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
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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