HomeMy WebLinkAbout2448 LA COSTA AVE; ; CB130372; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-13-2013 Permit No: CB130372
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2448 LA COSTA AV CBAD
PME
2161601200
WALDEN: INSTALL TRANSFER
SWITCH
N B BAKER ELECTRIC INC
1298 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 745-2001
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: o Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
WALDEN CLIVE M L TRUST 06-20-95
2448 LA COSTA AVE
CARLSBAD CA 92009
ISSUED
02/13/2013
JMA
02/13/2013
02/13/2013
$0.00
$154.00
$0.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 2•~ · I} 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
fw i h vi I ·1 r hi hi tr in h I h
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING l'lteulLDING □FIRE □HEALTH 0 HAZMAT/APCD .
~~ Building Permit Application Plan Check No. CB/~ 037 7.
~ t) 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit
www.carl1.2QaQQ1;'.!.gQv Date i ,.,, I 1:i, lswPP
JOB ADDRESS z '(l(PJ ti,. CQIIJII hvtr SUITE#/SPACE#/UNIT# APN
ZIC. . 1'-o . I 2.. -00
CT/PROJECT# rOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION Of WORK: Include Square Feet of Aft'ected Atea(s)
I ;v•;-F14--U 4n P,,v ,:;,F 6ie,,4,nt?,1 7 t:ve. ~~ ~.S-~re,
$wrrcl-{ O'......, f3:i:1,;rt.,vc;, ft,v6,(.C p,,,_,, It. '1 /?e~1~~
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE
YES □#_ NOD
IAIR CONDITIONING I FIRE SPRINKLERS
YES □ NO □ YES O NO □
APPLICANT NA~(Prlmary Contact) p;,, 'tl!!.A,
~-I FC-,.,..-, ~ APPLICANT NAME (Secondary Contact)
ADDRESS f L-
ADDRESS
l 'l."'-(& Po4-C.lt:'lC.. 01'!-I.'""$
CITY STATE ZIP CITY STATE ZIP
l.::Sec,,.,,D C rPo err ·t.f-zo-z "\
PHONE ? t;o -Soc ,...(,CZS"J"'\ IFAX PHONE I FAX
"'lrf' 1 erlour\t (2...bD\Y~\ct.c+-ric Jo l N".Cv.A
EMAIL
PROPERTY OWNER NAME W 14 ll? CO .A/ CONTRACTOR~SA~ e-u.,,..-7~rc Ct.-,_, C:
ADDRESS f{ 11-vtr ADDRESS Pc. Z-'1"'-lA-c.~ ji"JII I 2--°'-g f,+. c I t•re dlHI'>
CITY C STATE 04 ZIP CITY STATE zi? A-M--~M "l"l.Od°I {f s u-t,Dc::, 09--izo-z-i
PHONE g IFAX PHONE IFAX ?(.I},,~'-( -L\.O 7(,c;-71.f >-zc,c, I
EMAIL rn,,IL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# 7)1oP-i
1
CLASS rTYBUS LIC'. 1 _ a./c"I~ I zl ...-, /
{Sec. 7031.5 Business and P_rofess1ons Code. Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, pnorto 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 JChapter 9, commending with Section 70_00 of D1v1s1on 3 of the
Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaratlon: I hereby affirm under penalty of peijury one of the following declarations:
D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ,,a,-have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of thj ~rk folJ':tliCl),.lhij,l?ermil isJ§sued, My workers' compensation insurance carrier and policy
number are: Insurance Co. A,M ev2,...t C-IA &...) -b, R l C (:,( Policy No. t.vc. 6 > f , q c:t llf" .,. O ~ Expiration Date I b ( t ( \ ,)
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 to the Workers' Compensation laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltiet and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm thet 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 compensatiol'l, 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 provir;g that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed col'ltractors 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 materials for construction 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. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number):
4. I plan to provide !X)rtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number):
5. I will provide some of the 'M)rk, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of 'M)rk):
,65 PROPERTY OWNER SIGNATURE □AGENT DATE
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 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 boundaiy 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 c:erttfythat I have mad the application and state that the aba.<e infonnation Is correct and that the infonnatlon on the plans Is accurate. I agree to comply~ all City on:linances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsboo to enter up::m the aOOve mentioned property klr ins~n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
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: An OSHA ~rmit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Offdal under the provisk'.ms of this Co:le shall expire by limitation and beoome null and vod if the building orw:iril, authorized by sudl permit is not commenced within
180 days from the date of such pe~ilding or au~ by SUCl1 ~ · sus nded or abandoned at any lime after the 'M}fk. is commenced bf a period of 180 days (Se::!Kln 106.4.4 Uniform Building C.ode)
..@S' APPLICANT'S SIGNATURE v_ DATE ( f 'J
• 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 www.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) o OCCUPANT {Listed above)
u CONTRACTOR (On Pg. 1.J
D MAIL TO: o CONTACT (Listed above) n OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
D MAIL/FAXTOOTHER: ......... --_____ -·······-----.................. -······ -···
A5 APPLICANT'S SIGNATURE
o ASSOCIATEDCB#------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB130372
Date Inspection Item
02/25/2013 34 Rough Electric
02/25/2013 39 Final Electrical
02/25/2013 39 Final Electrical
Tuesday, February 26, 2013
Type: PME
Inspector Act
PD AP
RI
PD AP
WALDEN: INSTALL TRANSFER
SWITCH
Comments
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