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HomeMy WebLinkAbout2085 LINDA LN; ; CB121631; Permit08-27-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: CALRAY ELECTRIC City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121631 Building Inspection Request Line (760) 602-2725 2085 LINDA LN CBAD PME 2051604600 CURTIS RES-REPLACE 100 AMP Lot#: 0 ELECTRIC PANEL W/ NEW 200 AMP COMBO PANEL WITH Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CURTIS DAVE F&MINNIA D ISSUED 08/27/2012 RMA 08/27/2012 08/27/2012 375 ARROYO DR ENCINITAS CA 92024 760 815-2176 2085 LINDA LN CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL 1PROVAL Date ·3'/·(1.-Clearance: $0.00 NOTICE: 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 ln 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 wlth this project. NOR DOES IT APPLY to any I x tionsotwhich o h r vi J n iv n N TICE imil r h. r whi h h tlimi i nsh r vi I h rwi ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING □ENGINEERING OBUILOING □FIRE □HEALTH 0 HAZMAT/APCD «~'b Building Permit Application Plan Check No. Est. Value ¥ CITY Of CARLSBAD 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.cartsbadca.gov Plan Ck. Deposit SWPP JOB ADDRESS CT/ ROJE # # OF UNITS # BEDR MS # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 100 .. ~""' ~ .-vde, ee,_f«_,( (..)fl'\-o.-rl...,...,,( w i-tl.- EXISTING USE GARAGE (SF) ADDRESS -ft,o. EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX STATE CA FAX AIR CONDITIONING YES □ NO □ ZIP ZIP FIRE SPRINKLERS YES □ NO □ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to its issuance, also requ!res 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 70_00 of Division 3 of the B_usiness and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subiects the applicant to a cIvII penalty of not more than five hundred dollars {$5001). WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D _!.!lave and will maintain a certificate of consent to self.insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. !i3""i have and will maintain workers' com~n, as required by Section 3700 of the Labor Code, for the performance of~ work for which this permit is issued. My workers' compensatiorns:r carrier and policy numberare:lnsuranceCo. Mo,( PolicyNo.MWC QOl"$l0-,0\ ExpirationDate 9 ..2. j7 This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate 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 marmer so as to become subject to the Workers' Compensation Laws of California WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag f bor code, Interest and attorney's fees, _,g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License 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 'Nill 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 'Nith 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the Pfoposed work. 3. I have contracted with the following person {firm) to provide the proposed construction (Include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (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 I address I phone/ type of work): ,1/5 PROPERTY OWNER SIGNATURE CIAGENT DATE , -~ ~ - COMl'lliiTli' THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plaryacutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Substance Account Act? □ Yes rJI No Is the applicant or fulllre building occupant required to obtain a permit from the air pollution control district or air qujllity management district? □ Yes !Y'No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes rlf 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 cerlltythat I have read the application and state that the aoove lnfonnatlon Is correct and that the infunnation on the plans Is accurate. I agree to compl-J ~ all City 01tllnances and State laws relating to bullding construction. I hereby authorize re~tative of the Otyof Carlsbad to enter UJ'.XlO the above mentioned property fi:Jr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AlHJABILJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TlilS PERMIT. OSHA: kl OSHA permd is required for exc.avalions over 5'0' deep and demolition orconstructbn of structures over 3stocies in height. EXPIRATION: Every permd issued by the Buik:iing Officlal under the provisions of this Code shall expire by li'nilalion and become nul and void if the building orw:,rk authorized by such permit is not commenced within 100 days from the date of such permit or if the buik:iing or'Mlrk. authorized by such permit is suspended or abandoned at anytime after the 'MJrk is commenced bra perkld of 100days (Section 106.4.4 Unibm Buik:iing Oxle) . ...@S° APPLICANT'S SIGNATURE / DATE 2. • 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 www.bui!ding@carlsbadca.gov or Mail the completed form 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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □ PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg . .1) □ ASSOCIATED CB#-------------□ MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAX TO OTHER: _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION ,..S APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121631 Type: PME Date Inspection Item 08/31/2012 33 Service Change/Upgrade 08/31/2012 39 Final Electrical 08/29/2012 33 Service Change/Upgrade 08/29/2012 33 Service Change/Upgrade Tuesday, September 04, 2012 Inspector Act RI PD AP RI MC PA CURTIS RES-REPLACE 100 AMP ELECTRIC PANEL W/ NEW 200 AMP COM Comments MID DAY CALLED IN TO KIM Page 1 of 1