HomeMy WebLinkAbout1608 MARITIME DR; ; CBR2018-1060; Permit(City of
Carlsbad
Residential Permit
Print Date: 05/25/2018 Permit No: CBR2018-1060
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1608 Maritime Dr
BLDG-Residential
2150821900
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed• Finaled
05/02/2018
05/02/2018
Plan Check#:
Final
Inspection: S/25/2018 2:49:44PM
Project Title:
Description: KLENNER: INSTALL TESLA EV CHARGER W/ NEW 90A CIRCUIT
Owner: Contractor:
TRUST KLENNER LIVING TRUST 05-01-15
1608 Maritime Dr
INACTIVE -NEW LEAF ELECTRIC
CARLSBAD, CA 92011
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
4907 Coronado Ave
San Diego, CA 92107-3317
619-787-2448
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
,·('cicyof
Carlsbad
JOB ADDRESS
CT/PROJECT# LOT#
T
EXISTING USE
APPLICANT NAME (Primary Contact)
EMAIL
DESIGN PROFESSIONAL NAME
IV\
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 780-802-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
# BATttROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER NAME
ADDRESS 6 0 "6
10
CITY a11.5 bf-
PHONE
EMAIL le
( t:)
CONSTR. TYPE CCC.GROUP
FIRE SPRINKLERS
YES D NO □
01
ADDRESS ADDRESS.3
_---'--"--'(6._· ---"-'-'----V"-'-'._._,_---t¥1~-------'~<4--------___j
CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
STATE UC.# STATE LIC.# i
(Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 oft Business and Professions Code} or [hat he 1s exemf)t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a
c1v1I 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:
D 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 will maintain workers' compensation, as required by 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 __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in
addition to the cosl of compensation, damages as r vided for in Section 3706 of the Labor code, interest and attorney's fees.
,,,/1$ 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 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 for the purpose of sale).
D 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) 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 lat>or and materials for construcUon of the proposed property improvement. □ Yes □ No
2. I (have I 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/ 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 I address I phone/ type of work):
,,,/1$ PROPERTY OWNER SIGNATURE □AGENT DATE
..
OMl"LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality 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 1s a construction lending agency for the performance of the work this penrnt 1s issued (Sec 3097 (1) C1v1I Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information Is correct and that the Information on the plans Is accurate. I agree to comply with all Cify ordinances and State laws relating to building oonstruction.
I hereby authorize representatt,.ie of the Cit)' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolition or construction of slrucb.Jres over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nul and void if the building or work authorized by such permit is not oorrrnenced withil
180 days from the date of such permit or if the buikling or work authorized by such permit is suspended or abandoned at any tine after the wor1<. is commenced for a riod of 180 days (Section 106.4.4 Unifoon Building Code).
,#!5 APPLICANT'S SIGNATURE DATE S, z,,
~ ' ½ ~ "' ' 0 t:i · ./4 • , • :PERMIT INSPEG110N HISTORY REPORT (CBR2018•1060) #, j 1yi ! , ~ , , cl ~ , ,
Permit Type: BLDG-Residential Application Date: 05/02/2018 Owner: TRUST KLENNER LIVING TRUST
05-01-15
Work Class: Cogen Issue Date: 05/02/2018 Subdivision: CARLSBAD TCT#98-05 DEJONG
PROPERTY
Status: Closed -Finaled Expiration Date: 11/21/2018 Address: 1608 Maritime Dr
Carlsbad. CA 92011-4077
IVR Number: 11087
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
05/25/2018 05/25/2018 BLOG-34 Rough 059229-2018 Passed Andy Krogh Complete
Electrical
BLDG-Final 059230-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
May 25, 2018 Page 1 of 1