Loading...
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&#6-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