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
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