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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 ~ -F € P-M I 0 -1-4-c~ tS ~ So'3 Pf'lNai ~ ~c3 7A-0-/t0-c lf\f.; H_".) ~ ~\ (;\), '-L I W ,~oou. @ 18<\S-r,NC -Pl O ~ ~ e0 ,1) ~~ i,J~ 7'2) 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 0 0 --v+,s ts ~ So~ Pf'lN-a tS ~ ~c:3 7tA-{)-~e--;-e-- l{Tf;1 t--t_e> ?-'-< ~ \ t;v , \.. 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