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
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