Loading...
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 Comments Page 1 of 1