HomeMy WebLinkAbout2824 CACATUA ST; ; CB122297; Permit10-31-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB122297
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2824 CACATUA ST CBAD
PME
2153700600 Lot #:
BRADLEY RES - REPLACE ELECTRIC
PANEL. UPGRADE FROM 100 TO 125A.
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/31/2012
SKS
10/31/2012
10/31/2012
Applicant:
SUN RAY ELECTRIC
390 STATE PL
ESCONDIDO CA 92029
760-737-7650
Owner:
BRADLEY FAMILY TRUST 12-16-97
2824 CACATUA ST
CARLSBAD CA 92009
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: //"^^/'^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes ttie Imposition' of fees, dedications, reservations, or ottier exactions hereafter collectively
referred to as "fees/exactions," You have 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 Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance vvith Carlsbad Municipal Code Section 3,32.030, Failure to timely follov/ that procedure will tar any sutsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED tfiat 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 ottier similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vog hav^ previously teen given a NOTICE similar to this, or as lo which tfi^ gt^^e 9* lipiit^tions has previously othenwlse exoir^,
THI FOLLOWING APPROVALS REQUIRED PfilORTO PERMIT ISSUANCE: • PLANNING • ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD
Plan Check No.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Pfi: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www,ca risbadca .gov
Est Value
Plan Ck. Deposit
Date [OjSi/izi SWPP
JOB ADDRESS SUITE#/SPACE#/UNITtf
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Inc/utfe Square Feet of Affected AreafsJ
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIRCONDITIONING
YES • NOD
FIRESPRINKLERS
YES D NO •
APWCANT NAME (Primary Contact)
DRESE
APPLICANT NAME [Seconcfarr Contact)
ADDRESt ADDRESS
CITY STATE ZIP
920 7J]
CITY STATE ZIP
PHONE PHONE FAX
EMAIL
PROPERTY OWNER NAME
LSS /
CONTRAprOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE
PHONE FAX PHONE FAX
EMAIL EMAIL
11/^* ' ' I r*i i« I riTV Gl IC MP ±t ARCH/DESIGWER NAME & ADDRESS LASS CITYBUSiilCJ „
C-/0 I ;r^39^v
(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 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 mat he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any appllcantfora permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
OBKERS' COWPENfATION
Workers' Compensation Declaration: I/lefeby affirm underpenalty of perjtjry one of the k)llowng declarations:
^i^f1^ave and will maintain a certificate of consent to self-Insure for workers'compensation as provided by Seclion 3700 of the Labor Code, forthe performance ot the worti for which this pemit is issued.
BTHave and will maintain worker?' compensation, as required by Section 3700 of the Labor Code, tor ttie perfonnance of the wofit y aihich tjjis^rrnit is issued. My worliers' compensation insurance carrier and policy
number are: Insurance Co fiVvi/7t-v1 S ^ Policy No. f^Q^ i ' T C— Expiration Dale f 7. —} O ) 1.
This seclion need nol be completed if the pemiil is for one hundred dollars ($100) or less.
n Certificateof Exemption: I certify lhat in the performance of the work for which this pemiil is issued, i shall notemploy any person in any manner so aslo become subject to tfie Workers' Compensation Lawsot
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&1DO,OaO), in
addition to the cost of compensation, darpages as provided for in Section 3706 of the Labor code, interest and attomey's fees. y y
/D A/ // CONTRACTOR SIGNATURE
WNER-BUILOEB DECLARATiO
•AGENT DATE 7^
I hereby affirm that I am exempt from Contractor's Ucense Law for the followng reason:
O I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the simclure is nol intended or offered for sale (Sec. 7044, Business and Pnjfessions Code: The Conlractor's
Ucense Law does not apply to an owner of property who builds or improves Ihereon, and who does sucti worli himself or Ihnsugh his own employees, provided lhat such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale).
O I, as ovmer of the property, am exclusively contracting wilh licensed conlraclors to conslrucl the project (Sec, 7044, Business and Pnafessions Code: The Contraclor s Ucense Law does nol apply to an owner of
property who builds or improves thereon, and contracts for such projects with contraclor(s] licensed pursuant to the Contractor's License Law),
• I am exempt under Section Business and Professions Code for this reason:
1.1 persondly pian to provide the major labor and malerials for construction of the proposed praperty improvemeni. • Yes • No
2.1 (have / have nol) signed an application for a building permit for the proposed wod(.
3.1 have contracted with thefollovnng person (firm) to provide the proposed construction (include name address / phone /conlrKtors' license number):
4.1 plan to provide portions of the work, but I have hired the following person lo coordinale, supervise and provide the major work (include name / address / phone / conlr«tors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicaled (include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazanJous malerials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? O Yes O No
Is the applicani or future buikling occupant required lo obtain a pemiil from the air pollution control dislrict or air qualily management distrid? • Yes • No
Is the facility to be constmcted within 1,000 feel 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 HEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT,
I hereby affirm that ttiere is a consbuction lending agency for ttie performance of ttie work ttiis permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certiiy that I have read theaivlk»tk)n and state that theabove Infomiation Is conect and that the infomMtk)n on the i^ns is accurate. I agreeto comply with all City ordinances and State laws relating to building construction.
I tiereby authorize representative ofthe Cily of Cartsbad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALi LIABILFTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pemiit is required for excavators over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIRATION: Every pemiit issued by the Building Official under the piovisions of this Code shall expire by limitation and become null and void if the building or v«rk authorized t)y such pemiit is not commenced vtithin
180 days from the date of such pemiil or if the building or wDfk auttiorized by such pennil is suspended or abandoned at any lime after the vtoi1< is commenced for aperiod of 160 days (Section 106.4.4 Unifomi Building Code).
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.buildinqiaicarlsbadca.QCiv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Offlcs 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
• PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On P& 1)
a IVIAIL 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
^APPLICANT'S SIGNATURE DATE
Inspection List
Permits: CB122297 Type: PME BRADLEY RES - REPLACE ELECTRIC
PANEL. UPGRADE FROM 100 TO 125A.
Date Inspection Item Inspector Act Comments
11/05/2012 33 Service Change/Upgrade - Rl
11/02/2012 33 Service Change/Upgrade PB AP
Tuesday, November 06, 2012 Page 1 of 1