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Home My WebLink About2001 AVENUE OF THE TREES; ; CB121157; Permit06-19-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB121157 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2001 AVENUE OF THE TREES CBAD PME 1562801600 Lot#: WOLLER RES- REPLACE EXISTING 100 AMP PANEL W/ NEW 125 AMP PANEL IN SAME Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/19/2012 RMA 06/19/2012 06/19/2012 Applicant: CALRAY ELECTRIC Owner: WOLLER 375 ARROYO DR ENCINITAS CA 92024 760 815-2176 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: $0.00 Inspector: FINAL APPROVAL Date: (i^^^Z^/^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth In Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl^, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIMITISSUANCE: • PUNNING •ENGINEERING • BUILDING DFIRE • HEALTH •HAZMAT/APCD Plan Check No. ] ^ 11 5^ ~J ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.carlsbadca.g&v Est. Value Plan Ck. Deposit Vm» APN ^ SWPP JOB ADDRESS SUITE#/SPACE#/UWU CT/PROJECT # PHASE # # OF UNITS # BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square F«et of >Ufsct«lfArea{s; ^2-£/vlA<^JC e.^'i$Vl>«j e4.<tt\<>c*^V ^^A.v^^'v\ ^rp-v\^ <^Uiu. \>rv .^.^ - EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NO • APPLICANT NAME (Pr/mary Conj^act) . APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER N; VNER NAMI CONTRACTOR BUS. NAME ADDRESS ADDRESS 32^ CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX ^0 - EMAIL EMAIL m It — I CLASS I riTv ai ic ARCH/DESIGNER NAME & ADDRESS CITY BUS. LIC.# (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 Law (Chapter a, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appilcanffor a permit subjects the applicant to a civil penaity of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workert' Compensation Declaration: I hereby afUmi under penaity of peijuiy one of the foiiowing declarations: O J have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 370O of the Labor Code, for the performance of the work for which this pem^ it Is issued. & I have and will maintain woriters' conmsnsatlDn, as reguired by Section 3700 ol the labor Code, for the perfonnance of the woh< for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. I^P-tt^'-^ Y^^ - GeP> Policv No.^^\A)<l OO \ 3'?-<2>'=^ O > Expiration Date ^ ) \P This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certlflcateof Exemption; I certify that in the perfomianceoflhewort< for which this penult is Issued, I shall not employ any person in any manner so as to become subject to the Wort<ers'Compensation Laws of Califomia. WARNING: Failure to secure woriters' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as^jjwlded for In Section 3706 of the Labor code. Interest and attorney's fees. CONTRACTOR SIGNATURE •AGENT DATE ^ -/^- OWNER-BUILDER DECLARATION / hereby affinn that i am exempt from Contractor's Ucense Law for the foiiowing 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 sxh 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). • 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 tor this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. • Yes • No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3. i have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' Ifeense number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number); 5.1 will provide some of the worit, but i have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): vjEfpROPERTT OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L 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 2S505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? ClYes 13 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 POLLUnON CONTROL DISTRICT CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency fbr the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have lead the appncaflon and state that tiie above Information Is cortect and that the Infbmiatlon on the I hereby authorize reprBsentative of Ihe aty 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 UA8ILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for excavations over S'O' deep and demditton or constnjction of stmctures over 3 stories In heighL EXPIRATION: Every pennit issued by Ihe Building Official under Ihe provisions of this Code shall expire by imitatton and become nul and void if the building or worit aulhorized by such pennit is not commenced within 180 days fern the date of such pennit or if the building or worit authorized by such pemiit is suspended or abandoned at any time after the worit is commenced for a period of 180 days (Section 106.4,4 Uniform Building Code). >£5'APPLICANT'S SIGNATURE DATE 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 www.buildlna(S)carlsbadca.Qov or Mall the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 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. UC. No. DELIVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) a MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) D CONTRACTOR (On Pg. 1) • MAIL/FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE