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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