HomeMy WebLinkAbout2045 LINDA LN; ; CB131677; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-15-2013 Permit No: CB131677
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2045 LINDA LN CBAD
PME
2051605000 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: PETERSON RES-REPLACE EXISTING
100 AMP PANEL W/ NEW 200 AMP PANEL -SAME LOCATION
Applicant:
PETERSON ROBERT J&JULIE AP
2045 LINDA LN
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
PETERSON ROBERT J&JULIE AP
2045 LINDA LN
CARLSBAD CA 92008
ISSUED
07/15/2013
RMA
07/15/2013
07/15/2013
$0.00
$154.00
$0.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector:
FINAL APPRfVAL
Date 7.)... ·/J Clearance:
$0.00
NOT\CE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES lT APPLY to any
f wh· h hav r i I n iv n N \ imi\ r w · h f Ii i i h r i I h rwi
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH QHAZMATIAPC0
~ <<~"~ ~ CITY OF
CARLSBAD
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
S ITEI/SPACEf/UNITf
Plan Check No.
Est. Value
SWPPP
CT/PROJECT# LOT# PHASE# # F UNI S # BEDROOMS # BATHROOMS CONSTR. TIPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
~epla~ ~k5t-lh~ IC:C_~ Pru"e( 1ti WONYf ff'~ 01
----eX1$H11:j lDt&::ho V\
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESO N,0 ves0No0 YES□No□
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAA PHONE FAA
EMAIL EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP
PHONE FAA
J.~f\/1 EMAIL
STATE UC.# STATE UC.# CLASS 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 an)' 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or {hat he Is exemP.t therefrom, and the basis for the alleged exemption. Any violat\on of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm unde1 penalty of pe,jury one of the following declarations:
8 I have and will maintain a certificate of consent to self-insure for workers' compensalton as provided by Section 3700 of the labor Code, for the perfonnance of the work for which this permit ls issued.
I have and will maintain wor11ers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worl<ers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiratbn Date _________ _
µii§.section need not be completed if the perm11 is for one h.Jndred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the work for which this pern1it is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), ln
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attomey's fees.
6$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER•IIUILOER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
~
□
\, 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 U;ense 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 construcu·on of the pl'OIX)sed property improvement. QYes 0No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. \ have contracted with the following person (firm) to provide the proposed construction (include name address/ phone /contractors' license number):
4, I plan to provkle portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ 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/ phone/ type of work):
□AGENT DATE
COMPLETE THIS SECTION ~OR 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
ls 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 FIN.6.L 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
APPI.ICANT CERTIFICATION
I certify that I have read the application and state that the alxwe lnfonnatlon Is co"8Cl:and that the infonnatlon on the plans is accurate. I agree to complywtti all Cify ordinances and State laws relating to bull ding construction.
I hereby authorize representative of the City of Carlsbad lo enter up::m the above menlioned property tir inspection purp;>SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIAflllfTIES, JUCX,MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A~NST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: ft.I OSHA penn~ is required forexcavalions over 5'0' deep and demolioon or coostruclion of structures over 3 slorles in he'ghl.
EXPIRATION: Every pennil SSued Buikling Olfdal under the provisk:lns of this Code shall expire by limitation and become null and vok:l W the bui'ding or 'Mll"k. authorized by such pennlt is not o:immenced v.1"thin
180days from the date ofsOOl pe e txJildirg orw:irk au by such permit is suspen ned at anytime after the v.ork is o:immenced for a period of 100 days (8ecoon 100.4.4 Unifoon Building Code} .
..@f APPLICANT'S SIGNATU 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 building@carlsbadca.gov or Mail the completed fonTl 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
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg . .1)
MAIL TO: CONTACT (listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (listed above)
MAIL/ FAX TO OTHER: _______________ ~
,65 APPLICANT'S SIGNATURE
ASSOCIATEOCB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB131677 Type: PME
Date Inspection Item
07/23/2013 33 Service Change/Upgrade
07/23/2013 33 Service Change/Upgrade
Tuesday, July 23, 2013
Inspector Act
RI
PD AP
PETERSON RES-REPLACE EXISTING
100 AMP PANEL W/ NEW 200 AMP PANEL
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