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Home My WebLink About2489 OCEAN ST; ; CB161238; Permit03-30-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB161238 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2489 OCEAN ST CBAD PME Status: ISSUED 03/30/2016 SLE 03/30/2016 03/30/2016 Parcel No: 2030210900 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: BARTLEY: 200 AMP PANEL UPGRADE Applicant: CORNELIUS ELECTRIC STEA 6575 PASEO DEL NORTE CARLSBAD CA 92011 760-420-4866 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: HELEN BART CO 6520 E EXETER BLVD SCOTTSDALE AZ. 85251 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOTICE Rease-NOTICE lhat ~ ct yo.r r,tject irdudes Ire "lrrpooitiorl' ct !"'5, dedcalions, rE!SEll\'aicro, a cther e><aiions hlre0fter cdledively referred toas "fees'.,,...ons." You t-aveOOdaysfroTitre-tns pemit l'.0S iss..Edto prctest irrpooition cttresefees'.,,...ons. If you prctest thln\ you rrust fcJlo,.,the ?"ciest pocectres,,; fo'1h in G:Mmra1I Oxle SE!cuon Em20(a), ard file the ?"ciest ard any cther r,q.jred infonraion wth Ire Qty Mrager fa ~rg in ~wth catsba'.l Mridpa Coos SE!cuon 3.32.mll. Falu,,totirrayfdlo,vthat prcanrewll ta anystb!ecµrt lega i'diontoatta:i<. re..iiew, set aside, vcid, a aru treir irrp:siticn Yoo ae ~ FlRTI-ERNOTIREDlhat yo.r rigt to prctest Ire spedfiedfees'.,,...ons DCE3 NOr AA'l.Ytov.ater ard ,.,,.,.oonnectonf"'5 ard ._;ty dulges, na plmrg, :ztrirg l,ralrg or cther srrila-wicaion ~rg a sa-vioa f"'5 in oonnecton wth It-is r,tject. NCR DCE3 IT AA'L Y to any fees/ vJi sinil widl lini THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING {:city of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITf □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP CT/PROJECT# # OF UNITS # BE ROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE APPLICANT NAME Primary Contact ADDRESS CllY STATE PHONE FAX EMAIL DESIGN PROFESSIONAL ADDRESS CllY STATE PHONE FAX EMAIL GARAGE {SF) ZIP ZIP STATE UC.# PATIOS (SF) DECKS (SF) PROPERTY OWNER EMAIL en¾ ac"K~ c CONTRACTOR BUS. NAME ADDRESS ·10LJ0 CllY Cltrll~ PHONE w--LlZz.,·· FAX AIR CONDITIONING YES □No □ FIRE SPRINKLERS vesONoO (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any 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 7000 of Division 3 of the B_usiness and Professions Code] or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ofth6 following declarations: 8 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided bV SecUon 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ UJi1se~eed not be completed if the permit is for one hundred dollars ($100) or less. L..JJ,eertlficate of Exemption: I certify that in the performance of the worJs.,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 California. WARNING: Failure to secure workers' compensation_ ooverage 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, damages as provided f n S,ction 3 . of the Labor code, interest and attomey's fees. ,AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Con r's ur.r~e Law for the following reason: D 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 bll\lding or improvement is sold \Mthin 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 wit!1 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 provkle the major labor and materials for construction of the proposed property improvemenL Oves 0No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted 'Mth the following person (finn) to provide the proposed construction (include name address I phone I contractors' lic:ense number): 4. 1 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 rontractors' 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): ,AS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE 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 pre11ention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accoont Act? □ Yes □ No ls 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 constnJcted 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, CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnadon Is correct and that the infonnatlon on the plans is accurate. I agree to comply!Mth all City ordinances and State laws relatlng to bullclng construction. I hereby authorize ~ntative of the City of Gartsbad to enter up::in the aOOve menticoed property Klr inspection pul'!X)SeS. 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: kl OSHA pennlt is required for excavations over 5'0' deep and demolition or ccrntruction of structures over 3 stories in he'Jht. EXPIRATION: Every pennit issued by the Buik:ling Ollbal under th. •. ~~s of this Code shafl expire by limitation and berome null and void W the OOilding orv.ork authorized by sud'! permit is not oommenred \Mthin 180 days from the date of such permit or if the buik:ling or WJrk au~9/ uy suet, pe_piit is suspended or abandoned at any time after the v.orl< is commenced for a · of 180 da Section 106.4.4 Unifi:Jnn Buikling Code). ,6$ 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@qarlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPllONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On pg, 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) ZIP MAIL/ FAX TO OTHER: ________________ _ ,,6$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. □ ASSOCIATEDCB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List Permit#: CB161238 Type: PME BARTLEY: 200 AMP PANEL UPGRADE Date Inspection Item Inspector Act Comments --------------- 06/03/2016 39 Final Electrical RI 06/03/2016 39 Final Electrical PD AP 06/02/2016 33 Service Change/Upgrade RI late pm 06/02/2016 33 Service Change/Upgrade PD AP Friday, June 03, 2016 Page 1 of 1