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Home My WebLink About2716 GROVE AVE; ; CB120569; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-02-2012 Permit No: CB 120569 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2716 GROVE AV CBAD PME 1563324200 DIEHR RESIDENCE Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/02/2012 MDP 04/02/2012 04/02/2012 INSTALL 220V VEHICLE CHARGER IN CHARGER Applicant: SATURN ELECTRIC INC. 7552 TRADE STREET SAN DIEGO, CA 92121 619-271-4100 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: DIEHR MICHAEL C&SEDWICK CAITLIN E 2716 GROVE AVE CARLSBAD CA 92008 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: ~ FINAL APPROVAL Date: L/-/(,, (k'. Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectivefy" 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 tor 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 x i n f i h v r Tl 'I r hi r f Ii h I ., «~~ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJE # LOT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN PHASE# # F UNITS # BEDROOMS # BATHR MS TENANT BU INESS NAME dArea(S) 'E\edn c..aJ V ch C:. e__.., C~Yac-c ( 7...-~ CONS R. TYPE O R UP PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES •#_ NO • YES O NOD YES • NOD APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY a_ _ ,-._ STATE ZIP ' ,._ ~ L.J\"e. 1.:, C.A 9 &-.,. I CITY STATE ZIP PHONE FAX \C., Tu,. ADDRESS CITY Co<\ e,ba.d STATE CA ,-l:IP '-1d-D0f;' FAX STATE UC.# (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 8PP!Jcant for such permit to file a signed sU!tement that he is licensed pursuant to the provisions of the COntra~r•.s License ~aw {Chapter 9, comme_ndlngwith Section 70_00 of Dtv!slon 3 of the Business and Professions Code} or that he Is exemP.t therefrom, and the basis for the alleged exemption. Ally vI0Iauon of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workeni' Compensation Declaration: / hereby affirm underpe!IBlty of perjury one ofth& fol/owing declarations: r,'.. I have and wlll 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 pennit is issued. 0 I have and will maintain wo m' o ensatloo, as ~uire by tlon 3700 of 't_Ljlbor Codti for the petformance of the work for which thi:rmlt Is issued. My workers' compens~on I ura ca!:[ier and policy numberare:lnsuranc:eCo. f" i\ . 1'> t..JC)J.)C<\--PolicyNo. Y,603-O'jlr_ ExplrationDate...1.l..2-1--6"-'-Iµ_;;.,_ __ _ This section need not be completed if the permit Is for orie hundred dollars ($100) or less. • Certificate of Exemption: r certify that In the performance of the work for which this pennlt Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Faflure to secure workers' compensation covsrage is unlawful, and shall subject an employer to criminal penaltln and civil fines upto one hundred thousand dollars (&100,000), In addition to the cost of compen&atlon, dam g as provided for In Section 3706 of the Labor code, Interest and attomey's fees. A5 CONTRACTOR SIGNATURE \..tf'\ 1 oc.)._J / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: • /, 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 bulld!ng 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). • r, as owner of the property, am exclusively contracHng 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 ____ .Busloess 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/ have not) signed an applicafion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construcUon (include name address I phone/ contractors' license number): 4. I 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/ phone/ contractors' license number): 5. I 'MIi provide some of the work, but I have contracted (hired) the followlng persons to provide the work indicated (include name/ address I phone /type of work): ,,,,15 PROPERTY OWNER SIGNATURE •AGENT DATE .; COM.PLl!TE THIS SECTION FOR NON-RESIDENTIAL IIUILDING PERMITS ONLY ls the applicant or future bu!lding occupant required kl 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 r9qulred to obtain a permit from the air pollution control district or air quality management district? • Yes • No Is the fa::ility to be constructed 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 JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work this perm1t Is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT C!,RTIFICATION I certify that I have 188d the application and state that the above inf01matlon Is conect:and that the lnfoimatlon on the plans is accurate. I agiee tD comp~~ all City ordinances and State laws relating ID building construction. I hereby autiorizs represenfalM! of tie Cl~of Carlsbad lo enler upon tie abolo mentbned property I, inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AA• KEEP HARMLESS THE CITY OF CARLSBAD AGAINST fil LIABILITIES, JUDGMENTS, COSTS AAD EXPENSES WHICH MAY IN AAY WAY ACCRUE AGAINST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt is required br excavatiens over SrJ deep and demolition or ronstruction of structures over 3 skJries in he,Jhl EXPIRATION: Evert permit issued by the Bui · ng Offcial under the provisions of this Code shall expire by limitatbn and become nun and YOO if the tl.Jlkjing or v.ork au orized by such pennlt is not rommenred 'Mlhin 180 days from the date of such penn\ or if the ld!ng or oork authorized by such pennlt is SUSR6f\Cled or abandoned at any time after the v.ork is oommena:id for,a r( ~ ysl :~ 100.4.4 UnOOrm Building Code), .A!S" APPLICANT'S SIGNATURE . , , DATE L(-; CT '-"\ m -City of Carlsbag Bldg Inspection Request For 04/12/2012 Permit# CB120569 Inspector Assignment: Title: DIEHR RESIDENCE Description: INSTALL 220V VEHICLE CHARGER IN CHARGER Type:PME Sub Type: Job Address: 2716 GROVE AV Suite: Lot: 0 Location: APPLICANT SATURN ELECTRIC INC. Owner: DIEHR MICHAEL C&SEDWICK CAITLIN E Remarks: Total Time: CD Description Act Comments Phone: 8582714100 Inspector: ---- Requested By: KAREN Entered By: CHRISTINE 39 Final Electrical .tlf_ _______ _ Date ·-------------. ------------··· Comments/Notices/Holds ------------------------~-------··--------------., - -------------------··-------·---------------.. Associated PCRs/CVs/SWPPPs Original PC# Inspection History Description Act lnsp Comments