HomeMy WebLinkAbout2165 CHESTNUT AVE; ; CB161359; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-07-2016 Permit No: CB161359
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2165 CHESTNUT AV CBAD
PME
1670804400
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: KAFADER RES-ELECT FOR PLUGS
AND LIGHTS IN STORAGE SHED-BY SEPARATE PERMIT (CB161358)
Applicant:
LYLE KAFADER
2165 CHESTNUT AV
CARLSBAD CA 92008
619 992-7236
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
LYLE KAFADER
2165 CHESTNUT AV
CARLSBAD CA 92008
619 992-7236
ISSUED
04/07/2016
RMA
04/07/2016
04/07/2016
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Clearance: ---
$0.00
NonCE Please take NOTICE that approval of your project includes tre "lrrpcsition'' ci fees, dedications, reservatioos, or other exactions hereafter oollectively
referred to as "fees'exactioos." You have 00 days from the date this pemit W3S issued to protest irrpcsitim of these fees' exactions. If you protest them, you rrust
foil ON the protest procedures set forth in C?ovemrent Code Sectim 66020(a), and file tre protest and any other required inforrratim wth the Oty Manager for
processing in acx:adance wth Carlsbad M.lnidpal Code Sectim 3.32.030. Failure to timely fallON that procedure vvill bar any subsequent IEJ!fll action to attack,
review, set aside, void, or annul their irrpcsition.
You are herei:Jy FURll-iER 1\DTlRED that ycu right to protest the specified fees'exactioos !XES Nor APPLY to water and seNer CXlllnOO:im fees and capacity
d'langls, ror planning, zming, grading or other sinilar applicatim prcx:ESSing or service fees in CXlllnOO:im wth this project. 1\DR !XES IT .AWL Y to any
fees'exactioosof'Aklich have 'ousl been ·venaNonCEsinilartothis orasto\Ahchthestatuteoflinitatiooshas eviousl othefwise ·red.
0PLANNING 0ENGINEERING DBUILDING DFIRE
Plan Check No.
Est. Value
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov SWPPP
CT/PROJECT # LOT#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 61e-e+~":c~( Vu~\es~ ~ \~
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
:;1,__ \ (., --
PROPOSED USE
#BATHROOMS
GARAGE (SF) AIIR CONDITIONING
YES0No0
FIRE SPRINKLERS
vEsONoO
STATE cv+ qZIP r
12c61
PHONh \o\ ---, ~-9 9 Z..-71.3 L
FAX
0·
DESIGN PROFESSIONAL
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
STATE LIC. # STATE LIC.# 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 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 {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: I hereby affirm under penalty of perjury one of the following declarations:
0 I have 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date----------
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one t1undred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attorney's fees.
4:$ CONTRACTOR SIGNATURE 0AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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 will have the burden of proving that he did not build or improve for th<l 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 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).
D 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. DYes t::..JI'lo
2. I (have I have not) signed an application for a building permit for the proposed work. ~ 1'\
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): :betl<'t\.J 1"1 Ct 1
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 I address I phone I contractors' license number):
,'i. will p rk, but I h e contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
')1
4:$ PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative ofthe Cily of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or \Mlrk authorized by such permit is not commenoed within
180 days liom the date of such permit or if the building or ll{)rk authorized by such permit is suspended or abandoned at any time after the \Mlrk is commenoed for a period of 180 days (Section 106.4.4 Uniform Building Code).
Ji5 APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE ..
Complete the following ONLY if a Certificate of Occupancy will be requested at final i1nspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
: (Office Use Only)
CA
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#-------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB161359 Type: PME KAFADER RES-ELECT FOR PLUGS
AND LIGHTS IN STORAGE SHED-BY SEP
Date _ _lnspection_~m Inspector Act Comments
06/06/2016 39 Final Electrical Rl
06/06/2016 39 Final Electrical PD AP
06/01/2016 34 Rough Electric Rl
06/01/2016 34 Rough Electric PD AP
05/12/2016 31 Underground/Conduit-Wirin PD AP
Monday, June 06, 2016 Page 1 of 1
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LIVING AREA
288 SQ FT
City of Carlsbad
Building Division
@r 01
APPROVED BY:--~·-~.,:..,._--, ~
ISSUED BY: __ .~~~--
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