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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 Page 1 of 1