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Home My WebLink About2059 ALGA RD; ; CB151407; Permit05-07-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151407 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2059 ALGA RD CBAD PME 2152200400 Lot#: SIEGEL RES= REROUTE ELECTRIC LINES FROM ROOF TO BE IN ATTIC Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/07/2015 LSM 05/07/2015 05/07/2015 MC Applicant: PASKUS ELECTRIC 2200 S. LA BREA AVE. LOS ANGELES CA 90016 323-935-9098 Owner: SIEGEL SAMANTHA 2059 ALGA RD CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: ^H- FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or ottier exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemnit 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 Cartsbad 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 previouslv othenA>ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING •ENGINEERING • BUILDING •FIRE QHEALTH nHAZMAT/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 No. (2_fc)f ^\^(0~7 Est. Value Plan Ck. Deposit Date 5"/ SWPPP SUITE*/SPACE«/UNIT* APN • CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Inc/uife Square Feet Of Affected Area(s; _ . yfie/o^t^ '^fa^/^^j -e^^ic^i hhes i/^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES|~|» NOj^" YES| |NOP^ YESj | N0|^^ APPLICANT NAIVIE » , 1. ^ /T_ , /, . ,_ Prl«,ary contact ml/^ /tZJ ^ S PROPERTY OWNER ^ — ADDRESS " ' CITY STATE ZIP PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTORBUS.NAME ^^^^ C^^c4>i'(^ <^ ADDRESS CITY STATE ZIP CITY ^ STATE ^ ZIP /yi' PHONE FAX EMAIL STATE LIC. # STATE LIC.# ^ ^ . CLAgS CITY BUS. LIC.# SVI^ J^ C-/0 -ro /^Pi^ (Sec. 7031.5 Business and Professions Code: Any City or County wrilch requires a permit to construct, alter, improve, demolish or repair any 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 Law (Cnapter 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)). ORKERS' COMFENSATION Worlters' Compensation Declaration: / hereby affinn under penalty ofpeijury one ofthe following declarations: I have and will nialntain 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. I have and will maintain workers' compensation, as required by Section 3700 of the Lal»r Code, for the perfonnanc^f the w^j^Qr yiic)i thj^njnit is issued. My workers' compensation li number are: Insurance Co.. _ PolicyNo. Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($100) or less. r This 5 • c nsation Iniurance/amer ar and policy I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Caiifomla. WARNING: Failure to secure worlters' compensation coverage is unlawful, and shall subject an employerto criminal 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 3706Mihe Labor crale, interest and attomey's fees. . L^A^U^^^IatA/ /tUn^^<^^i^ DAGENT DATE 5^"^/^ JS^ CONTRACTOR SIGNATURE W NCR-SIIILtieR DECLARATION / herefty affirm that I am exempt from Contractors License Law for the following reason: I I I, as owner of the properly 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 builds or improves thereon, and who does such work himself or through his own employees, provided thai 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constnjct 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 I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed praperty improvement. QYes I iNo 2,1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firni) to pravide the praposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coonlinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type of worit): ^eS'pROPERTY OWNER SIGNATURE QAGENT DATE COMPLETB THIS SECTION FOR NON RESIDENTIAL B U I L D I N Q l» E R M I T S O N L Y Is the applicant or future buikling 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? 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 _^CjONSTRUCTION .LENOtNC ^AtiKNSX.,J ' I hereby affirm that there is a constnjction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICAMT CERTIFICATION I (xriifyttiati have lead tlie applloriian and state lliatttie ab(»e infbmiation is conect and ttM I hereby authorize representative ofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa 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 pemnit Is required lor excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION: Every pennit Issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or vwrk authorized by such permit is not commenced within 180 days from the date of such permit or if the building or vwrit authorized by such permit is susppoded or abandoned at any time after the worit is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). veTAPPLICANT'S SIGNATURE ^^^.^^^^UC'iyUtJ^ /^^'^-'t^^^^ 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 buildiria@carlsbadca.qov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB151407 Type: PME SIEGEL RES= REROUTE ELECTRIC LINES FROM ROOF TO BE IN ATTIC Date Inspection Item Inspector Act Comments 06/02/2015 39 Final Electrical - Rl 06/02/2015 39 Final Electrical MC Fl Tuesday, June 02, 2015 Page 1 of 1