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HomeMy WebLinkAbout1882 HIGH RIDGE AVE; ; CB160602; Permit02-16-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical!Electrical (PME) Permit Permit No: CB 160602 Building Inspection Request Line (760) 602-2725 1882 HIGH RIDGE AV CBAD PME 2073854500 Lot#: 0 LANGFORD:125 AMP PANEL UPGRADE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/16/2016 SLE 02/16/2016 02/16/2016 J P ELECTRICAL POWER AND CONTROLS LANGFORD BRICK&REBECCA TRUST 05-09-11 4634 VIA LA QUINTA YORBA LINDA CA 92886 562 644-4638 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1882 HIGH RIDGE 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: FINAL APPROVAL Date: d-, ·IR· I(,, Clearance: $0.00 NOTlCE Please tare OOTICE that~ ci yrur ~ed incudes tte "lrrpa;itiai' ci fees, decicalio-s, "'5Ell\'elio-s, or ctt-er exa:,ioris t'ere<lfter cx:lledivay referred to as 'fee&'e><a:ikm" Yoo ha>.e 00 da),l fro-n tte -th• pemit.....,. issued to pretest ini:x;stic,1 ci trese fee&'""'1dic,-,a If )W ?rtest lt-en\ )W ITl.51 fdlo.vtte ?des! procedres sd forth in <:o,emrert Qide Sedic,1 €8X!J(a), ard file tte protest ard any ctt-er recµroo irtooratic,1 v.ith tte Oty Mn,ger for pr=,ssirg in a:o;;rdan,v.ith Ca-lsboo M.ridpa Qide Sedic,13.32.000. Falu-etotimfyfdlo.vthal proceci.rav.ill t..-anysubseq.Jert lega adiCl1 to attad<, re.,;eN, set aside, vtid, a anJ treir irrp:isition. Yoo ae l>aret>/ FlRll-ER OOTIFIEDthal yrurri(tt to prctest tte spedfiedfee&'exadiCl1S llCES t-01' APPLY to water ard ....,,.OCJ1nectic,1 fees ard a,pocity chi'rg,s, nor plmrg, ming, ga:lrg or ctrer srrila-,wicatic,1 pr=,ssirg or seo,ioe fees in OCl1nediCl1 v.ith ttis ~ed. torn DCES IT APPLY to any f 'cnscfwich sinila-to vJi lirri has THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD C_cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No(\6 / LO Ol.Q O 2.. Est. Value Plan Ck. Deposit JOB ADDRESS CT/PROJECT# DESIGN PROFESSIONAL / ADDRESS / CITY STATE PHONE FAX EMAIL # BEDROOMS GARAGE (SF) ZIP 'lZ8$,b IP STATE LIC. # SUITEI/SPACEI/UNIT# PATIOS (SF) STATE '"G33bl SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 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: / 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. 3' have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performan of the fo which this permit is issued. My workers' compensation insurance carri rand policy 'numberare:lnsuranceCo. /J£2f'O;IiJ~4aL'e c~ PolicyN ~'?' Expiration Date o-/- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 cost of compensation, dama es as proviefor In Section 3706 the Labor cod ·nterest and attorney's fees . ./15 CONTRACTOR SIGNATURE (!zfAGENT I hereby affirm that I am exempt from Contractor's Ucense 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 sate). 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 labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ 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, super.-ise and provide the major work (include name I 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 I type of work): ,..S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE 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 Sec~ons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ 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 Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (r) C1v1I Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have iead the applicatlon and state that the above lnfomiatlon Is correct and that the information on the plans lsaa:urate. I agree to comply\\tth all City ordinances and State Jaws relating 1D building construction. I hereby authorize representative of the City of CarlslJa::j to enter upon the aOOve mentioned property br insl):lC!ion purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAflllrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA ~rmit is required for excavatons over 5'0' deep and demolltion or construction of structures over 3 stories in height. EXPIRATION: Every ~rmit issued by the B.Jilding Official under the provisions of this C.ode shall expire by limitation and become nul and void ~the building orw:Jrk authorized by such ~rmit is not oommenced v.;thin 100days from the date of suci1 ~rmit or if the buildrlg or'MJO< authorized by such permit is suspended or abandoned at any time after the oork is rommenced for a perioo of 180 days (Section 100.4.4 Uniform Building C.ode). a,, ,@S° APPLICANT'S SIGNATURE <,q'.:""'-DATE Inspection List Permit#: CB160602 Type: PME Date Inspection Item 02/18/2016 33 Service Change/Upgrade 02/18/2016 33 Service Change/Upgrade 02/18/2016 33 Service Change/Upgrade 02/18/2016 39 Final Electrical 02/18/2016 39 Final Electrical Friday, February 19, 2016 Inspector PD PD PD PD LANGFORD:125 AMP PANEL UPGRADE Act Comments ---------- RI DISC/REC AP AP AP AP Page 1 of 1