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Home My WebLink About1183 MARIPOSA RD; ; CB161446; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-14-2016 , Cogeneration Permit Permit No:CB161446 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1183 MARIPOSA RD CBAD COGEN Sub Type: EVG Lot#: 0 Constuction Type: NEW Reference #: 2122213200 $0.00 FRIEDER: INSTALL EV CHARGER IN Status: ISSUED Applied: 04/14/2016 Entered By: SLE Plan Approved: 04/14/2016 Issued: 04/14/2016 Inspect Area: Plan Check #: GARAGE -240 VOLT/ 50 AMP BREAKER -SPECS AVAILABLE FOR INSPECTOR ON SITE Applicant: FRIEDER THOMAS G&SANDY 1183 MARIPOSA RD CARLSBAD CA 92011 760-804-0091 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $161.00 $0.00 $0.00 $0.00 $1.00 $1.00 Owner: FRIEDER THOMAS G&SANDY 1183 MARIPOSA RD CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ,tJ--[:"/( Clearance: $0.00 $0.00 $0.00 $0.00 $163.00 $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 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 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 «~'', Building Permit Application Plan Check No. C6 \l fl I UL\LJ ,..__ ,; , ~· 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY 0 F 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date L\. \U-\\ ~ lswPPP JOB ADDRESS//~ ~ 4 SUITEI/SPACH/UNITI IAPN ---t1.C4..r ~ " 04'.,... CT/PROJECT# I LOT# 'I I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Atfected Area(s) _:h sf-a.. II f'i outle+ '" jO.f"~je_ . 2.\..\0 v. ':'.)0 AMP G..-->u-~ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES0, I AIR CONDITIONING I FIRE SPRINKLERS Nc0 YES □No □ YES□No□ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact} ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL PROPERTY OWNER NAME ~~ -.,L.S:-.J h-,Wc<. r-CONTRACTOR BUS. NAME ADDRESS l{<Z~ H. a,.hOO !.<>-. ~ ~ ADDRESS CITY G:,.,-\s b.uL I STATE ZIP CITY STATE ZIP CJt crzo It PHONE { I FAX PHONE IFAX 7/Q0 ~~'t-OO't EMAIL -r!rl "e., 9 7(a} ~""9,.-\ \ EMAIL . CC.M. ARCH/DESIGNER N,...,E & ADDRESS 1 I STATE UC.# STATE LIC.# icl.ASS TCITY BUS. LIC.# (Sec~ 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, 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 the 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 exemption. Any vIolatIon of Section 1031.5 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: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will 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. D I have and wlll maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No.-------------~ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollara ($100) or less, LJ Certificate of Exemption: I certify that in the performance 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 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, ~ CONTRACioRSIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 1K] ~ □ 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 ttiereon, 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 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, al'ld 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 major labor and matelials for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I 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 have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE 'i It../ I<, i ' COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicaltl or future building occupant required to submit a business olan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? Yes No Is the ,pplicant or future building occupant required to obtain a pennit from the air polllllion control district or air auality management district? 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 Is a construction lending agency for the performance of the work this pemut Is issued (Sec 3097 (1) Civil Code). Lender's Nam Lender's Addres APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above lnfonnatlon is correct and that the Information on the plans Is accurate. I agree to comply with all Clfy ordinances and State laws relatlngto building construc:llon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentK>Oed property tx inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennn is required for excavations over5'0' deep and demolition or construction ofstn.ictures over 3 stories in height. EXPIRATION: Every pennit issued by the Buik:ling Official under the provisions of this Code shall expire by limitation and become nul and void if the buiklflg or work authorized by such pennit is not commenced within 180 days from the date of such permit or if the buiklflg or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Unibrm Building Code). _,,1$ APPLICANT'S SIGNATURE ~ 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. CERTIFICATE OF OCCUPANCY (Commercial rroJects on I y I Fax (760) 602-3560, Email www.bl.li1ding@car1sbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. NO. □MAIL TO OR D FAX TO: CONTACT (Listed above) □ ASSOCIATED CB# □MAIL TO OR □FAXT0:1 ' □ NO CHANGE IN USE/ NO CONSTRUCTION D BUSINESS ADDRESS 0 CONTRACTOR (Listed on page 1 of application.) □ CHANGE OF USE/ NO CONSTRUCTION ,8S APPLICANT'S SIGNATURE DATE ' . Inspection List Pennit#: CB161446 Type: COGEN EVG Date Inspection Item 09/28/2016 33 Service Change/Upgrade 09/28/2016 34 Rough Electric 09/28/2016 39 Final Electrical 09/22/2016 33 Service Change/Upgrade 09/22/2016 33 Service Change/Upgrade Thursday, September 29, 2016 Inspector Act AEK AEK AEK RI AP Fl RI NR FRIEOER: INSTALL EV CHARGER IN GARAGE -240 VOLT/ 50 AMP BREAKER - Comments RING DOORBELL OR KNOCK HARD ON DOOR NO ONE HOME// NO WORK BEING DONE Page 1 of 1