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Home My WebLink About1199 OAK AVE; ; CB154499; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-18-2015 Permit No: CB154499 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1199 OAK AV CBAD PME 2050200300 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: BOWDEN RES-REPLACE & MOVE ELECTRIC PANEL-NEW 200 AMP PANEL Applicant: BOWDEN LIVING TRUST 09-15-00 1199 OAK AVE CARLSBAD CA 92008 760 729-1316 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BOWDEN LIVING TRUST 09-15-00 1199 OAK AVE CARLSBAD CA 92008 ISSUED 12/18/2015 RMA 12/18/2015 12/18/2015 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: ------ $0.00 Non CE: Please take NonCE that approval of y:iur prtject indudes tre "lrrpa,ition" d fees, dooications, reservations, or ctrer exactions rereafter mllectively referred to as "fees-'exactions." You have 9'.) days from the date this r:amt ms issued to protest irrpa,ition of trese fees,'exactions. If y:iu protest them, y:iu rrust foilo,vtre protest pr-o.:roures set forth in C:ovemrent Qxle Section 60020(a), ardfiletre protest and anyotrer required inforrration wth theOtyTV'anagerfor processing in acx:ordance wth Carlsbad MJnidpal Qxle Section 3.32.cm. Failure to tirrely fdlo,vthat pr-o.:roure wll bar any sua;equent legal action to attack, reviEllN, set aside, void, or annul their irrpa,ition. You are hereby Fl.RTl-iER NOll Fl ED that your right to protest the specified fees-'exactions DOES NOT APPLY to IM:lter ard &:J.Ner oonnection fees and capacity dlanges, nor planning, zoning, grading or otrer sirrilar application processing or servioo fees in oonnection wth this prtject. N'.JR DOES IT APPLY to any fees-'exad:ionsofvJlich have ·ous1 been ·veriaNGnCEsirrilartothis orastoWlichtrestatuteoflirritationshas eviousi other\Msee ·red. II THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0 HEALTH OHAZMAT/APCD Plan Check No. Est. Value { City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP CT/PROJECT# # OF UNITS # BEDROOMS EXISTING USE GARAGE (SF) APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# SUITEt/SPACEI/UNITI PATIOS (SF) PR AD CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LIC.# FAX STATE FAX ClASS AIR CONDITIONING vEs O No D ZIP CtlY BUS. UC.# FIRE SPRINKLERS YESO NoO (Sec. 7031.5 Business and Professions Code: Any Coty or County which requires a permit to construct, alter, improve, demolish or repair anr structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is ltcensed pursuant to the provisions or the Contractor's License Law [Chapter 9, commending with Section 7000 or D,v,s,on 3 or the 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). Worllers' Compensation Declaration: I hereby affirm under penalty of pe,jtr; one of the following dedaralions: B I have and will maintain a certificate of consent to self-insure for workers' cornpensatioo as provided by Section 3700 ot the Labor Code, for the performance of the WOik for which lhis permit is issued. I have and will maintain worllers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My wolkers' compensation insurance carrier and policy number are: Insurance Co. Polley No. Expiration Date---------- ~section need not be completed if the penntt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Wor1(ers' Compensation Laws of California. WARNING: Failure to secure worllers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines 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 . .If CONTRACTOR SIGNATURE 0AGENT DATE I hereby sffltm that I am exempt from Contractor's License Law for the following reason: f..QI 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 wm himseff or through his own employees, provided that such improvements are not intended or offered for D D sate. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he cfld not build or improve for the purpose of sale). I, as owner of the property, am exdusively 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 major labor and materials for construction of the proposed property improvement O ves 0 No 2. I (have I have not) signed an application for a building pennit for the proposed WOik. 3 I have contracted wtth the following person (f11111) to provide the proposed construction flllciude name address I phone I contractors' license number): 4. I plan to provide portions of the WOik, but I have hired the following person lo coordinate, supervise and provide the major WOik (include name I address I phone I contractors' license number): 5. I will provide some of the wort(, but I have tracted (hired) the fotlowing persons to provide the wolk indicated fll1Clude name I address I phone I type of work) fiS PROPERTY OWNER SIGNATURE 0AGENT DATE l'L I !1) I{ Inspection List Permit#: CB154499 Type: PME Date __ Inspection Item~--~~~-Inspector Act 02/16/2016 33 Service Change/Upgrade RI 02/16/2016 33 Service Change/Upgrade 02/16/2016 39 Final Electrical Tuesday, February 16, 2016 PD PD AP AP BOWDEN RES-REPLACE & MOVE ELECTRIC PANEL-NEW 200 AMP PANEL Comments Page 1 of 1