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Home My WebLink About2321 DANA CT; ; CB122403; Permit11-14-2012 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CBi?2403 Building Inspection Request Line (760) 602-2725 2321 DANA CTCBAD COGEN 1675323000 $0,00 Sub Type Lot# Constuction Type Reference # EVG NEW SJOBERG RES - EV CHARGER IN GARAGE. RUN ELECTRICAL TO EV, UL#UL2594, Status Applied Entered By Plan Approved Issued Inspect Area Plan Check # ISSUED 11/14/2012 SKS Applicant: HERCA SOLAR INC STE A 580 AIRPORT RD, OCEANSIDE CA 9206B 760-966-8060 Owner: SJOBERG CONSTANCE G 2321 OANA CT CARLSBAD CA 92008 Building Permit $0,00 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $152.00 ELECTRICAL TOTAL $0 00 Pian Check $0,00 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $0-00 Additional Fees $0.00 Plan Check Discount $0,00 Strong Motion Fee $1.00 Green SIdg Stands (SB1473) Fee $1-00 TOTAL PERMIT FEES $154.00 Total Fees: $154.00 Total Payments To Date: $154 00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE Pleaae take NOTICE that dppravat of ycur project includes ttie "imposition" of foes, dedications, reservations, or otfier exactions fiereafter pQllecttveiy retarred to as "teesyoxactions.' Vou fiawe 9Q days from tfie date tills pemit was Issued lo protest imposition of tfiese fees/exactions. If you protest them, you must follow the proiest procedures sel forth in Government Code Section 66020(a), and file the protest and any other required information with the City (Manager for processing tn accordance with Carlsbad iviunicipal Code Section 3,32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, oi annul tneir imposition. Yod are hereby FURTHER NOTIFIED that your rigfit to protest the specified fees/axactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar applieatlon processing or sen/iee tees in connection with Ihis project. NOR DOES iT APPLY lo any THE FOLLOWING APPROVALS REQUIRED PHIOfiTO PERMiT fSSUA«CE; • PLANff !NG • ENGINEERING • rmE I HEALTH • HAZMAT/APCD CiTY O Building Permit Application 1635 Faraday Ave.. Carlsbad, CA 92008 Pfi: 760-602-2719 Fax: 760-602-8558 email: bufdling@carlsbaclca.gov www.carlsbadca.gov Plan Check No. O^^, ( ^ '7^ -^ O Est. Value Plan Ck. Deposit JOB ADDRESS SUITEff/SPACE#/UNIT# CT/PROJECT # fl OF UNITS fl BEDROOMS # BATHROOMS DESCRIPTION OF WORK: /nclude Square Feet of Affected Ana(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SFI DECKS (SF) FIREPLACE YESn # NO • AIR CONDITIONING YES • NO • FIRESPRINKLERS YES • NO • APPLICANT NAME (Primary Contact) APPLICANT NAME (Seconifary Cont«ct) ADDRESS ^ J ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL 1 EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME __ ADDRESS 53 b. ADDRESS 6r CITY STATE ZIP ^9? rts^tr STATE PHONE FAX PHONE -^ -^sT f^ EMAIL EMAIL ARCH/DESIGNEH NAME & ADDRESS CLASS CITY BUS. LlCfl (Sec. 7031.5 Business and Professions Code: Any city or County wnich 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 ofthe Contractor's License Law {Criapter 9, commending with Seclion 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 Declaralion: / hereby affirm under penalty of perjury one ofthe followng declarations: O I have and will maintain a certificate of consent (o self-insure lor workers'compensation as provided by Seclion 3700 ol the Labor Code, forthe performanceof the work for which this permit is issued. 1^ I have and will maintain worlj^ers' compensation, as^required by Section 37(X)of the Labor Code, for the perfomiance of the work for which ttiis pemnit 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 pennit is for one hundred dollars ($100) or less. D Certificateof Exemption: I certify that in the performanceof ttie work for which this pennit is issued, I shall notemploy 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 ch/il 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. CONTRACTOR SIGNATURE tiereby affirm that I am exempt from Conljactor's License Law for the foliowing reason: n I, as owner of the property or my employees with images as their sole compensalion, will do Ihe work and the structure is not intended or offered for sale (Sec, 7044, Business and Professions Code: The Conlractor's Ucense 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 improvemenls are not intended or offered for sale. If, however, the building or improvemeni is sold wilhin one year of completon, the owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale). • I, as owner of the property, am exclusively contracting with licensed conlraclors lo construct the projecl (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not appty to an owner of property who builds or improves Ihereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law), n I am exempt under Section Business and P,rDfessjons Code for this reason: 1.1 personally plan to provide the major labor and malerials tor construction of the proposed property improvemeni. • Yes O No 2,1 (have / have not) signed an applicalion for a building permit for the proposed work. 3.1 have contracted virith Ihe foliowing person (firm) to provide Ihe proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions ot Ihe work, but I have hired the following person to coordinale, supen/ise and provide the major vrork (include name / address / phone / contractors' license number): 5.1 will provide some of the vrork, but I have contracted (hired) the following persons to provide the work indicaled (include name / address / phone / type of work): JEfpROPERTY OWNER SIGNATURE •AGENT DATE Is Ihe applicant or future building occupant required to submil a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of tie Presley-Tanner Hazardous Subslance Account Act? 1^ Yes n No Is Ihe applicant or fulure buikJing occupant required to obtain a permit from Hie air pollution conlrol district or air quality managemenl district? O Yes • No Is the facility to be constmcted within 1,000 feel of llie 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I tiereby affirm that ttiere is a construction lending agency for the performance of the wori( ttiis permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify thati have read the applkation and state that theabcm information is conect and that tt^ on the plans is accurate. I agree to comply with all Cily oidmances arxl State law relatingto bullditigconstii^ I hereby authorize representative ofthe 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. OSHA: An OSHA pemiit is required for excavatons over 5'0' deep and derrolition or construction of stnjctures over 3 stories in height. EXPIRATION; Every permit issued by the Building Otiicial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not ODmmenced within 180 days from the date of such permit or if Ihe buiding or wDrit aulhorized by such pennit is suspended orabandoned al any time after the vrork is commenced for a period of 160 days (Section 106,4,4 Uniform BuikJhg Code), 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.biiiidinqiSjcarlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbaij CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPnOKS • PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On P|. 1) a MAIL 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 • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB122403 Type: COGEN EVG SJOBERG RES - EV CHARGER IN GARAGE. RUN ELECTRICAL TO EV. UL# Date Inspection Item Inspector Act Comments 11/20/2012 34 Rough Electric PB AP 11/20/2012 39 Final Electrical PB AP Wednesday, November 21, 2012 Page 1 of 1