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Home My WebLink About1220 KNOWLES AVE; ; CB163288; Permit08-31-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB163288 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1220 KNOWLES AV CBAD PME Status: ISSUED 08/26/2016 JMA 08/26/2016 08/26/2016 Parcel No: 1562310600 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: WEBBER: UPGRADE PANEL= 200A Applicant: ARENDT ELECTRIC UNIT 130 2254 CAMINITO PAJARITO SAN DIEGO CA 92107-1945 760-845-5678 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: WEBBER STEPHEN D&KAREN E 1230 KNOWLES AVE CARLSBAD CA 92008 $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 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 pem,it 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 i n h' N Tl hi hi h i n h h ')< ) THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD ( City of Building Permit Application Plan Check No. 031b-32..a. 9- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit --,. email: building@carlsbadca.gov www.carlsbadca.gov Date gr/' lat, L lswPPP JOB ADDRESS I( I. Ave., SUlTEf/SPACEf/UNITf IAPN J 1)0 . ,,.,..., 10<. --- CT/PROJECT# lluT# l PHASE# l#OFUNITS !#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP jESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ilil "• fl -A,. .J +o '.IOY) ..._ -L\ I '-' I I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I IAIR CONDITIONING j FIRE SPRINKLERS YEso_ No[] YES0No0 YESONo□ APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL DESIGN PROFESSIONAL 20NTR'-7~! ~~SJ't,E ~. / '-v f,, .. ADDRESS A~ESS A,; i.,_ 3;,~ /'~-'<Jifo '19PJ #/zo CITY STATE ZIP CITY /JJ 54,v 1P,t, a; ZIP °9,Z/0'? PHONE I FAX PHONE ✓ ·'X-/"l-R4'<" -S-~ ?-8' IFAX EMAIL EMfL O . 01-eG,,.;91/, c:,,.__ ,. -- I STATE LIC. # STATE LIC.# lt/(-"',/5'0 I CLASS r-tn ICITYit~ I ~: I t'A '· (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re~air any structure, prior to its issuanle:ic'5o requires the a licantfor such ermIt to file a sI ed statement that he is licensed ursuant to the revisions of the Contractor's License Law C a ter 9, commend in with Section 70 0 of DIvIsIon 3 of the pp p "' p p ,, ,, g 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}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: El I have and wUI maintain a certificate of consent to self-insure for 'Mlrkers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Sectkln 3700 of the labor Code, for the per1ormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No, ______________ Expiration Date _________ _ ~sjQll6"n need not be completed if the permit is foror.e hundred dollars ($100) or less ~ertificate 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 shalt subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as rovided for in Sectio 3706 of the Labor code, Interest and attorney's fees . .Jl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License 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 inter.ded or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does r10t 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 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) licertsed 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. 0Yes 2. I (have I have not) sigrted 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 I 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/ address/ 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 I address/ phone I type of work): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPI.ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future buildlng 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 Presle}"-Tanner Hazardous Substance Account Act? □ Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality man,31Jement 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnalion is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laYoS relating to building c:onstruction. I hereby authorize representative of the City of Carlsbad to enter uixin the above mentioned property br inspection purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY Af',JD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEG!JENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA pem,lt is required brexcavations over S'O' deep and demdioon oro::J1struction of structures over 3 stories in height. EXPIR/fflON: Every permit issued by the Buik:ling Offcial under the provisOns of this Coo:! shall expire by limitation and OOC:Ome null and vok:I if the buik:ling or wk authorized by suet, pem1it is not commenced 'Mthin 180 days from the date ofsudl permit or if the buik:ling orv.ork. authorized by sudl pem,lt is susp:mded or abandoned at any lime after the v.or1c. is commenced bra period of 100days (SectOn 100.4.4 Unifom, Building Code). ~ APPLICANT'S SIGNATURE DATE ~/,2r, l(e • 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 building@carlsbadca.gov 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OP'llONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ ..6$ APPLICANT'S SIGNATURE o ASSOCIATED CB#•------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CB163288) Permit Type: BLDG-Residential Application Date: 08/26/2016 Owner: COOWNER WEBBER STEPHEN D & KAREN E Work Class: P/M/E Issue Date: 08/26/2016 Subdivision: Status: Closed -Flnaled Expiration Date: 04/11/2017 Address: 1220 Knowles Av Carlsbad, CA 92008 IVR Number: 716704 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 02/1412017 02/14/2017 BLDG-Final 013614-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes February 14, 2017 Page 1 of 1 Inspection List Permit#: CB163288 Type: PME WEBBER: UPGRADE PANEL= 200A Date Inspection Item Inspector Act Comments 10/13/2016 33 Service Change/Upgrade AEK AP Wednesday, February 15, 2017 Page 1 of 1