HomeMy WebLinkAbout2279 AVENTURINE PL; ; CB111178; Permit06-21-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB111178
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2279 AVENTURINE PL CBAD
COGEN Sub Type: PHOTO
2132421400 Lot#: 0
$8,000.00 Construction Type: NEW
Reference #:
HANNEMANN: 20 PANEL ROOF MOUNT
Applicant:
CHAD KEMMERER
31995CORTEDEPINOS
WINCHESTER
CA 92596
951-233-0106
Status: ISSUED
Applied: 06/02/2011
Entered By: JMA
Plan Approved: 06/21/2011
Issued: 06/21/2011
Inspect Area:
Plan Check#:
Owner:
HANNEMANN DAVID J REVOCABLE TRUST 11-14-06
2279 AVENTURINE PL
CARLSBAD CA 92009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
Total Fees: $166.36 Total
$99.61
$0.00
$64.75
$0.00
$0.00
$1.00
$1.00
Payments To Date:
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
$166.36 Balance Due:
$0.00
$0.00
$0.00
$0.00
$166.36
$0.00
inspector:
FINAL APPROVAL
II Clearance:
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 in 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 with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax: 760-602-8558
www.ca rlsbadca.gov
Plan Check No.M
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
PHASE*# OF UNITS I # BEDROOMS
SUITE#/SPACE#/UNIT#
TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP# BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESD #NOD
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES D NO D
CONTACT BLAME (If fom Applicant)APPLICANT NAME
ADDRESS
3/
ADDRESS r y 5" •
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHOME FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS 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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
L"3 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.
| have and will maintain workers' compensation, acquired 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. <£-£&d^ /-fg^V*— Policy No. / yf/g?^!^"?- Ag Expiration Date fT~
This section need not be completed if the permit is for one hundred dollars ($100) or less. ,
O 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 hundred thousand dollars (&100,000), in
addition to the cost of compensation, damagesas provided foun SectiojU706 of the Labor code, interest and attorney's fees.
/ hereby affirm that I am exempt from Contractor's License Law for the following reason:
O I, as owner of Die 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 dogs 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 the 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 contractors) licensed pursuant to the Contractor's License Law).
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. D Yes O No
2.1 (have? have not) signed an application for a building permit for the proposed work.
3.1 have cohtracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number):
4.1 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):
5.1 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):
>£f PROPERTY OWNER SIGNATURE OAGENT DATE
Is the applicant or future building 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? D Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quali ty management district? O Yes d No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name " Lender's Address
I hereby authorize representative of the 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 ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSH A: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height,
180 days from the date of such permit or if the buildingj*work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
>€fAPPLICANT'SSIGNATURE j/s'jZ? j'&~~S DATE
City of Carlsbad Bldg Inspection Request
For: 09/06/2011
Permit* CB111178
Title: HANNEMANN: 20 PANEL ROOF MOUNT
Description:
Inspector Assignment:
Type:COGEN Sub Type: PHOTO
Job Address: 2279 AVENTURINE PL
Suite: Lot: 0
Location:
ONTRACTOR SERVICE PLUS INC
Owner: HANNEMANN DAVID J REVOCABLE TRUST 11-14-06
Remarks:
Phone: 9512334385
Inspector:
lt-z-7
Total Time:Requested By: MICHAEL KERR
Entered By: BINSPECT
CD Description
34 Rough Electric
39 Final Electrical
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Commen