HomeMy WebLinkAbout1814 ASTON AVE; MP; CB121543; Permit08-15-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: 08121543
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1814 ASTON AV CBAD St: MP
PME
OOOOOOOOOO Lot#:
REPLACE 200 AMP METERED PED.
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/15/2012
JMA
08/15/2012
08/15/2012
Applicant:
SASS ELECTRIC INC
STE 165
11657 RIVERSIDE DR
LAKESIDE CA 92040
619-456-4500
Owner
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$150.00
$0.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00
FINAL
Inspector: Date:
Af^ROyi AL
2o} 2^ Clearance:
NOTICE: Please take NOTICE thilf'approval of your project includes the "Im^sition" of fees, dedications, reservations, or other exactions hereafter collectively
refened to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other requiiied infomiation 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 seivice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenivise expired.
W FOLLOWING APPROVALS REQUIRED PRIORTO PERMITISSUANCE: • PUNNING • ENGINEERING SSuTlDING Omt • HEALTH DHAZMAT/APCO
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldling@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. Ci^VZ I ^ 3
Est. Value
Plan Ck. Deposit
Date ^{l^Vt SWPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOl # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTIOiV OF WORK: /nc/utfe Square Feet or Affected Area^s;
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE
YES • # NOD
AIR CONDITIONING
YES • NOD
FIRESPRINKLERS
YES D NOD
APPUCANT NAME (Primary Contact)^ ST APPUCANT NAME (Secondary Contact)
A 3DRESS ADDRESS
C TY STATE CITY STATE ZIP
PI lONE PHONE FAX
EMAIL
PROPERTY OWNER NAiVIE
ADDRESS
CONTRACTOR BUS. NAIVIE,
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
EMAIL EMAIL
I CLASS CITY BUS. ARCH/DESIGNER NAME & ADDRESS STATE UCM.
CAO
I BUS. L1C.#
(Sec. 7031.5 Business and Professions Code: Any City or County wtiicti requires a permitto construct, alter, improve, demolisti or repair any structure, prior to its Issuance, also requires tiie appllcantfor sucti permitto file a signed statement tiiat tie is licensed pursuantto ttie provisions of tiie Contractor's License Law {Chapter 9, commending witii Section 7000 of Division 3 ofthe Business and Professions Code) or tnat tie is exempt ttierefrom, and ttie basis for ttie alleged exemption. Any violation of Section 7031.5 by any appllcantfor a permit subjects tiie applicant to a civil penalty of not more tiian five iiundred dollars {$500}).
RS COMPENSATION •i • v
fjorkers' Compensation Declaration: / hereby aflinn under penalty of peijury one ofthe following deciarations:
I liave and wiil maintain a certificate of consent to seif-insure for woriters' compensation as provided by Section 3700 cf tlie LaborCode, for tiie performance of the workforwiiicti this pemiit is issued.
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. C i^A Yt. vtA Policy No.LO'aifSN.ayTs'qi -c -c^ \ Expiration Date 3>/ v?.
his section need not be completed if the permit is ibr one hundred dollars ($100) or less.
n Certificate of Exemption: I certify that in the performance of the wori( for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Worisers' Compensation Laws of
:;alifornia. VfARNING: Failure to seeufejworkers' compensation coverage is unlawfuLdnd shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
Ldditlon to the cost of compensation, damans as provjded for In Section 3706 of thaiLabor code, interest and attomey's fees.
CONTRACTOR SIGNATURE •AGENT DATE ^ / /^-^/^
/ heretsy affinn that I am exempt from Contractor's License Law for the foiiowing reason:
13 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 soW wilhin one year of completion, the owner-builder will have Ihe burden of proving that he did not build or improve for the purpose of sale).
13 1, as owner of the properly, 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).
Cl I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of fhe proposed properfy improvement. Cl Yes 13 No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide ttie proposed construction (include name address / phone / co ntractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worl( (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the foiiowing persons to provide the work indicated (inciude name / address / phone / type of woric):
^fifpROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETfe THIS SECTION FOB NON-RESIDENTIAt 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? • Yes O 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 (3 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 13 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 AOENCV
I hereby affinn that there is a construction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
'M'P-PitiC A M-T CiRTIFICATION
I certif that I have read the application and state that the above Infbimation Is oonect and that the Information on the plans Is accurate. I agree to comply with all 01^ ordinances and Slate laws relating to building constnictlon.
I hereby aulhorize representative of the City of Carlsbad to enter upon Ihe above mentioned property for inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST Aa UABiLfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required for excavattons over 5'0' deep and demolifon or oonstruction of stmctures over 3 stories in height
EXPIRATION: Every pennitis§ijalbi[iie Buikiing OfScialdnder the provisk)(9 of this Code shall expire by limitafon and become null and vokl if the buikiing or wori^ authorized by such perniit is not commenced with h
180 days fmm the date pfSudipermiroMWtje buikiing 9pori< authorized b) ^ch pemiit Is suspended or abandoned at any tme after Ihe wori< is commenced for a period of 180 days (Secfon 106.4.4 Unifonn Building Code).
APPLICANT'S SIGNATURE DATE
u
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 (780) 602-8560, Email www.buildinqiajcarl5badca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
a PICK UP: • CONTACT (Usted above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL / FAX TO OTHER:
• ASSOCIATED CB#-.
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
.ef APPLICANT'S SIGNATURE DATE
Inspection List
Permlt#: CB121543 Type: PME REPLACE 200 AMP METERED PED.
Date Inspection Item Inspector Act Comments
08/17/2012 32 Const. Service/Agricultural - Rl GC 1471
08/17/2012 32 Const. Service/Agricultural PY AP
08/17/2012 39 Final Electrical PY AP
Monday, August 20, 2012 Page 1 of 1