HomeMy WebLinkAbout2717 GLASGOW DR; ; CB143004; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-03-2014 Permit No: CB143004
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2717 GLASGOW DR CBAD
PME Status:
Parcel No: 2081125000 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
LUESCHEN RES; INSTALL NEW
125 AMP ELECT PANEL UPGRADE
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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
LUESCHEN FAMILY TRUST 07-21-04
2717 GLASGOW DR
CARLSBAD CA 92010
ISSUED
11/03/2014
LSM
11/03/2014
11/03/2014
$0.00
$160.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: IZ,-J -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
f es/exacti n of w ich u h ve revious b i n a N TICE simil r to this or s to whi the s tut of limi ation ha revi usl the i e x ire .
THE FOLLOWING APPROVA~S REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMATIAPCD
Ccityaf
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
SUITE#/SPACEI/UNITI
Plan Check No.
Est. Value
Plan Ck. Deposit
Date It~ SWPPP
APN
CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF)
CITY, ~((jc, ~'t • ZIP
0 PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
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 requir the applicant for such permit to file a signed statement that he is llcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendmg with Section 7000 of DIvisIon 3 of the Business and Professions Code) or Oiat he ts exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKj;RS' COMPj;NSATION
Woril.ers' Compensation Declaration: / hereby affirm under penalty of perjury one of the foJ/(JNing declarations:
~ 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.
~ave and will maintain workm' compensation, as reQUired Jr( Section 37_00 the Labor Code, for the perfonna~ce of the work for which this permit i~~' My workers' compensation insurance carrier a
numbe, are: Insurance Co. I(. , L.-\.J l Polo, No. we_ l. ffi"/7 Y-6 L Exp,atkln Date O --/
~section need not be completed if the permit is for one hundred dollars ($100) or less.
LJ 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 workeni' compensation coverage I& 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 for in Se~ of the Labor code, Interest and attorney's fees,
.85 CONTRACTOR SIGNATURE '
I hereby affirm that I am exempt from Contractor's License Law for the following reason: •
• •
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 st1eh improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wHI ha...e the burden of proving that he did not build or Improve for the purpose of sale).
I, as owner of the property, am exclusively contrac~ng 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 materials for construction of the proposed property improvement. OYes ONo
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/ 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/ address I phone I contractors' license number):
5. I will provide some of the work, bllt I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work):
,8$ PROPERTY OWNER SIGNATURE •AGENT DATE
C Q 1111 pl. E t E T ff I $ $ E C: Tl O N If OR" NO N • IU' $ I I) E N T' I A L II u IL I> I N G" l'liiR 1111 I Ts O Ill I. 'y' '' ' ,, ,,
~ ~ -~
Is the appltcant or future building occupant required to submit a business plan, acutely hazardrus materials registration form or risk management and prevention prog7am under ections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant orfllture building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes
Is the facility 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVlCES AND THE AIR P0LLUTION CONTROL DISTRICT.
I certify that I have read the applicatlon and state that the above information Is correct.and that the Information on the plans Is accurate. I agree to complywlth all Clly ordinances and State laws relating to lnildlng construction.
I hereby authorize re)'.reSelltative of the City of Carlsbad to enter upon the aOOve mentioned J)'Operty Rlr ins~n pu~. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGi'JNST SAID CIT'/ IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: f.fi. OSHA pennft is required b' excavations over 5'0' deep and demolltlJn or construction of structures over 3 stones in he'Jht.
EXPIRATION: Every permit issued by the Buik:ling Offcial under the p!'OVISIJns of this Code shall expire by limitation and become null and ~d ff the buik:ling or'MJrk aulh.'.Jrized by such pennit is not commenced v.ithin
180 days from the dale of such permit or if the building orv.ork authonzed by such permft is suspended or abandoned at anytime after the v.ork is rommenO:ld for a peood of 180 days (Section 106.4.4 Uniform Building Olde).
-@S'APPLICANT'SSlGNATURE ~ ~ ~ DATE ,, ~ 3-
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@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 STA.TE ZIP CITY STA.TE
Carlsbad CA
PHONE FAX
EMA.IL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
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: _______________ _
A} APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
. ~
Inspection List
Pennit#: CB143004 Type: PME
Date Inspection Item ------
12/02/2014 35 Photo Voltaic (PV)
12/02/2014 35 Photo Voltaic (PV)
12/02/2014 39 Final Electrical
12/02/2014 39 Final Electrical
11/06/2014 33 Service Change/Upgrade
11/06/2014 39 Final Electrical
Wednesday, December03,2014
Inspector
PB
PB
PB
PB
LUESCHEN RES= INSTALL NEW
125 AMP ELECT PANEL UPGRADE
Act Comments
RI
AP
RI
AP
AP
AP
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