HomeMy WebLinkAbout1125 CHINQUAPIN AVE; ; CB120879; Permit05-10-2012
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB120879
Building Inspection Request Line (760) 602-2725
Job Address:
Pennit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1125 CHINQUAPIN AV CBAD
PME
2061401800 Lot#:
RACHMAN RES- UPGRADE ELECT
PANEL FROM 60 TO 200 AMP
Applicant:
PHOENIX ENERGY & CONSTRUCTION
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
RACHMAN ELIOT D&BELINDA
Status: ISSUED
Applied: 05/10/2012
LSM
05/10/2012
05/10/2012
1046 BUENA CISTADR
VISTA CA 92081
760 212-4392
1125 CHINQUAPIN AVE
CARLSBADCA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$150.00
$0.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00
Inspector:
FINAL APPROVAL
Date: S'/S "/^ Clearance:
NOTICE: Please take NOTICE ttiat approval of your project includes tfie "Imposition" of fees, dedications, resenrations, or ottier exactions tiereafter collectively
refen'ed to as lees/exactions." You tiave 90 days from ttie date ttiis permit was issued to protest imposition of tfiese fees/exactions. If you protest tliem, you must
follow ttie protest procedures set foitfi in Government Code Section 66020(a), and file ttie piotest and any otfier required information witfi tfie City Manager for
processing in accoidance witfi Carlsbad Municipal Code Section 3.32.030. Failure to timely follow tfiat procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul tfieir imposition.
You are tiereby FURTHER NOTIFIED ttiat your right to protest ttie specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
clianges, nor planning, zoning, grading or ottier similar application processing or sen/ice fees in connection witti 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 previousiv othenvise expired.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.ca risba d ca. gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date S^l SWPP
JOB ADDRESS . /) , ^ , ^ i
CT/PR0JECT# ILOTiK I PHASE # |# OF UNITS I # BEDROOMS "i
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR, TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
<^0 -TO
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FiREPLACE
YES • # NOD
AIR CONDITIONING
YES • NO •
FIRESPRINKLERS
YES • NOD
APPUCANT NAME (Primary Contact) APPUCANTNAME (Secondary Contact)
ADDRESS ADDRESS
CiTY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL mmr
PROPERTY OWNEil NAME >-7 7
ADDRESS T~ /
CONTRACR BUS. NAiyjE
ADDRESS \, y/t' ^
CITY / STATEn ZIP
' FAX
TY / STATEn
IONE PHONE FAX
li -7/7-^/Jf? 7^o>^ -^-^T-^lez
JcS" [CLASS ^1 ClW BUS. LIO*/./. a. ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATt LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct aiter, improve, demoiish or repair any structure, priorto its issuance, also requires the applicantfor such permit to fiie a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commenaing 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 appiicant for a permit subjects the applicant to a civii penalty of not more than five hundred doiiars ($500)).
ORKERS ' C OMPENSATION
Workera' Compensation Declaration: / hereby affimi under penalty of perjury one ofthe following declarations:
n^^ave and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued
1^ I have and will maintain workere' compensatian, as required by Section 3700 of the Labor Code, for the performance of the worl< fbr which this pemiit is issued. My workers' compensation insurance earner jnd policy
/umber are: insurance Co. Policy No. Expiration Date
•s' (^pensation Laws of
WB section need not be completed if the pemilt is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I ceitify that In the peiformance 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' (Npensatlon
California. WARNING: Failure to secure workera' compensation coveray Is unlawful, and aMHnl|ie>t an employerto criminal penalties and civil fines up to one hundred thousand dollara (&100,000), In
addition to the cost of compensation, damages as provld9dfofA^J|MHii J706 of theJ,iB^p<ra|^iirtlfest and attomey's fees.
JS^ CONTRACTOR "^""'""'."^^''^^/^^'^S gAGENT ^ATE ^^V^'^y^^y
O W N 11? - 8 O I I. O E B DeCLASATiCN
I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason:
n I, as ownei of the piopeity or my employees with wages as their sole compensation, will do the work and the structuie 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 employees, 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 tor the purpose of sale).
O I, as owner ofthe property, am exclusively contracting with licensed contiactors 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 prajects with contractor(s) licensed pursuant to the Contractor's License Law).
O I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenL d Yes • No
2.1 (have / have not) signed an application for a building permit for the proposed work
3.1 have contracted with the following peison (fimi) to provide the pioposed constiuction (include name addiess / phone / co ntractors' license number):
4.1 plan to provide portions of the work but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work but I have contracted (hired) the fbllowing persons to provide the work Indicated (include name / address / phone / type of work):
veTpROPERTY OWNER SIGNATURE •AGENT DATE
.COMPLETE THIS SECTION FOR N O N - R E S 1 O E N T I A L 8 U I L D I N G PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention piogiam undei Sections 25505,25533 oi 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes ONo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundaiy of a school site? D Yes Cl No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affimi that there is a construction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
A P P L ICANT CERTIFICATION
I certif that I have read the application and state that the above Infbmiation is conect and that the information on the plans is accurate^
I hereby authorize representative of Ihe City of Cailsbad to enter upon the above mentkmed preperty fbr Inspednn puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAFM.ESS THE CfTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CtTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perniit is required fbr excavations over 5'0' deep and demolitkin or constmction of strudures over 3 stories in heighL
EXPIRATION: Every peimit issued by (he Building Ofifcial under Ihe provKjsns
180 days from the date of such pemiit orUhe buMlngNor "•rjjsfrtri'isVf t\ ifh ppfniH r T)m|1ni;lPff or abandoned at any time after the worit Is commenced for a period of 180 days (Sectkin 106.4.4 Unifbim Buikfing Code).
APPUCANT'S SIGNATUI DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email www.buiklina@cai1sbadca.oov or Mail the completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP crrv STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPnONS
• PICK UP: • CONTACT (Listed above) • OCCUPANT (Usted above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
O MAIL / FAX TO OTHER:
• ASSOCIATED CB#
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
• ASSOCIATED CB#
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
^efAPPLICANT'S SIGNATURE DATE
City ofCarlsbad Bldg Inspection Request
For. 05/15/2012
Permit# CBl20879
Title: RACHMAN RES- UPGRADE ELECT
Description. PANEL FROM 60 TO 200 AMP
Inspector Assignment: PB
1125 CHINQUAPIN AV
Lot 0
Type: PME Sub Type:
Job Address:
Suite:
Location:
APPLICANT PHOENIX ENERGY & CONSTRUCTION
Owner: RACHMAN ELIOT O&BELINDA
Remarks: a m please
Phone: 7602124392
Inspector:
Total Time:
CD Description
39 Final Electrical
Requested By: LAMAR
Entered By: CHRISTINE
Act Comments
Comments/Notices/Hoids
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Desaiption Act Insp Comments
05/14/2012 33 Service Change/Upgrade NR PB
""^^ MAY 10 2012 TM. nm-m
fmm: aiM!«MU,BBJilll|in}
rmiMmm. ItS eHWWWIHmr
.l>iiliHCI|( CAH^U
• MM CUM mm 1
CARLSBAD
BLHtbltvlG DEPT.
MatMuMm MHWHiWiluluitn NlW HlfrMm iMtM'flMl it ttt
arf iwrt ebwrnn M B^i IMIM. M JbMMHiaA 7l-ini
piWlIlM tt^ NiHHW IMIW^
ttoSMHiiy te »w tosiMHilTA wM iM^« Mi
ntmit^toi, your ^mtt riwuli ntf {BMlaiiH'iatigi
••-ids*' ...••V" •^/h"«6 '
^'>l * i 3Sr« Q
IM(«talt<fMRlipHil»<lV<<eilllM
MtivMHft WML IM* nUwaiMi* nMrHMlMit' ta"ni>. nmcMiti^t WiiaMMSMiii
tut. liMiniKM«Ms*>HaiMH«iuHiiitan>i»^,.liitiii.'MiiMiiMMti><i«»Miitital'
^i:tir» BisuHNt wllk&
MMtjUffiMtiBiit Clmnii !k.
I rr MMMwiigiitemawwtMi
MhMitfiril^tlWlSHflMiSMtfkHNwJhMHIftlMWk^I'VM^^ tfHHtflMj^i^NM'tWMIIlNISMlill
Uttl Minn C<MM»Tt fM CmM'tHNinWi
T«9SK*I ehiqiluaM FMU i