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Home My WebLink About2802 ATADERO CT; ; CB141153; Permit05-27-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB141153 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2802 ATADERO CT CBAD PME 2551012200 Lot#: JENSEN: UPGRADE 100 AMP PANEL TO 200 AMP Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/27/2014 JMA 05/27/2014 05/27/2014 Applicant: JENSEN FAMILY TRUST 06-12-12 Owner: JENSEN FAMILY TRUST 06-12-12 2802 ATADERO CT CARLSBAD CA 92009 760-815-7843 2802 ATADERO CT CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $158.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL APP Date: —It. >PB(OyAL / Clearance: NOTICE: Please take NOTICE that approval of your project Includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wili bar any subsequent legai action to attacl(, 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 vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othew/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: IHPLANNING nENGINEERING nBUILDING OFIRE IZIHEALTH nHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. QQ} | ^ - I \ S3 Est. Value Pian Ck. Deposit Date APF3 J SWPPP JOB ADDRESS surrEf/SPACEf/UNrr« CT/PROJECT # # OF UNrrs # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet oTAtrected Area(e) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|* NOj I AIR CONDmONING YES [^NO • FIRE SPRINKLERS YES I |NO| I APPUCANT NAME Primary Contact PROPE ERELDWNER T . ADDRESS ADDRESS CfFY STATE ZIP CITY ^ . . STATE ZIP PHONE FAX PHONE EMAIL EMAIL SSKBRBUSTNAMETJ^"^^^"^^^^^^^^^^"^""" DESIGN PROFESSIONAL ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE Lie. # CLASS CnY BUS. LIC.# (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 applicant for such permit to file a signed statementthat he is licensed pursuant to the provisions ofthe Contractor's License LawlCnapter 9, commending with Section 7000 of Division 3 ofthe Business 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 a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Woriten' Compentatlcn Declaration: / hereby affirm urder penalty of perjury one of tiie following declarations: Bl have and will maintain a certificate of consent to self-Insure for workers' compensation as pmvided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit Is issued, i have and will maintain woriters' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation Insurance canier and polcy number are: Insurance Co. PolicyNo. Expiratbn Date Ttijs sectkin need not be completed if the permit is for one hundred dollars ($1 OC) or less. I I Certificate of Exemption: I certify that in the perfonnance of the work for whk:h this pemnit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure woriien' compensatton coverage is unlawful, and shali subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in additlan to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, Interest and attomey's fees. JB^ CONTRACTOR SIGNATURE •AGENT DATE O W NER-B UiLOER DECLARATION / fiere/jy affirni that I am exempt from Contractor's License Law for the fo/towing reason; I I I, as owner of the property or my employees with wages as their sole compensatkin, will do the work and the stnjcture is not intended or oflered for sale (Sec. 7044, Business and Professkins Code: The Contractor's Lnense Law does not apply to an owner of property who buikis or improves thereon, and who does such wori( himself or through his own employees, provkled that such improvements are not intended or offered for saKlf, however, the buikling or improvement is soU within one year of completkin, the owner-bulkier will have the burden of proving that he did not bulk! or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with inensed contractors to constnjct the project (Sec. 7044, Business and Professions Code: The Contractor's Lk^nse Law does not apply to an owner of property who buikis or improves thereon, and contracts ior such projects with contiactor(s) tensed pursuant to the Contractor's Lk»nse Law). I I I am exempt under Section. .Business and Professions Code for this reason: 1.1 personally plan to provkle the major labor and materials for constnjctkin of the proposed property improvement |^ Yes 1 INO 2.1 (have / have not) signed an applicatton for a building pennit for the proposed work. 31 have contracted with the following person (firni) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provkle portions of the work, but I have hired the following person to coordinate, supen/ise and provkle the major work (include name / address / phone / contractors' license number): 5.1 will provkle some of the work, but I have contracted (hired) the following persons to provkle the work indicated (include name / address / phone / type of work): COMf>LETE THIS SECTION FOR N O N - R E $ I D E N Tl A L BUILDING PERMITS ONLY Is the appltoant or future buikling occupant required to submit a business plan, acutely hazanlous materials registration form or risk management and prevention program under Secttons 25505,25533 or 25534 of the Prestoy-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building oaupant required to obtain a pennit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted 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 I hereby affirm that there is a constnjction lending agency for the performance of the worit this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address Ar»PLICANT CERTIFICATION I ceitiV that i have read the application and State that the above Intbnnatkw is conect and that the inlbmnatkin on I hereby authorize representative ofthe City of Caiisbad lo enter upon the above mentioned properly for inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CHY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavatfons over SO deep and demoiitton or constnictton of stmctures over 3 stories in height. EXPIRATION: Every pennK Issued by the Building OffidaUpdeHtK provistons of this Code shall expire by limitation and become null and void if the buikJing or work authorized by such permit is not commenced within 180 days from the date of such pennit or if the buj(]iatt]rwnJ(^ijthoijzed by such peimit is suspended or abandoned at any time after the work Is commenced for a period of 180 days (Eectnn 108.4.4 Uniform Bulking Code). ^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 buildinatScarlsbadca.aov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAIME ADDRESS BUILDING ADDRESS cmr STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List PemM: CB141153 Type: PME JENSEN: UPGRADE 100 AMP PANEL TO 200 AMP Date Inspection Item Inspector Act Comments 06/03/2014 33 Seivice Change/Upgrade - Rl AFTER 2:30 PLS 06/03/2014 33 Service Change/Upgrade PY AP 06/03/2014 39 Final Electrical PY AP Thursday, June 05, 2014 Page 1 of 1