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HomeMy WebLinkAbout231 OLIVE AVE; ; CB120942; Permit.. V City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 05-21-2012 Permit No: CB120942 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 231 OLIVE AV CBAD PME 2060920200 JARES RES-REPLACE EXISTING Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/21/2012 RMA 05/21/2012 05/21/2012 200 AMP PANEL IN SAME LOCATION W/ NEW 200 AMP Applicant: BERRYHILL ELECTRICAL CONTRACTORS APT#7 241 WEST WILSON ST 92627 760 622-6954 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BONAS MARGARET J TRUST 12-07-94 PO BOX4657 CARLSBAD CA 92018 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Y':'l-~ 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 issL>ed 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 wiU 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 f x i n f whi h I E im"I r h rwi • «~t ~ CITY OF CARLSBAD JOB ADDRESS 23 I CT/PROJECT# LOT# ii\ .. I IJ e cc.,..s e EXISTING USE APPLICANT NAME (Primary Contact) ADDRESS CITY PHONE Al PROPERTY OWNER NAME Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. Est. Value PROPOSED USE STATE FAX Fax: 760-602-8558 www.carlsbadca.gov # OF UNITS # BEDROOMS GARAGE (SF) ZIP ZIP # BATHROOMS TENANT BUSINESS NAME PATIOS (SF} DECKS (SF) FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS 2 L-/ 1 CITY {OS'tu. (IQ,5a_ STATE FAX CONSTR. TYPE acc. GROUP /r;;:,,,:e AIR CONDITIONING YES O NO □ ZIP FIRE SPRINKLERS YES □ NOD EMAIL h,,()'T MC i I I ('_ a._,-r, {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 issu n , also re_qui. s the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Secti_ ODO of DIvIsIon 3 of th Business 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 subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: g.-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 D 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 ($100) or less, &-E:ertificate 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 Ca1}omia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crfmlnal penalties and civil fines upto 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 attorney's fees. ,#6 CONTRACTOR SIGNATURE {?, ~ I hereby affirm fhaf I am exempt from Contractor's Ucense 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 will have the burden of proving that he did not build or improve for the purpose of sale). 0 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). □ 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 I have not) signed an application for a building permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 I address/ phone I 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 I type of work): ,#6 PROPERTY OWNER SIGNATURE □AGENT DATE ,-c: o M B,ll i 'ri TN is ,-.,-•~·no N F o II NOfi!. 11'111 ~ 1 N tI:AJfi '111 u 11. tu Na "1111111 ULC o-N 1.;v , , ' ,,.,;, , "~*~'L 1 ,.,, , " ~ ~**~ * ,~ * *""' ,,1 **'* ~* ~ 0 ;; ""'"'"*"'"~ , ~"*" ~ *** :, " "" * Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tan11er Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes □ No Is the facility to be constructed within 1,000 feel 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. I certify that I have read the appllcatlon and st.ate 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 buildlngconstructlon. I hereby aulhorize representative of lhe City of Carlsbad to enter upon lhe 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 v.1-IICH 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 strucb.Jres 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 nul and void if the building or work authorized by such permit is not commenced 'Mthin 180 days from the date of such pennlt or if the building or 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). ,@S° APPLICANT'S SIGNATURE . -"_L DATE s ,2 0 r;;__ 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.building@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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) 0 MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#>---------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ' City of Carlsbad Bldg Inspection Request For: 06/01/2012 Permit# CB120942 Inspector Assignment: MC --- Title: JARES RES-REPLACE EXISTING Description: 200 AMP PANEL IN SAME LOCATION W/ NEW 200 AMP PANEL DUE TO CORROSION/RUST Type:PME Job Address: Suite: Location: Sub Type: 231 OLIVE AV Lot 0 APPLICANT BERRYHILL ELECTRICAL CONTRACTORS Owner: BONAS MARGARET J TRUST 12-07-94 Remarks: Total Time: CD Description Act Comments Phone: 7606226954 Inspector: -1,<-M...:..::t,,:...__ Requested By: SCOTT Entered By: CF 39 Final Electrical ft ___________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 05/23/2012 33 Service Change/Upgrade AP MC CALLED IN TO CAROLYN