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Home My WebLink About2369 AVENIDA HELECHO; ; CB141188; Permit05-30-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141188 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2369 AVENIDA HELECHO CBAD PME 2552722700 COLE: PANEL CHANGE OUT Lot #: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/30/2014 JIVIA 05/30/2014 05/30/2014 Applicant: TRISTEN ELECTRIC Owner: COLE LIVING TRUST 08-14-02 28793 CHAMPIONS DR MENIFEE CA 92584-8881 909-208-7303 2369 AVENIDA HELECHO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $158.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL APRROVAL Date: ^ PPROVAL / 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 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise exoired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE; nPUNNING nENGiNEERING nBUILDING OFIRE nHEALTH •HAZMAT/APCD ^ CiTY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. C3 IV* I I 88 Est. Value Pian Ck. Deposit Date S SWPPP JOB ADDRESS SUnEi/SPACE*/UNIT« APN - CT/PROJECT # LOT# PHASES # OF UNrrs # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESn* N0| I AIR CONDITIONING YES I^NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact ^OCr.r^ Afer\\ttin^ ^ PROPERTY OWNER ADDRESS C^\^AfA^\nk3jS Die ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE tog- 7io Z FAX PHONEi FAX EMAIL EMAIL ; RU DESIGN PROFESSIONAL NTRtCTOR BUS. NAME ADDRESS ADDRESS "i yvi ^ tc/ig f pr CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE • I FAX EMAIL EMAIL STATE Llb.# CLASS \ o CrY BUS. LIC.# civil penalty Of not more than five liundred dollars ($500)). WORKERS' COMPENSATION Wwkert' Compensation Declaration: / /lereAy affinn under penalty cS perjury one of the following declarations: SI have and will maintain a certificate of consent to self-insure for worfcei^' compensation as provided by Section : I have and wili maintain workers' compensation, as required by Section 37(X) of the Labor Code, for the perfomiance of the woik for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ^ Expiration Date 3700 of the Labor Code, for the perfonnance of the woik for which this pennit is issued. This section need not be completed If the pernilt Is for one hundred dollars ($100) or less. Rg Certificate of Exemption: I certify that In the perfomiance of the work for which this pemiit Is Issued, I shall not em^oy any person In any manner so as to become subject to the Workers' Compensatbn Laws of ^iii>mla. VVARNING: 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 (&f00,000), in addition to the cost of compensation, damagssjs provided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE Ik^ d^^^ v • AGENT DATE 3c> " I O W N E R-B U I t D E R DECLARATION / hereby affinn that I am exempt ftom Confractor's ixense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture Is not Intended or offeied for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buikis or Improves theieon, and who does such work himself or through his own employees, provkied that such Improvements are not Intended or offered k>r sale. If I however, the buikling or improvement is soW within one year of completton, the owner-builder will have the burden of proving that he dM not build or improve for the puipose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's Lk^nse Law does not apply to an owner of properfy who builds or Improves thereon, and contracts fbr such projects with contractor(s) licensed pursuant to the Ckintractor's License Law). I I I am exempt under Section Business and Professions Code for this reason; 1.1 personally plan to provkle the major labor and materials for constmctton of the proposed property Improvement. QVes I iNo 2.1 (have / have not) signed an application for a building pernilt for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constmcton (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the foltowing person to coonlinate, superelse and provtoe the major work (include name / address / phone / contractors' license number): S. I will provkle some of the work, but I have contracted (hired) the following persons to provide the work Indtoated (Include name / address / phone / type of work): /eTpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILDING PERMITS ONLY Is the appltoant 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 Prestey-Tanner Hazanlous Substance Account Act? Yes No Is the applicant or future buikling occupant required to obtain a permit from the air poliutton control distnct or air quality management disbtot? 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 LENDING AGENCY I hereby affirm that there Is a construction lending agency fbr the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify thati have isad the applkatton and state thM Ihe above Infomiatkin Is conect and that the infbn^ I hereby authorize representative ofthe City of Caiisbad to enter upon the above mentioned property fbr inspectton 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 CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pennit is required for excavattons over 50' deep and demoiitbn or constnictton of stmctures over 3 stories in heighL EXPIRATION: Every pennit issued by the Building Official under the provisions of Ihis Code shall expire by llmitatton and become null and void if the building or work auihorized by such pennit is not commenced wilhin 180 days Injm Ihe date of such permit or if JtSBDi^ing or work authorized by such permit is suspended or abandoned at any (me after the vwrk is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Building Code). >e5'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 buildinQ(S>cai1sbadca.a0V or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS crrv STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) 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 jeSAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141188 Type: PME COLE: PANEL CHANGE OUT Date Inspection Item inspector Act Comments 06/03/2014 33 Service Change/Upgra<je - Rl 12-2 PLS 06/03/2014 33 Service Change/Upgrade PY AP 06/03/2014 39 Final Electrical PY AP 06/03/2014 39 Final Electrical PY AP Thursday, June 05, 2014 Page 1 of 1