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HomeMy WebLinkAbout2386 LAPIS RD; ; CB112397; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-09-2011 Cogeneration Permit Permit No:CB112397 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2386 LAPIS RD CBAD COGEN 2132211900 $0.00 Sub Type: EVG Lot#: 0 Status: Construction Type: NEW Applied: Reference #: Entered By: ZIRING RES-INSTALL 40 AMP Plan Approved: VEHICLE CHARGING UNIT ONL y NO PANEL UPGRADE NOT FOR Issued: Inspect Area: Plan Check#: Owner: ISSUED 11/09/2011 LSM 11/09/2011 11/09/2011 SULLIVAN ELECTRIC ZIRING PHILIP R&PHYLLIS REVOCABLE TRUST 08-12-99 7933 SILVERTON AV SAN DIEGO 92126 858 271 7758 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $1.00 2386 LAPIS RD CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $42.00 Total Payments To Date: $42.00 Balance Due: Inspector: FINAL Date: I Clearance: $0.00 $40.00 $0.00 $0.00 $42.00 $0.00 NOTICE: Please take NOTICE th approval of your project includes the "Imposition· of fees, dedications, reservations. or other exactions hereafter collective~ referred to as "fees/exactions." YNi have 90 days from the date this permit was iss;,ied to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set icrt~ in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Car!3t,ad 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 the!r imposition. <<~~ Building Permit Application Plan Check No. &3 fl d-Cq/ 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www .ca rlsbadca .gov Date I I /q / II lswPP JOB ADDRESS u SUITE#/SPACE#/UNIT # IAPN ,..i_ 3,-g'=, G...,p ~5 -z l ~ -2">-[ -( 'i -Oo CT/PROJEi..;1 # ILUT# I PHA:;E # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of All'ected Area(s) ~~-c () 0 "l---,· 11( , ~ --cl ,, . '. ~ _,,.; "~ ~ n V ., -tfn .,,'__ ll . - \IPi.l r •·-A,~ --, ,., ~-I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS s pc I) Srv YES □#_ NOD YES O NO O YES □ NO □ APPUCANT NAME (Primary Contact} ~ L~--~-~ APPLICANT NAME (Secondary Contact) ADDRESS "'-,01 ADDRESS zr-; '-I "I I<.,_._,_..._._.,_,.--ur s .. . • CITY STATE cJ\ ZIP CIIY STATE ZIP S~-µ,'~~ <;.2(<...( PHONE I FAX PHONE IFAX "1\'"S~ Z-1 \ 7'757 c1v1AIL c1v1AIL PROPERTY OWNER NAME ?L:1,,,. CONTRACTOR BUS. NAME S ~( \ e.,-,.___,__, s-.J.,,_,. '?'o---t.-r'" Z.v-.'-"-'"'- ADDRESS ADDRESS ""2.3"'("(; ~ .P S' :-.s. -e.J i/""7 '-( "i. k:_e.-..o::"-~ Dr d,-lo\ CITY C-,.-l; 1,,,_J STATE c.A ZIP CITY s: STAT~ ZIP "1 c.0O7 ·-Iv :-e-.a "'\Ll L\ PHONE IFAX PHONE IFAX -, C. 0 ,S-c.,'-{ \:l;.t"""L ¥°Si? -z.11 ,"rS"? EMAIL EMAIL ARCH/DESIGNER NAME & AOORESS I STATE UC.# STATE UC.# I CLASS I CITY BUS. LIC.# -c-;;;~, o1r c.,o (Sec, 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor'_s License Law {Chapter 9, commending with Section 70_00 of Div1s1on 3 of the Business and Professions Code) or that he is exem9.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subiects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)). □ I have and will maintain a certificate of consent to self-Insure for wonters' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. R. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the _performance of the work for which th~ermlt is issued. My wonters' compensation insurance carrier and po numberare:lnsuranceCo.Cq,--y,...,,""'---•~ 7,..32:(' J C.-....s. Pol1cyNo. C..f"CA ('"t....OI;;><-._ ExpirationDate 1y', /,, \ I This section need not be completed if the permit is for one hundred dollars ($100) or less. □ 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 lo the Workers' Compensation Laws of CaJifomia. 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, dama e as provided for In Section 3706 of the Labor code, interest and attorney's fees. _I! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: O I, as owner ot 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 lo an owner of property who builds or improves thereon, and who does such woril: himse!f or through his own employees, provided that such improvements are not intended or offered for sale, It, however, the building or improvement is sold wiltiin one year of compleHon, the owner-builder will have the burden ot proving that he did not buikl or improve for the purpose of sale). O l, as owner of the property, am exclusively contracting with licensed contractors to constrlJC! 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). O I am exempt under Section _____ Business and Professions Code for this reason· 1. I personally plan to provide the major labor and materials for construcHon 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. ! have contracted with the following person (firm) to provide the proposed constrliclion (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 I 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): ~ PROPERTY OWNER SIGNATURE □AGENT DATE •~t ,r ~ , 1 -- C:OMl'I.IITII TIHI IECIION IIQR NQN,Rli!IIDl!Nt!AI. SUfLIHNli Pli'RMl't5 ONL'J/ " . Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management ar.d prevention program under Sections 25505, 25533 or 25534 of the Presley.Tanner Hazardous Substance Account Act? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 application and state that the aboYe information is correct and that the lnfonnatlon on the plans Is accurate. I agree 1D comply with all City ordinances and State laws reiatingtD building construction. I hereby au tho~ representative of the City of Carlsboo to enter upon the aOOve mentOned 1'.'Qperty br insl)9Clion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COO SEQUENCE CT' THE GRANTING CT' THIS PERMIT. OSHA: ht OSHA permd is required br excavations over 5'0' deep and demolition oro:instruction of structures over 3 stores in height. EXPIRATION: EIA:!ry l):!rmit issued by the Buik:ling Official under the provisions ofttiis Code shall expire by limitaticrl and become nul and void Wthe buil':ling oroolk authorized by such l):!rmd is not o:immenced 'Mlhin 100days from the date of such permit or if the buik:ling oroolk authorized by such permd is suspended or abandoned at any time after the oolk is o:immenced for a p;!ricxl of 100days (Sec!Kln 106.4.4 Uniform Buik:ling Code). IS APPLICANT'S SIGNATURE ~ DATE I \ I I . m City of Carlsbad Bldg Inspection Request For: 01/24/2012 . Permit# CB112397 Inspector Assignment: Title: ZIRING RES-INSTALL 40 AMP Description: VEHICLE CHARGING UNIT ONLY NO PANEL UPGRADE NOT FOR TRACKING CAR USE ONLY Sub Type: EVG Type:COGEN Phone: 6199775642 Job Address: 2386 LAPIS RD Suite: Lot: 0 Location: Inspector: OWNER ZIRING PHILIP R&PHYLLIS REVOCABLE TRUST 08-12-99 Owner: ZIRING PHILIP R&PHYLLIS REVOCABLE TRUST 08-12-99 Remarks: ---- Total Time: Requested By: RICK RIOS Entered By: CHRISTINE CD Description 39 Final Electrical i:ff C_o_m_m_e_n-ts ___ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs• Original PC# Inspection History Date Description Act lnsp Comments '