HomeMy WebLinkAbout2177 CORTE ARBOLES; ; CB121520; Permit08-13-2012
City of Carisbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB121520
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2177 CORTE ARBOLES CBAD
COGEN Sub Type:
2552520700 Lot #:
$0.00 Construction Type:
Reference #:
ABDALLA; INSTALL EVG W/ SDG&E
SUBMETER//NO PANEL UPGRADE
EVG
0
NEW
Applicant:
BAKER ELECTRIC INC
2180 MEYERS AVENUE
ESCONDIDO, CA 92025
619-745-2001
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
08/13/2012
JMA
08/13/2012
08/13/2012
Owner:
ABDALLA SHERIF&ABDELFATAH RANIA
2177 CORTE ARBOLES
CARLSBAD CA 92009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green BIdg Stands {SB1473) Fee
$0.00
($2.00)
$0.00
$0.00
$0.00
$1.00
$1.00
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional 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: $0.00
Inspector:
FINALAPPROVAL
Date: /-^f/^^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "tnpHition'' of fem, dedicatas, reservations, or other exactions hereafter collectively
refened to as 'fees/exactions." You have 90 days from the date this pennnit was issued to piotest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for
processing in accordance with Carisbad 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/exactksns DOES NOT APPLY to water and sewer connection fees and capacify
changes, nor planning, zoning, grading or other similar application processing or servwe fees in connection with this prciject. NOR DOES IT APPLY to any
fees/exadions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previousiv othenivise expired.
THl FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PIANNING •ENGINEERING • BUILDING DfIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: buldling@carlsbadca.gov
www.ca risbadca .gov
Plan Check No. (!6>\Z' ISZQ
Est. Value
Plan Ck. Deposit
SWPP
JOB ADDRESS Z/77 Caric 4rbok3
|LOT# I PHASE# |#0F UNI
SUITE#/SPACE#/UN1T#
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE
DESCRIPTION OF WORK:/nciude Square Feet of Affected Areafs) /
rkcfrro Vt^hol^ Cl^athc.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES •NOD
FIRESPRINKLERS
YES •NOD
APPUCANT NAIVIE (Primary Contact) APPUCANT NAME (Secondary Contact)
ADDRESS ADDRESS
^5 CO/MJ/'^O
STATE CITY STATE ZIP
PHONE 76 D yt^s-^QOi PHONE
EMAIL
FAX
EMAIL
Baker- 0edftfC PROPERTYOWNER NAME CONTRACTOR BUS. NAIVIE
CITY / / , STATE CITY STATE
7^o 7/5' FAX PHONE FAX PHONE
EMAIL EMAIL
y 7 7 C / I CLASS . I CITY BUS. LIC.# ARCH/DESIGNER NAME & ADDRESS
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the appllcantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Lav^iCnapter 9, • ' ^ ' ' Business and Professions Code) or that he is exempt there civil penalty of not more than five hundred dollars ($500)).
!. pno _ . _ _ . gned statement that he is licensed pursuantto the provisions ofthe Contractor's License Lav^ (Chapters, commending vifith Section 7000 of Division 3 ofthe 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
W O I? K E R S • C O M m.n S A T I O
Workers' Compensation Declaration: / herebyaffirm under penalty of perjury one ofthe following dedaraSons:
O Ibaf^and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued.
vs\ have and will maintain workers^omoeosation, as requited by Section 3700 of the Labor Code, for Ihe perfonnance of the wo[k tfil w|]ich thisperrnjt is i^ued. My workers' compensation insufSnce ^rrier and policy
number are: Insurance Co. W'f/fei^of' PoiicvNo. l^C €>5S3 02- Expiration Date /o / /^ /L
This section need not be completed ifthe permit is for one hundred dollars ($100) or less.
n Certificate of Exemption: I certify Ihat in the perfomiance of the woA 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
California. WARNING: Failure to secure workers' 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 compensafion, damages asgrovided for in Section 3706 of the l^^^usdf > Interest and attorney's fees.
<^-^^ <^^^^ ^KSBTT DATE ^/^/ /I. CONTRACTOR SIGNATURE
NER-BUILI DECLARATIO / :
/ hereby affimi that I am exempt from Contractor's Ucense Law for the following reason:
D 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 Ihat 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 v»ill have the burden of proving that he did not build or improve for the purpose of sale).
• I, as ovmer 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).
n 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 property improvement. • Yes • No
2.1 (have / have not) signed an application for a building permit for the proposed work,
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan lo provide portions of the work, but I have hired the following person to coordinate, 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 contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
jS^PROPERVf OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes DNo
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management disttict? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes ONo
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 $ T B U C T il O W/' I. E N P'tH'(iK.A{
I hereby aflimfi that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
iiiiiiii iJr*
I certily that I have read the application and state that the above information Is conect and that the infonnation on the plans is accurate. I agree to comply with all Chy ordinances and State laws relating to building constmction.
I hereby authorize representative ofthe City of Carlsbad to enter upon Ihe above mentbned pnoperty for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CtTY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or construdbn of stmctures over 3 stories in heighl
EXPIRATION: Every pennit issued by the Building Ofliciai underthe provisions oflhis Code shall expire by limitation and become null and void if the buikJing or wrk authorized by such pennit is not commenced within
180 days from the dale of such pemiit or if the buifcling or vwric aulhorized by such permit is suspended or abandoned at any time after the wDrt< is commenced for a period of 180 days (Seclion 106.4.4 Unifomi Buifcling Code).
yfiS'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 inspection.
Fax (760) 602-8560, Email www.buildinqi5)carl5badca.aov or Mail the completed fonn to City of Carlsbad, 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
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
• PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
a 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
>eS'APPLICANT'S SIGNATURE DATE
Inspection List
PertftnM: CB121520 Type: COGEN EVG ABDALLA: INSTALL EVG W/SDG&E
SUBMETER//NO PANEL UPGRADE
Date Inspection Item Inspector Act Comments
8/23/2012 39 Final Electrical - Rl
8/23/2012 39 Final Electrical PB AP
Thursday, August 23, 2012 Page 1 of 1
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