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Home My WebLink About1955 MARCASITE PL; ; CB163231; Permit• City of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 08-22-2016 Cogeneration Permit Permit No:CB163231 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1955 MARCASITE PL CBAD COGEN Sub Type: EVG Lot#: 0 Constuction Type: NEW Reference #: 2132922100 $7,700.00 LAPLANTE RES: EV CHARGER PLUG Owner: Status: ISSUED Applied: 08/22/2016 Entered By: AEK Plan Approved: 08/22/2016 Issued: 08/22/2016 Inspect Area: Plan Check #: HMT ELECTRIC INC STE 105 LAPLANTE ROBERT&STOUFFER-LAPLANTE LIBBY 9550 WAPLES ST SAN DIEGO CA 92121 858-458-9771 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $96.85 $0.00 $67.79 $0.00 $0.00 $1.00 $1.00 1955 MARCASITE PL CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due: A J FINAL APPROVAL Inspector: /j/vv' Date: 7, z_.3-//, Clearance: $0.00 $0.00 $0.00 $0.00 $166.64 $0.00 r,once: Flease ta<e tDTICE thEt ~ d yo,r Jltject irdl.des tre "lrrposruaf d-. declaEcns, ~crs. a ctrer exa:1icns -rolectiwly referred to as 'feeelexa:1icns." Yru l"a.e 00daysfrantte-1Hs perrritv-as issuedto;rnest irrposrua, dttesefeee/exa:1icns. If )OJ ;rnest them )O.l lTIB fdlCM1tte ;rnest praaires set fa1h in Cl:Mmr<rt Oxle -on ExillJ(a), !rd file tte ;rnest !rd a,y ctrer req.Jred irtormila, wth tte aty ~fer ~r\l inoocmla1cewth Cal&m Mridpa Oxle-a, 3.32000. FaluetotirrayfdlCMltha JJUCm."'WII ta-a,ysu/:Jse;Jat lega a::tiontoa:ta:k. reMew; set cEOO, vdd, cr anJ thar irrµsitioo. Yru ere reret:,; FL.ml-ER f'OllFlED trat yo,r rigt to ;rnest tte specified fees/exa:1iais IX-ES I\Of /IPFI. Y to was: !rd -.er cxrrect1a, -aro ~ty mrges, na JJaTir\J, mng ga:lr\J a ctrer smla ~icala, ~'ll "seruoe fees in cxrrectiai wth ttis ptject. !\CR IX-ES IT /IPFI. Y to a,y i · dvJirh,.-. · .-..nnrcsinil-tntlis.~<><>t · · ·· ,c,t.,,t,,t.,rilini · · · ·· · · • ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD ·Ccityof 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. lJ-13 / {, '3:;2 3 / Est. Value SWPPP SUITEt/SPACEf/UNITt # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX GARAGE (SF) ZIP ZIP STATE UC.# PATIOS (SF) DECKS (SF) PROPERTY OWNER ADDRESS \C\SS- CITY C-AR.\....S HONE ;""'\ ?S'i,./ AIL CONTRACTOR BUS. NAME CLASS AIR CONDITIONING YES0No0 c_ \D FIRE SPRINKLERS YES0N00 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. I have and will maintain workers' compensation, as required by Sectjl)n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensaUon ins oumbecace, losu,acce Co. :::Z V /U CH Awu-::iz,1c ~ Policy No. \NC S S: f¼ 1 3, $: D L Expicatioo Date---<,_,.()Ll--'-'-.J-.jL./.---l,,~ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 ful, 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, dam as provided for in S ·on 3 6 o a lab de, Interest and attorney's fees . .65 CONTRACTOR SIGNATURE ~ I hereby affinn 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 buildil"lQ or improvement is sold within one year of oomplelion, 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 exdusively oontracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply lo an owner of property who builds or improves thereon, and oontracts for such projects with oontractor(s) licensed pursuant to the Contractor's License Law). I am ex.empt under Section _____ Business and Professions Code for this reason' 1. I personally plan to provide the major labor and materials for oonstruction of the proposed property improvement. 0Yes 0No 2. I {have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm] to provide the proposed oonstruction (indude name address I 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 I address I phone I oontractors' license number): 5. I will provide some of the work, but 1 have oontracted {hired) the fol\owil"\Q persons to provide the work indicated (include name I address I phone/ type of work): _N$ PROPERTY OWNER SIGNATURE □AGENT DATE COMP'LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the.'lpplicant or tutu re building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and p<evention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accoont Act? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control distlict 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? O 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. I certify that I haYe read the application and state that the aOOJe infonnation is correct and that the lnfonnation on the plans is accurate. I agree to complyv.ith all City ordinances and State laws relating to building construction. I hereby authorize representa~ve of the Qty of Cartsbad to enter upon the aOOve mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA pemi~ is required for excavations over 5'0' deep and demclioon or roistruction of structures over 3 stories in he'Jhl. EXPIRATION: Every pennit issued by the Eluild'r,g Ofroal under the provisions of th IS Code shall expire by limitation and bemme null and vod ~ the building orv.or't< authorized by such permit is notoommenced IMthin 100 days from the date of such penn~ or ·t uilding orv.or't< authorized by su it is sus nded or abandoned at anytime after the v.ak is oommenced for a pariod of 180 days (Section 100.4.4 Uniform Eluilding Code). ;@:S'APPLICANT'SSIGNATURE _,.j/_ J, DATE 1-,Z, ~IJ/6 • 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@car1sbadca.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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D ASSOCIATED CB#F------------MAIL TO: o CONTACT(Listedabove) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:---------------~ o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE • Inspection List Pennit#: CB163231 Type: COGEN EVG LAPLANTE RES: EV CHARGER PLUG Date __ Inspection Item Inspector Act Comments 09/23/2016 34 Rough Electric RI 10-12 09/23/2016 34 Rough Electric JW AP 09/23/2016 39 Final Electrical RI 10-12 09/23/2016 39 Final Electrical JW AP 09/22/2016 34 Rough Electric PB NR Monday, September 26, 2016 Page 1 of 1