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HomeMy WebLinkAbout2816 ATADERO CT; ; CB122330; Permit11-06-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB122330 Building Inspection Request Line (760) 602-2725 Job Address: 2816 ATADERO CT CBAD Permit Type: PME Status Parcel No: 2551012900 Lot #: 0 Applied Entered By Reference #: Plan Approved PC #: Issued Inspect Area Project Title: NEUMAN RES- REPLACE EXISTING 100 AMP PANEL W/ NEW 100 AMP PANEL - SAME LOCATION ISSUED 11/06/2012 RMA 11/06/2012 11/06/2012 Applicant: MACGRAY ELECTRIC 2718 WATERBURY WAY CARLSBAD CA 92010 760 802-0140 Owner: NEUMAN ROGER E II P OBOX 1157 ST GEORGE UT 84771 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0,00 $154.00 $0.00 $0.00 TOTAL PERMIT FEES $154,00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: //-/YV^ Clearance: NOTICE: Please take NOTtCE that approval of your project includes the Imposition" of fees, dedications, reservations, or otfier exactions hereafter collectively refen-ed to as "fees/exactions." You fiave 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Seclion 66020(a}, and file the protest and any other required infomation with the City Manager for processing in accordance witti Carisbad Municipal Code Seclion 3,32.030, Failure to timely follow that pnxedure 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 whii;)! you hav^ prgyigg^ly b^n qiven a NOTICE similar to thi^-, or Ip which the statute of limitations has oreviouslv pthenwigg expirecj. THE FOlLOWsNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: LJ PUNNING • ENGINEERmG • BUSLDING • FIRE [J HEALTH • HAZiVSAT; APCD ^ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Pfi: 760-602-2719 Fax: 760-602-8558 email: buidllng@carlsbadca.gov vvvvw. ca rIsba d ca. gov It Plan Check No. Est. Value Plan Ck. Deposit Date 3QSI SWPP iOB ADbRESS SUITE#/SPACE#/UNn# tJI/PHUJECTfl LOTS PHASES #0F UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. T/PE OCC, GROUP DESCRIPTION OF WORK: JncJude Square Feet of AffBcted Areafs) ^.^^ /OO yffif l^fL ^m^^ _ r / JL • EXISTIMG USE PROPOSED USE GARAGE [SF] PATIOS (SF| DECKS (SF) FIREPUCE AIRCONDITIONING FIRESPRINKLERS YESD # NOD YES • NOQ YES • NO • APPLICANT KAME {Ptimaa Contact) A .^A APPLICAPfTNAME (Secondary Contact) ADDRESS ^ - /I ADDRESS CITY J . , STATE. ZIP £Alii&h a- 9h>/o CITY STATE ZIP PHONE PHONE FAX EMAIL CONTRACTOR BUS. NAME . A , ^ ^ ' T, ^ ADDRESS J, " A CITY J « , * /* STATE . ZIP CITY . STATE i ZIP 74-^ 7^9- ^??7 FAX PHONE EMAIL EMAIL ^ ^ , ^ , & rah ARCH/DESIGNEH NAME & ADDRESS STATE UC, « CLASS CITY BUS, LIC.W (Sec. 7031.5 Business and Professions Code: Any Ci1y 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 statement that he Is licensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil periaity of not more than five hundred dollars ($500)). Workers'Compensation Declaration: I hereby affirm under penalty of perjury one of the hllowing declarations: ^ I have and will maintain a certificate of consent to self-insure tor workers' compensalion as provided by Section 3700 ot the Labor Code, for the pertormance ot the work tor wtilch this perrr it is issued. • I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ot the work for which this penrit is issued. My workers' compensalion insurance carrier and policy number are: Insurance Co. ^ Policy No. „^ Expiration Date „^ ThMection need not be completed if the pennil is for one hundred dolors ($100) or le: 0 Certificateof Exemption: I certify that in the performance oftfiawork for which llliE pennit is issued, I shaii notemploy any person in any manner so as to become subject to the Workers'Compensation Laws of California, WARNING: Failure to secure workers' compensravcoverage is imlawful, and shall subject an employerto criminal penalties and civil fines up to one hundjed thousand dollars (&100,000), in addition to the cost of compensation, damages as providaf SutioA 37(Hofthe Labor code, interest and attomey's fees. yfiS* CONTRACTOR SIGNATURE fnln/ ^lAu/ nAGENT DATE ; hereby affirm that I am exempt from Contractor's License Law tor the following reason: O I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the structure is nol intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or impraves Ihereon, and who does such work himself or through his own employees, provided that such improvemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of complelion, the owner-builder will have the burden of proving that he did not build or improve lor the purpose of sale). O I, as owner of the properly, am exclusively contracting with licensed conlraclors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pnDperty 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 Secton Business and Professions Code for this reason: 1.1 personally plan lo provide the major labor and malerials for construction ol the proposed property improvement, d Yes • No 2.1 (have / have not] signed an application tor a buiiding permit for the proposed work. 3.1 have coniracted with the following person (firm) to provifJe !he praposed constructor' (include name address / phone /contractors' license numtrer): 4. [ plan to provide portions ol the work, bul I have hired the following pereon lo coonlinate, supervise and provide the major work (include name / address / phone / conlractors' 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 ol worii): yCfpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicani or future building occupant required lo submit a business plan, acutely hazardous materials registration lorm or risk management and prevention program under Sections 25505,25533 or 25534 ol Ihe Pi^sley-Tanner Hazardous Substance AccounI Act? C? Ves O No Is the applicant or future buikJing oxupant required to obtain a pemiit from the air pollulion control district or air quality management district? O Yes • No Is the lacility to be constmcted wilhin 1,000feelof 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 HEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, Icertifythatlhave read the applk^n and State ttuit the above information is conect and ttiat the! I hereby authorize reptesenlative of the City of Carisbad to enter upon the above mentbned property for inspection purposes, I ALSO AGf^E TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSEIAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSFIA permit is required for excavations over 5'0' d*p and demolition or constmction of structures over 3 stories in height. EXPIRATION: Every pemiit issued by Ihe BuiWing Ofiicial in«r the provisions ojfris Code shall expire by limilation and become null and void if the building or vmri< authorized by such permit is not commenced within 180 days (ttxn (he date ofsuch permil or ifthe buiHhgoi^l$l7(authorize(5 by 106.4.4 Unifomi Building 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 www.buildingtatearlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Caiifornia 92008. C0#: (OMcs Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS O PICK UP: o CONTACT (Listed above) • OCCUPANTlLlsted above) o CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. l) • 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 >Uf APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB122330 Type: PME NEUMAN RES-REPLACE EXISTING 100 AMP PANEL W/ NEW 100 AMP PANEL Date Inspection Item Inspector Act Comrnents 11/13/2012 33 Service Cliange/Upgrade - Rl 12-1 PLS 11/13/2012 33 Service Change/Upgrade PB AP 11/13/2012 39 Final Electrical - Rl BEFORE 2PM. DISCONNECT/RECONNECT 11/13/2012 39 Final Electrical PB AP Wednesday, November 14, 2012 Page 1 of 1