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HomeMy WebLinkAbout2559 ABEDUL ST; ; CB112330; Permit11-08-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CB112330 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2559 ABEDUL ST CBAD COGEN Sub Type: PHOTO 2152703000 Lot#: 0 $7,200.00 Construction Type: NEW Reference #: ESBENSEN:18 PANEL ROOF MOUNT PV SYSTEM Applicant: GALKOS CONSTRUCTION 15261 CONNECTOR LN HUNTING BEACH CA 92649 7143738545 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 10/31/2011 JMA 11/08/2011 11/08/2011 Owner: ESBENSEN PHILIP G&NORRIS KATHLEEN A 255| ABEDUL ST CARLSBAD CA 920|9 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $107.27 $0.00 $75.09 $32.41 $0.00 $1.00 $1.00 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $216.77 Total Fees:$216.77 Total Payments To Date:$216.77 Balance Due:$0.00 Inspector: FINAL Date: _Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest Imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. y\jf%V Building Permit Application W^J?' 1635 Faraday Ave., Carlsbad, CA 92008 ^7 CITY OF 760-602-2717/2718/2719 f"*ARI ^RAH Fax:760-602-8558 V»/ml\L.«/LArtLr/ www.carlsbadca.gov JOB ADDRESS f\ J~~f—s~< jA\ ( ] <"_L- CT/PROJECT # . LOT # ^" WASE # # OF UNITS # BEDROOMS SU1TE#/SPACE#/UNIT# # BATHROOMS TENANT DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) f Hc»1D/oLrCUC SVX- fOO-r" X>xoov^T" ife pawC-l^ ^>i s EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME (Primary Contact}—^ -^ ADDRESS ^ CITY . ,. -. STATE ZIP HU/ff-JKlATfYI 1J@£tjJl\. CJff f%^6?ljelf PHONE / J2Xi~ FAX t)ci\/cJa («^ P^d^3S /• £-& )^L PROPERTY OWNER NAME to } « 1 •• —I ADDRESS . j« , •) h L cm&H$h4sL &&- 4ho0$ PHONE FAX 7^?/) — T^/" ^ D^>ty EMAIL ARCH/DESISNER NAME & ADDRESS STATE LIC. '# PATIOS (SF) DECKS (SF Plan Check No. (D& ( ( ' ^^ 3 d) Est. Value "l2~&*b Plan Ck. Deposit Date 1 0/31 /(I swpp APN BUSINESS NAME CONSTR. TYPE OCC. GROUP b<oHu3 3(5/12. ) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO O YES D NO d YES D NO D APPLICANT NAME (Secondary Contact} ADDRESS CITY PHONE EMAIL STATE ZIP FAX CONTRACTOR BUS. NAME ^ , , _ /\ r C^rCU KOS CorvSn ADDRESS ^ f S 3LG?f (_0v|T.^cJT^ l^wvc, CITY PHONE H "7N .^73-i STATE ZIP k^K CfV" Qd^W FAX ^5VF"EMAIL "">?«/ CLASS CITY BUS. LIC.# , 1 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any struotui4, prior to its issuance.lalJo requires theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Com pensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. ' STI have and will maintain workers' compensation^ as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance cai number are: Insurance Co. fj}-*<A>'V**fft? Policy No. ^cy<^ /ff>v^Q? ^ Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. ' C3 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 ap^mployerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3J06 of the Labor code, intere^Mno^lftorney's fees. '/>CONTRACTOR SIGNATURE OAGENT DATE I hereby affirm that / am exempt from Contractor's License Law for the following reason: O 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 did not build or improve for the purpose of sale). D 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 contractors) licensed pursuant to the Contractor's License Law). d I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contrxted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license 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 / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE OAGENT 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? ClYes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes n No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above information is cotrectand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 permit is required fcr excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or wprk authorized by such permit is suspended or abandoned at any time^aftir the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE / //? ^J-T-, <& /.' * ^ S^t^SW DATE City of Carlsbad Bldg Inspection Request For: 11/17/2011 _— Permit* CB112330 Title: ESBENSEN:18 PANEL ROOF MOUNT Description: PV SYSTEM Type:COGEN Sub Type: PHOTO Job Address: 2559 ABEDUL ST Suite: Lot: 0 Location: APPLICANT GALKOS CONSTRUCTION Owner: ESBENSEN PHILIP G&NORRIS KATHLEEN A Remarks: Inspector Assignment: Phone: 7143765496 Inspector: Total Time: CD Description 34 Rough Electric 39 Final Electrical Requested By: BRANDEN Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments