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Home My WebLink About2301 DANA CT; ; CB152755; Permit08-24-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB152755 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2301 DANA CT CBAD PME 1675322800 Lot#: BERNSTEIN: SDG&E REQUIRING INSPECTION TO RE-INSTALL METER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/24/2015 SLE 08/24/2015 08/24/2015 Applicant: BERNSTEIN JEROME D EST OF Ovyner: BERNSTEIN JEROME D EST OF 2301 DANA CT CARLSBADCA 92008 442-500--012 2301 DANA CT CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 inspector: FINAL AP Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pennit 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 vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING OENGINEERING nBUILDING QFIRE IZIHEALTH IZlHAZMAT/APCD Ccityof Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building(gcarlsbadca.gov www.carlsbadca.gov Plan Check NoC6 I'O ZnS'S" Est. Value Plan Ck. Deposit Pate 8^~^M- K SWPPP JOB ADDRESS SUITE#/SPACEi/UNIT# CT/PROJECT # I PHASE # I tt OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: fncfude Square Feet ofAtfected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# N0| I AIR CONDITIONING YES [^NOI I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contac PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP PHONE FAX PHONE EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CiTY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CLASS 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, pnor to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe 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 flve hundred dollars ($500)). ORKERS' COMPENSATION Workers' Compensation Declaration: / fierefcy affimi under penalty ofpeijuiy one ofthe following dedamtbns: B l hav« 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 wort^pr which this pemiit is issued. I have and will maintain workers' coinpensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worii for which this permit is issued. My workers' compensation insurance canier and policy number are: Insurance Co._ , PolicyNo.. Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the worii for which this pemiit Is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE OI«f l9«B-8UILDEit DECiARATION / hemby affm that I am exempt fiom Contiaclor's Ucense Law foi the foibwing mason: I I 1, as owner of the property or my employees with wages as their sole compensation, will do the worii and the staicture 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 impraves thereon, and viho 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 bunlen of praving that he did not build or improve for the pumose of sale). I I I, as owner of the praperty, am exclusively contracting with licensed contractors tc constnict the praject (Sec. 7044, Business and Prafessions Code: The Contrxtors License Law does not apply to an owner of praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [ I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constructton of the proposed praperty improvement QYes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following peison (flmi) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to pravide portions of the vrorti, but I have \meft\e following peisonle coorpinate, supervise and pravide the major worti (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but I have conf^ted/iiredj tte^owipgparSBils to provide the worti indicated (include name / address / phone / type of worii): ^efpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILOING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matertals registration form or risk management and prevention program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit fram the air pollutton control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes 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 CONSTRUCTION LENOING AGENCY I hereby affirm that there Is a constmction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitifythat I have read tlie applkation and state that tlie above infonnation Is coirect and that the Infoimation on the plans is accuiate. I agree to complywith all Cl^ ordinances and State laws relating tD building construction. I hereby authorize representative ofthe City of Cartsbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST Aa LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH M/^ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF. OSHA: An OSHA permit is required for excavattons over 5'0' deep anddemolition or mnstm^tion of shictures over 3 stories in height. EXPIRATION: Every permit issued by the Building Oflicial under*e Drovjebimif thijftode shall expire by limitation and become null and void if the buibing or viorti authonzed by such pemiit is not commenced wilhin 180 days tam the date of such pemiit or if lhetdl0lng&r worti authOTzea by^udy^maifn suipended or abandoned at any tinne after the worti is commenced for a period of 180 days (Sectton 106.4.4 Unifomi Building Code). vgS"APPLICANT'S SIGNATURE 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 buildina(5)carlsbadca.aov or Mail the completed forni to City of Cadsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME 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) MAILTO: 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 ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB152755 Type: PME BERNSTEIN: SDG&E REQUIRING INSPECTION TO RE-INSTALL METER Date Inspection Item Inspector Act Comrr^ents 08/25/2015 33 Service Change/Upgrade AEK AP 08/25/2015 35 Photo Voltaic (PV) - Rl PM PLEASE 08/25/2015 39 Final Electrical - Rl PM PLEASE 08/25/2015 39 Final Electrical AEK Fl Wednesday, August 26, 2015 Page 1 of 1