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
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