06-2013 Permit No: CB131397
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1055 PALM AV CBAD
PME
2051910300 Lot#:
SNODGRASS RES-REPLACE EXISTIN
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
OLDER 100 AMP ELECTRIC PANEL W/ NEW 100 AMP PANEL-SAME
LOCATION
Owner:
ISSUED
06/06/2013
RMA
06/06/2013
06/06/2013
SNODGRASS JUNE L TRUST OF 1987 SNODGRASS JUNE L TRUST OF 1987
3980 ADAMS ST
CARLSBAD CA 92008
760 729-8346
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
3980 ADAMS ST
CARLSBAD CA 92008
$0.00
$154.00
$0.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date $154.00 Balance Due:
Inspector:
FINAL)PPROVAL
Date ·'-·12 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 pennit 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
f w i h h r i I ·v n N Tl E imil r hi h f Ii I
~OLLOWING APmOVALS Rl,QUIRED PRIOR TO PERMIT ISSUANCE: □ PLANNING □ ENGINEERING □BUILDING □FIRE
~ «<#f> ~ CITY OF
CARLSBAD
JOB ADDRESS
0
CT/PROJECT#
EXISTING USE
CITY
ITY
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www .ca rlsbadca .gov
SUITE#/SPACE#/UN
# BEDROOMS # BATHROOMS
PATIOS (SF)
Plan Check No.
Est. Value
TENANT BUSINESS NAME
-FIREPLACE
YES □#_ NO
APPLICANT NAME (Secondary Contact)
CITY STATE
PH N
CONTRACTOR BUS. NAME
ADDRESS
A
PHONE FAX
EMAIL
SWPP
CONSTR. TYPE OCC. GROUP
YES □ NO
ZIP
{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 B_usmess and Professions Code} or that he is exem_P.t therefrom, and the basis for the atieged 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
W;Jkers' Compensation Declaration: I hereby affltm under penalty of pSljury one o/the following declarations:
~ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the latxir Code, for the perfonnance of the work for which this pennit is issued.
□ I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the perfonnance of the work for whk:h this pennil is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. _____________ _ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemptl011: I certify that in the performance of the work for which this pennil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Fallureto secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fine& 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.
AS CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
t by affltm that I am exempt from Contractor's Ucense Law for the following 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 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 em?oyees, 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 ma}or labor and materials for construction of the proposed property improvement. □ Yes □ No
2. J (have/ have not) signed an application for a building pennit for the proposed work.
3. r 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 following person to coordinate, supervise and provide the major work (Include name I address I phone I contractors' license number):
5. I will provide some of the work, but I h,ay,>001ill!ci e following persons to provide the work indicated (include name I address I phone/ type of work)·
_6$ PROPERTY OWNER SIGNATURE DATE
·---------·
•
COMPLETE THIS SECTION FOR NON•RESll)ENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure bu'dding 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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be conslructed within 1,000 feel 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 rs MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I c:ertifythatl have read the application and state that the abo¥e Information Is conuctand that the inbmatlon on the plans Is accurate. I agree to comply \\tth all Cit¥ ontlnances and State laws relating ID buNdlngconstructlon.
I hereby authorize representative of the City of Carlsbad b enterul'.X)(l lhe ablve menOOned property br inspecfun p..,rp:ises. I ALSO AGREE TO SAVE, INDEMNIFY /IND KEEP HARMLESS THE CITY OF C.ARLSBAD
AGAJNST All LIABILITIES, JUCX3MENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAJNST &\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolioon or c:onstrucoon of structures over 3 stories in heght.
EXPIRATION: Every permit issued by the Building Oflcial under the provisK:lns of this Code shall expire by ~mitalion and oocome nun and wi:I rf the building or WJfk authorized by sudl pemit is not oommerred wth in
180 days from the date of such pennlt or if the b.Jilding or authorized by sud, permit is suspended or abandoned at any tirre after the v.ork is commenced bra period of 180 da~ (Section 106.4.4 Unibtm Building Code) .
...S APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131397 Type: PME
Date Inspection Item
07/02/2013 33 Service Change/Upgrade
07/02/2013 33 Service Change/Upgrade
07/02/2013 39 Final Electrical
06/13/2013 33 Service Change/Upgrade
Friday, July 05, 2013
Inspector Act
PD
PD
PD
RI
AP
AP
CA
SNODGRASS RES-REPLACE EXISTIN
OLDER 100 AMP ELECTRIC PANEL W/ NE
Comments
EARLY PM
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