HomeMy WebLinkAbout2352 PASEO SAUCEDAL; ; CB152120; Permit•
07-08-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB152120
Building Inspection Request Line (760) 602-2725
2352 PASEO SAUCEDAL CBAD
PME
2552725000 Lot#:
ZIENTEK RES-ADD 1 NEW ELEC
CIRCUIT, 50 AMP, LOCATED IN GARAGE
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/08/2015
SLE
07/08/2015
07/08/2015
ENERGY INTEGRITY INC
STE F
ZIENTEK MICHAEL A&HEATHER S TRS
7898 OSTROW ST
SAN DIEGO CA 92111-3640
888-237-5457
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2352 PASEO SAUCEDAL
CARLSBAD CA 92009
$0.00
$160.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector: f\1\-(..-.,~••~ Date: 0 1 'Z-Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pem1il 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 with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
TH~ F0LL0'NING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
{'cicyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
,tda. r SUITH/SPACEt/UNITf
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
Date ...,__ -IS:
APN
PHA.SE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of A1'ected Area(s) /.[ dd 0'1 ~ ;Jt..lAJ e.l«{c-,·c.o-l
EXISTING USE
APPLICANT NAME
Primary Contact
Cl~
.=:,c::,"'
PHON't,/&J
EMAIL I EC
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
STATE ZIP
FAA
STATE LIC. #
0HAZMATIAPCD
2.1~
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
YES□NO□
(Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to_construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or ftlat he is exemP.t 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
Work.en' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
1"11 have and wlll maintain workers' com'f"satioo, as required bv Section 3700 of the Labor Code,Jor the performance of the work for which this peJ is issued. My workers' compensation in nee ier policy
numbe,ara,lnsuranceCo. s!,,.v Cc,~ :::Cl'lSU"-U' f... ~ Policy No. 411\02 So:. Expiration Date • '/'
~section need not be completed if the permit Is for one hun ~ dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure worker&' co tion coverage i I, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollans (&100,000), In
addition to the cost of compensation, damages a ed for In Se of the Labor code, in d attorney's fee&.
,,,6$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensabon, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold wtlhin one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
f'\/ I, as owner of the property, am exclusively contracting wtlh licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
~property 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 Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for constrlJC!ion of the proposed property improvement. OYes ONo
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have contracted wtlh the followif"IQ person (firm) to provide the proposed construcijon {include name address I phone I contractors' license number):
4. I plan to provide porl1ons of the work, but l have hired the following person to coordinate, supervise and provide the major work (iriclude name/ address I phone I contractors' license number)·
5. I will provide some of the work, but I have contracte hired) the following perso
_85 PROPERTY OWNER SIGNATURE D?GENT DATE
J •
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley.Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the fa;ility to be constructed 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 1s a construction lendmg agency for the performance of the work this permit IS issued {Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatkln and statB that the abo¥e Information Is correct and that the infunnatlon on the plans Is accurate. I agiee to comptywlth all Clly oldlnanoes and State laws relating to buUdng mnsb'uctlon.
1 hereby authorize res:resentative of the City of Carlsbad kl enter upon the aooYe menlioned property br inspecroll JXJrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN 00 WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRAITTING OF THIS PERMIT.
OSHA kl OSHA J:ellllk is required for excavations over 5'0' deep and demoilbn or OJ11struction of structures over 3 stories fl heg,rt.
EXPIRATION: Every permit issued by the Buik:ling Offdal u provisDns of this shall expire by limitation and bealrne null and vok:l W the buik:ling or v.ork authorized by such J:ellllit is not c:omrneOO:ld 'MIilin
180days from the date of such pelllllt or if the buikf authorized bys It is suspended or bando y time after the v.ork is commenced for a J:e · of 180 days (Secoon 100.4.4 UnifonTI Buik1ing Code) .
..@S' 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 bui1ding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPllONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED ca,, ____________ _
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
' .
Inspection List
Permit#: CB152120
Date lnS_l)EOCti_<>_n Item
01/20/2016 39 Final Electrical
01/20/2016 39 Final Electrical
07/10/2015 34 Rough Electric
07/10/2015 39 Final Electrical
Wednesday, January 20, 2016
Type: PME
Inspector Act
MC
MC
MC
RI
Fl
AP
NR
ZIENTEK RES-ADD 1 NEW ELEC
CIRCUIT, 50 AMP, LOCATED IN GARAGE
Comments
AM PLEASE
EV CHARGER RELEASE E-MAILED TO
SDGE.
50AMP RECEPTACLE IN GARAGE
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