HomeMy WebLinkAbout2408 LA COSTA AVE; ; CB140831; Permit04-11-2014
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
BEN WILLIAMS
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB140831
Building Inspection Request Line (760) 602-2725
2408 LA COSTA AV CBAD
PME
2161600300 Lot#:
WILLIAMS RES= MOVE AN EXISTING
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
SUB PANEL FROM GARAGE TO WALL INSIDE OF EXISTING PANTRY/
NEW OUTLETS
Owner:
ISSUED
04/11/2014
LSM
04/11/2014
04/11/2014
WILLIAMS ANDRE FAMILY TRUST 12-04-12
3319 CORTE DEL CRUCE
CARSLBAD CA 92009
760-815-1400
P O BOX 532362
SAN DIEGO CA 92153
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$158.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector:
FINAL APPROVAL
Date ~-fl 1'/ Clearance:
$0.00
NOTICE: Please take NOTICE that 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
f ' I h" w i h I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD
~-<(~#Ii' 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. (!,£;,/LfQ t( ~ I
~ CITY OF
Est. Value
CARLSBAD Plan Ck. Deposit
JOB ADDRESS n
d-l.\Ov
APN
)..I "' -f b 0 -0 3 -oO
CT/PROJECT# # OF UNITS # BEDROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
APPLICANT NAME
LO M EMAIL Svl'?....ol'hC,,>c e
CONTRACTOR BUS. NA~ t,-St_ -<'V2---
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.#
(Sec~ 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any_ structure, prior to its issuance, also requires the appl!cant for such permit to file a signed 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 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
El I have and will maintain a certificate of consent to self-insure for workers' compensation as pro~ded by Sectkln 3700 of the Labor Code, for the perlonnance of the work for which this permit is issued,
1 have and will maintain workers' compensation, as reauired by Section 3700 of the Labor Code, for the perfom1ance of the work for which this permit is issued. My workers' compensatkln insurance carrier and p:ilicy
number are: Insurance Co. Policy No. _____________ Expiration Date ________ _
on need not be completed if the permit is for one hundred doll ($100) or less.
rtlficate of Exemption: I certify that in the rmance rk or 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
. WARNING: Failure to secure work compe rage ls unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensati on 3 of the Labor code, Interest and attorney's fees.
,15 CONTRACTOR SIGNA
~ affirm that I am exempt from Contractor's License Law for the following reason: l2!:J 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 sllCfl v.ork 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 did 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. I personally plan to provide the major labor and materiais for construction of the proposed property improvement. OYes 0No
2. I (have I have not) signed an application for a building pennit for the proposed work,
3. I have contracted with the following person (firm) to provide th
hired! f o
i d)t
to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number):
g persons to provide the work indicated (include name I address I phone/ type of work):
,1$ PROPERTY OWNER □AGENT DATE
COMPLET_E T!'flS SECTION FOi? NON•ltll!SIOENTIAL BUILOING PEl?MITS 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 Sectkms 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer bounda,y 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,
CONSTl?U .. CJl.01\1 LE·~·l)fNG AGENC.Y
I hereby affirm that there 1s a coostruction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) C1v1I Code)
lender's Name lender's Address
APPLICANT CE'1HFICATION
I certify that I have read the appllcat!on and state that the above information Is oonect and that the Information on the plans is aa:urate. I agree to romplywith all Cizy oldinanoes and State 18¥.s relating ID bull ding oonstruction.
I hereby authorize representative of the City of Cartsbad to enter upon the a menooned ~perty bf inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AN EN SES W H AY IN Y WAY ACCRUEAG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA ~nnlt is required hr excavations over. O' deep a or · n struc:tion of structures over 3 stories n hei;lht.
EXPIRATION: Every permit issued by the B.Jilding t under the · Code shall ·re by limltation and beoome null and YOO if the building or'M'.lrk auhlrized by sudl pefTTlil is notoommencecl ....;thin
180 days from the date of such permit or if the buildi v.ork a or abandoned at any ~me after the v.ork is oommencecl for a ~ood of 180 days (Section 100.4.4 Uniform Building Ccxle).
AS APPLICANT'S SIGNA 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@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office UH Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPllONS
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: _______________ _
LS APPLICANT'S SIGNATURE
ASSOCIATEDCB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
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Inspection List
Pennit#: CB140831 Type: PME
Date lnspection_ltem
06/10/2014 33 Service Change/Upgrade
06/10/2014 33 Service Change/Upgrade
06/10/2014 39 Final Electrical
06/06/2014 33 Service Change/Upgrade
Wednesday, June 11, 2014
Inspector
PB
PB
Act
RI
AP
AP
RI
WILLIAMS RES= MOVE AN EXISTING
SUB PANEL FROM GARAGE TO WALL IN
Comments
ELECTRICAL PANEL
Page 1 of 1
City of Carlsbad
Building Division
APR 11 2014
APPROVED BY ------
ISSUEDBY. ~
TO COMP Y WITH:
( 5'1-A~/J ➔
CA Electrical Code
2013 CA Res· ential Code 201 CA Plumbing Code
2013 CA G n Code 20 CA Energy Code
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