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HomeMy WebLinkAbout2407 LA PLANCHA LN; ; CB141728; Permit04-20-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB141728 Building Inspection Request Line (760) 602-2725 2407 LA PLANCHA LN CBAD PME 2550913300 Lot#: 0 JOHNSON RES-REPLACE 100 AMP PANEL WI NEW 200 AMP PANEL -SAME LOCATION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 0712112014 SKS 0712112014 0712112014 PY GLEASON ELECTRICK GODDARD SURVIVORS 1993 TRUST A 09-02-93 C/O MATTHEW K GODDARD 947 CITRINE WAY SAN MARCOS CA 92078-1059 760-473-9739 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 7945 REPRESA CIR CARLSBAD CA 92009 $0.00 $158.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NO t 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 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 · n f ii r h C/ C THE FOLLOWllilG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATJAPCO ~,~. Building Permit Application Plan Check No. v(bl L( / '1U ~c, }/-'> 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-85) CARLSBAD email: building@carlsbadca.gov IJJ Plan Ck. 1?epos_lt www.carlsbadca.gov -Date )/7///11 lswPPP JOB AD'!jq O +--Lo-~~"'-.a 1.-tJ G,,i-{~Q SUITH/SPACEI/UNITI IAPN l --- CT/PROJt.CT # ILOT# PHA.SE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DES~~••~,.,.,,~] ecte~Q~C, • ~ l-::DC<Y'-p -t-z.:, 7.,JCJ,.::)c~ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) v,so IAIR CONDITIONING I FIRE SPRINKLERS •oO ves □•o □ veso•a□ APPLICANT NAME ~6-")\ . -/p(Y".J PROPERTY OWNER Primary Contact I I ADDRESS , 7{;;o-52P(-32.~/ ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX EMAIL EMAIL DESIGN PROFESSIONAL / CONTRACTOR ausd."t1~<.rov-...-:. n n L ADDRESS I ADDRESS 't LI 1-C. d--..:.e, w-t CITY STATE ZIP CITY '3:,,,_. ~l:_ s~: 4",).0~ PHONE IFAX PH□•,~o l.f, 1'2, "'Ff-~'\ IFAX ' EMAIL EMAIL ~'--~~<?,4 -u -~ • ' I STATE LIC, # \: STATE UC.# \J ,A t'O C.-=-10 qo\ I ) I'= lh:B~S~C!/ J hr' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improv , · anx structure. prior to its issuance, also requires the applicant for such permit to file a si ned statement that he is licensed pursuant to the provisions of the Contractor's License Law Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section to31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). ori<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I !)af('and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertonnal\Ce of the work for which this pennit is issued. ~have and will maintain workers~pensaflon, arie'JU~ by Section jlOO of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation in ranee ier and policy numberare:lnsuranceCo. 6\r~ ~-'io · LO· Policy No. A/\.V' C-OOl./l/ f 2--I Expiration Date I I ~ section need riot be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify ttiat in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wOfflers' comperis o overage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to orie hundred thousand dollars (&100,000), in addition to the cost of compensatio provld ectlon 3706 of the Labor code, interest and attorney's fees . .Jl5 CONTRACTOR SIGNATURE / hereby affirm that 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 dkl not build or improve for the purpose of sale). 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. \ personally plan to provide the ma)Or labor and materials for construction of the proposed p_roperty improvement. 0Yes 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 construcfion (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 lo coordinate, supervise and provide the major work {include name / 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): ..6$ PROPERTY OWNER SIGNATURE □AGENT DATE ' COMPLl!TI! THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant 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 Presley-Tanner Hazardous Subslal'\Ce Account Act? Yes No Is lhe applicant or Mure building occupant required to obtain a permit from the air pollu~on control district or air quality management district? Yes No Is the facility to be constructed 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. I C811ifythat I have read the application and state that the above inbrmation is cc11Tectand that the lnfonnation on the plans Is accurate. I agiee ID complyYitth all Clfy ordinances and State laws relating ID bulldlng construction. I hereby authorize representative of the Clty of Carlsbad lo enter up:>n the aOOve menOOned J)'Operty tir inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAJ) 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: M OSHA pennlt is required for excavations over 5'0' molif r construction of structures over 3 stories n hei;lht. EXPIRATION: Every penTiil issued Buik:lin ·aI un th this Code shall expire by limitation and beoome null and voi::l Wthe buik:ling or'Mlrl<. authorized by sudl permit is notoommenced 'Mthin 180 days from the date of such permit if the buik:I or 'Ml a pennlt is suspended or abanOOfled at any time after the oorl<. is oommenced for a period of 1BO days ( ion 106.4.4 Unifonn Building 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 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. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (LISted above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ~ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB141728 Type: PME Date Inspection Item 04/14/2015 39 Final Electrical 04/14/2015 39 Final Electrical 09/10/2014 39 Final Electrical 09/09/2014 33 Service Change/Upgrade Inspector PY PY PY Act RI AP NR AP JOHNSON RES-REPLACE 100 AMP PANEL W/ NEW 200 AMP PANEL -SAME Comments -------- AM PLEASE Friday, April 17, 2015 Page 1 of 1