HomeMy WebLinkAbout2048 AVENUE OF THE TREES; ; CB131792; Permit07-26-2013
Job Address
Pernnit Type
Parcel No
Valuation
Occupancy Group
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB131792
Building Inspection Request Line (760) 602-2725
2048 AVENUE OF THE TREES CBAD
COGEN Sub Type EVG
1562900900 Lot# 0
$0 00 Constuction Type NEW
Reference #
Status. ISSUED
Applied 07/26/2013
Entered By. JMA
PlanApproved 07/26/2013
Issued 07/26/2013
Inspect Area
Plan Check #
HAVERKAMP INSTALL 240V PHEV
CHARGING STATION/ NO PANEL UPGRADE OR METER ADDITION
Applicant Owner
HAVERKAMP ROBERT&KATHLEEN LIVING TRUST 10-05-04 HAVERKAMP ROBERT&KATHLEEN LIVING TRUST 10-05-04
2048 AVENUE OF THE TREES
CARLSBAD CA 92008
2048 AVENUE OF THE TREES
CARLSBAD CA 92008
Building Permit $0 00 PLUMBING TOTAL $0 00
Add'l Building Permit Fee $0 00 ELECTRICAL TOTAL $154 00
Plan Check $0 00 MECHANICAL TOTAL $0 00
Add'l Plan Check Fee $0 00 Additional Fees $0 00
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$0 00
$1 00
$1 00
TOTAL PERMIT FEES $156 00
Total Fees $156 00 Total Payments To Date $156 00 Balance Due: $0.00
Inspector
FINAL
Date
APPROVAL
Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed to as "fees/exactions" You have 90 days Irom 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 IT APPLY to any
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othew/ise expired
^ [THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE- pPLANNING •ENGINEERING QBUILDING DFIRE • HEALTH •HAZMAT/APCD
^ 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 ^o^^jf^ [1^ 'Z.
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS
|LOT# I PHASE # I # OF UNITS rBEDROOMS
SUITE#/SPACE#/UNIT#
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAIVIE CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: /ncfude Square Feet of Affected/treats)
EXISTING USE PROPOSED USE
rtEfPr/mary Canfactt t I ^
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~T# N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAM APPLICANTNAME (Secondary Contact;
ADDRESS
^^^^ k^^ ^£:-V^cg_-^rg< ADDRESS
CITY
Ail
STATE, CITY STATE ZIP
PHON,
EMAI
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC#
(Sec 70315 Busmess and Professions Code Any City or County which requires a permrt to construct, alter, improve, demolish or repair any structure, pnor 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 9, 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affirm underpenalty ofpequry one ofthe following declarations
• I have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, fcr the performance of the work for which this pemiit is issued
• I have and will maintam workers' compensation, as reguired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance earner and policy
numberare InsuranceCo PoiicyNo Expiration Date
This section need not be completed if Ihe permit is for one hundred dollars ($100) or less
I tJ<!ertificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING' Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees
CONTRACTOR SIGNATURE • AGENT DATE
/ hereby affinn that I am exempt from Contractor's bcense Law for the following reason
\\y\^a% owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 buiids or improves thereon, and who does such work himseif 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 constmct the project (Sec 7044, Business and Pnjfessions 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 I I am exempt under Section _ .Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement HHYes I |No
2 I (have / have not) signed an application for a building pennit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major wort; (include name / 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 / address / phone / type of work)
veTPROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP ' Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP Yes • No
Is the facility to be constmcted 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 AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certi^ttiatl have leadtheapplicabonandstatethattheabove infomiation IS conectand ttiatthemlbmiation on the plans isaci^ I agreeto compiywitti aii City ordinancesand State laws relabngto building constnjcbon.
I hereby authorize representative ofthe City of Cailsbad to enter upon the above mentioned property for inspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFfY OF CARLSBAD
AGAINST ALL LIABILITIES, 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 5'0' deep and demolition or constmction of structures over 3 stones in height
EXPIRATION Every pemnit ssued by the Building Official under the piovisions ofthis Code shall expire by limitation and become null and void if the building or «ork authorized by such permit is not commenced within
180 days from the date of such pemiit or if the building or WDri< authonzed by sd^i pemnit is suspended or abandoned at any time after the v«)ik is commenced for a penod of 180 days (Section 106 4 4 Unifbmi Building Code)
ygTAPPLICANT'S SIGNATURE 1/ / „ , A 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.
o c c U P A o J e c t s
Fax (760) 602-8560, Email buildinqtajcarlsbadca QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY ZIP CITY STATE ZIP
Carlsbad CA
PHONE
OCCUPANT'S BUS LIC No
DEUVERYOPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL / FAX TO OTHER: _J
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
JSSAPPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131792
Date Inspection Item
08/01/2013 34 Rough Electric
08/01/2013 34 Rough Electric
08/01/2013 39 Final Electrical
08/01/2013 39 Final Electncal
Type: COGEN EVG
Inspector Act
Rl
PD AP
Rl
PD AP
HAVERKAMP: INSTALL 240V PHEV
CHARGING STATION/ NO PANEL UPGRA
Comments
AM PLS- EVG
Friday, August 02, 2013 Page 1 of 1