HomeMy WebLinkAbout1680 AMANTE CT; ; CBR2019-1531; Permit(city of
Carlsbad
Residential Permit
Print Date: 07/03/2019 Permit No: CBR2019-1531
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1680 Amante Ct
BLDG-Residential
2159004700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
06/14/2019
06/14/2019
MColl
Plan Check#:
Final
Inspection: 7/3/2019 3:17:24PM
Project Title:
Description: KEEHN: ADD EV CHARGING STATION
Owner: Contractor:
OWNER KEEHN CARLA B
7040 Ave Encinas, 104-140
CARLSBAD, CA 92011
TESLA ENERGY OPERATIONS INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
901 Page Ave Attn: Licensing
Fremont, CA 94538-7341
844-837-5201
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
$175.00
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check C' B Rzc"ll 9 -/ S-3' I
Est. Value
PC Deposit--------
Date __,_.;:..,_,lul_,_--/..,_/..,_/ f1---
Job Address __ 1_6_8_0_A_m_a_n_te_c_t _________ su1te: ____ APN: _________ _
CT/Project#:, _________ Lot#:, ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
C /rA-e.6 uJ(;,
BRIEF DESCRIPTION OF WORK: __ T_e_s_la_w_a_n _c_o_n_ne_c_to_r_-E_v_~ __ !lj_· _s_s_ta_t_io_n ___________ _
□ Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ G.arage SF.
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, __ Modules, Mounted: Roof /Ground, TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
□ Reroof: ________________________________ _
□ Plumblng/Mechanlcal/Electrlcal Only: ______________________ _
lxl Other: Tesla Wall Connector-EV Charging Station
APPUCANT (PRIMARY) PROPERTY OWNER
Name: Russ Clapton Name: ___ c_a_rl_a_K_e_e_h_n ___________ _
Address: 8225 Mercury Ct Address: _ _;_16:.c8:.c0:..;A..;.m;;.;.:;a;.;.nt:.:e_C:.ct_;_ ________ _
City: San Diego State: CA Zip: 92111 City: Carlsbad State: CA Zip: _,il.92'-l0.wlu.l_
Phone: 619-538-6485 Phone: 619-865-7342
Email: __ r_cl_a..._p_to_n_,@ .... te_s_la_._co_m ________ Email: carlabkeehn@gmail.com
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: ________________ Name: Tesla Energy Operations
Address:________________ Address: 8225 Mercury Ct
City: _______ State: __ .Zlp: ____ City: San Diego State:CA Zip: __ 9_2_1_1_1 __
Phone: Phone: 619-538-6485
Email: Email: rclapton@tesla.com
Architect State Ucense: State Ucense: 888104 Bus. Ucense: BLOS 1227803
(Sec. 7031.S Business and ProfMsions COde: Any City or county which requires a permit to construct, alter, Improve, demolish or repilr any structure, prior to its
Issuance, also requires the apptkant for such permit to flle a slped statement that he/she ls llamsad pursuant to the provisions of the Contractor's license law
{Chapter 9, commendlng with Section 7000 of Dlv15'on 3 of the Business and Professtons Code} or that he/she Is exempt therefrom, and the basis for th• aleaed
exemption. Any Yiolatlon of Section 7031.S by any applicant for a permit subjects the appltcant to a ctvH penalty of not more than flve hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-SSSS Email: Building@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of petjury ll!JB. of the followlng declarations:
C I have and wll malntaln·a certificate of eot1sent to selMnsure for workers" compensation provided by Section 3700 of the Labor Code, for the performance of the
work wAlch this permit ts Issued.
C. I haive and wlD "'alntaln worker's compensation, as requ"41 by Sactlon :noo of tho Labor Cada, for the performance of the work for whkh thl5 permft h; Issued.
MyworlceB'~ffl'a~~t11rrlerandpolk:yn11mbet11re:lnsuranceComoarlYName:_.=Z-=u'-'ri"'ch"-'-A""m"e"r"ic"'a"'n ___________ _
POiiey No. --Expiration Dale: _l_0_-3_ 11_ --l _99_ -___ _
a Certlfteilte: of Exemption: I carttfy that In the performance of the work fot which this permit is issued, I shaft not employ any person In ;ur, manner so as to be come
subject to the workers' compensatfon Laws of Callfomla. WARNIN&. Fallunt ta sacun: worbrs mmpansatlon c:ovence Is unlawful,c and shal subject 111 employer ta
atmlnal ~ aod dvH fines up la $100,000.00, In addition tbe tD Ibo oootof a..:+eJii811c.• dam .... m provided fur In Section 3706of Ille Labor C'ode,
I-and ottorney'•-•
CONTRACTOR SIGNATURE: ~ ~H-f.l!IAGENT DATE: ------------------------------
6-14-19
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's Ucense law for the following ,eason:
□ I, as DWnef of the property or my~mployee5 with w.tps as their sole compensation, wlP do the wort .and the structure 1s not Intended or offered for sa.le (Sec.
7044, Business. and Professions COde: The Contractor's Ucense Law does not appt, to an owner of property wtio builds or Improves thermn, and who does such work
himself or tbrough his own employees. provided thilt such Improvements IN! not Intended or offeted for5ale. rf, however, the building or improvement 15 sold within
one ye11r of completion, the owner-bolder will have the burden Qt proving that he did not bulkf or Improve for the purpose of sale).
□ i as owne, Df the property, am exdustvely contracting wlth licensed contractors to con5ttuct the pNJiact (Sac. 7044, Business and Profess lobs Code: 1be
Contractor's License Law does not apply to .. owner of praperty who builds 0t improves thereon, and contracb for such projac:ts with contractor(s) licensed
pur,uant to the Conll'lctaf'5 Ucense law).
□ I am exempt under Section ______ ,Business and Professions Code for thls rason:
1 I personalty plan to provide the major labor and m.rtertals for coiutructlon of the proposed property hnprovemenL □ Yes □ No
2. I (hM! / have not) signed an llpflllc:atlon 1w a builcling penntt for the proposed wort.
3. I have contracted with the follow'18 person (flrml to provide the ptopoSed ~nsttuction (Include name addR!SSfphone / contractors' hcense number):
4. I plan to provide pordons of the WC>lk. but I have hired the followlna person to coordlnaite, s1&pervise and prO'lide the major work (lndud4! 11ame / addnm / phono /
contractors' license numberJ;
S. I w11 provide some of the work, but I havu contraded (hwed) the following persons to p,ovide the worlc. l11dicated (Include name/ address/ phone/ type of work}:
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction k!ndlQS agency for th& performance of the work this permit IS Issued Is«. 3097 (iJ Clvil Code).
lender'sNomr. __________________ Lander'1Addnm: _________________ _
ONLY COMPLETE THE FOlLOWING SECTION FOR NON-RESIDENTIAL BUIWING PERMITS ONLY:
IS the •ppftcantor future buUd"rn& oc:eupant required to submit a business plan, acutely haiardaus materials rqiStratlonform or lisk m...,:qement and preventton
profJnlm under sections 2S50S, 25533 ar 25534 of the Ptesley--Tanner Haurck>usSubsta11ca Account Act? a Yes □ No
Is the applicant or future buUdlng: oca.Jpant required to obtaill a permit from the alrpolution control district or air qualty management district? □ Yes □ No
Is thefadltty to be oonstructed within 1,000feetof the outer boundary of a school site? 0 res □ No
IF ANV OF THE ANSWERS ARE Yl!S, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT IIUSSUED UNW5 -APl'llCANr HAS MET DR IS MEEl'ING THE
REQUIREMENTS OF THE OFFICE Of EMERGENCY SEIIVICl!S AND THE AIR POWfllDN CDNTRDI. DlsntlCF.
APPLICANT CERTIFICATION:
I certify that I have read the appllcatkm and state that the above Information 15 correct and that the i11formatf01l on the plans Is accurate. 11aree to comply with all
City «dlnances and Slate laws relating to bllldlng construction.
I herehy authotbs repre,enlatt,,e of the Otyof Carl!bad to l!Rler uponlhe ■lloYementioned pn,ffl\Ylorln~ ·purposes. I AISDAGRE.ETO SAVE, INDEMNFY AND KEEP
HA11MIESS11-IECl1VOFCAIUS8ADAGAl'fSTAU.UA81LmfS,JUDaMENlS,COS1SANDE<PENSESWHIOIMAYINAP«WAYACOWEAGAINSTSAIDCRYINOJNSEQUmc:EDF
1HE GAANIING Of THIS PalMlf .asHA: Ao OSW. pelTRlt Is required fur.....ations over 5''1 deep and demo&Jlon er corulruc:llon of sttuctu"5 ..., 3 ..., .... In height.
EXPIRATION: Every perml 155Ued by the Buildlnl Offldal under the p,o,lslonsof thlsCode sh;ill e,pJn. by 6-and lleaJme nuH and 1101d f1he bul1dnll orworkauthortzed
by such penntls not a,mmencedwllhln lBOdays rrom the date of 5UCh permit., If the buildr,garworl< aull10tired by ,uct, po,inlt ls,u_.iect ..-abandoned at anytime
aller lhe work Is commenced far• period of UIO day> (Section lOM.4 Uniform Bulkllna Cade).
APPLICANT SIGNATURE: ~ ~H-
163S Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-SSSB
Page 2 of2
6-14-19 DATE: _______ _
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-1531)
Pormit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date; 06/14/2019 Owner:
Issue Date: 06/14/2019 Subdivision:
Expiration Date; 12/30/2019 Address:
IVR Number: 19762
Inspection No. Inspection Status Primary Inspector
07/03/2019 07/03/2019 BLDG-34 Rough
Electrical
096551-2019 Passed Michael Collins
July 03, 2019
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
096563-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Electrical Final
COMMENTS
Passed Michael Collins
COMMENTS
Release emailed to SDGE
OWNER KEEHN CARLA B
CARLSBAD TCT#92-03 AVIARA
PHASE 03 UNIT#04
1680 Amante Ct
Carlsbad, CA 92011-4041
Re Inspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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