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HomeMy WebLinkAbout2022 LEE CT; ; CB162676; Permit'' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-12-2016 Permit No: CB162676 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2022 LEE CT CBAD PME Status: Parcel No: 2053304500 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: O'NEAL RES-REPAIR SERVICE LUGS ON EXISTING ELECT PANEL MACGRAY ELECTRIC 2718 WATERBURY WAY CARLSBAD CA 92010 760 802-0140 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: ROMAON LIVING TRUST 03-02-04 2022 LEE CT CARLSBAD CA 92008 ISSUED 07/12/2016 RMA 07/12/2016 07/12/2016 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPRO'/tl Date: 7 · /3 · Clearance: $0.00 t,QTICE; Aease ta<e t,QTICE that~ ct IOO' prtjed irdLXles tte '"lrrp:sitiori" ct fees, declcatic:rs, """'1/aticrs, or cther exa::lic:rs rereater aJledivay referred to as 'fees'exa::licrs.'" You rave 00 day.; fran tte -ths pemit w,s iSSL<ld to pretest irri:,osition ct tJ-ese feeslexa::licrs. If IOO prctest !terr\ )OJ nust fcJlo.vtte pretest J:l"OC'l(ires set forth in G:Nenmlnt Code Section ffil20(a), ardfilette prctest ard anyctherre:µred infonralionv.ith tte Qty Mregerftr ~"ii in a:xxmrcev.ith catsba:J M.ridpa Code Section 3.32.CllO. Falu-.totirrayfcJlo.vthal ~v.ill Ila" anysutEecµrt 1"9' a:tionto~ revie-N, set aside, vcid, a cfYU their irrp)Sition. You"" heret,; FlRll-ER NJTIRED lhat ;o.r rilft to prctest tte specified feeslexaciic:rs OCES t-Of AFR Y to ..at..-ard se,.er oonnedion fees ard ~ cta-ges, na: plmr>J, zairg gair>Jorciher snril11" 'l)piication ~"ii orser;;oe fees in oonnedionv.ith ths prtjed. i'CR OCES IT AFRYtoany fees' sirrilcr t widl tre has · _., THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE (city of 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. JOB ADDRESS CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE GARAGE (SF) APPLICANT NAME Primary Contact 6f. Est. Value SUITEf/SPACEI/ II BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) PROPERTY OWNER FIREPLACE YES[]#_ No[] tJ' SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No□ FIRE SPRINKLERS YESONoO ADDRESS (J )711 ADDRESS l/'£ 0141 CITY L'l/o CITY STATE ZIP y'k/t) PHONE / 7oll- FAA EMAIL /1 4tl-/ DESIGN PROFESSIONAL ,{tfqnll cAlL ADDRESS ADDRESS J7!! tJ1~ CITY STATE ZIP CITY ZIP tf4'/0 PHONE FAA FAA EMAIL h,f, STATE LIC. # STATE UC.# CLASS (-/0 (Sec. 7031.5 Business ~nd Professions Code: Any City or County which requires a permit to_c~nstrnct, alter, improve, ~emolish or repair any structure, prior t9 its issuance, also r q~ires 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 9, commending with Section 7000 of DIvIsIon 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any v1olatIon of Section 1031.5 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. D I have d 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 ______________________ Policy No. ______________ Expiration Date _________ _ ddollars($100 orless. of the work. for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of is unlawful, and shall subject an employer to crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), In 37. 6 of the Labor code, interest and attorney's fees. ~ ~ .J...#d 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 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 for this reason 1. \ personally plan to provide the major labor and materials for construction of the prop:ised property improvement. 0Yes 0No 2. I (have I 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 prop:ised construction (include name address I phone I contractors' license number): 4. I plan to provide p:irtions of the work., but I have hired the following person to coordinate, supervise and provide the major work. (include name/ 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): NS 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 Sections 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? D Yes D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1V1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnatlon is conect:and that the infonnatlon on the plans is accurate. I agree to comply~ all City ordinances and State laws relating to building oonstruction. I hereby authorize re~tative of the City of Carlsbad toenterupoo the above mentioned property br inspection purposes. l ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENS WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCEOFTHE GRANTING OF THIS PERMIT OSHA: An OSHA permit is required for excavations over 5'0' dee demolitkm or ca,strudkln of slrucbJres over 3 stories in he'Jht EXPIRATION: Every pennlt issued by the Building Off.cial un visions of this Cede all expire by !imitation and become null and voi:l W the building orv.ork authorized by such pennit is notcommenC8d 'Mthin 180 days from the date of such pennlt or if the building orv.o by such~ It· us pended or abandoned at any time after the 'MXk is commenced for a peood of 1 'days ~00 100.4.4 Unibnn Building Code). Af APPLICANT'S SIGNATURE . DATE 7, I/<-;/ 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@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL OELNERY OPllONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ A5 APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. □ ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Mtcnfpp• JI ltAtlMedft§fze Permit#: CB162676 Date Inspection lte_111_ 07/13/2016 39 Final Electrical 07/13/2016 39 Final Electrical Type: PME Inspector Act RI PD AP O'NEAL RES-REPAIR SERVICE LUGS ON EXISTING ELECT PANEL Comments