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Home My WebLink About2345 MICA RD; ; CB154119; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-25-2015 Cogeneration Permit Permit No:CB154119 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2345 MICA RD CBAD COGEN 2132821200 $0.00 Sub Type: EVG Lot#: 0 Constuction Type: NEW Reference #: Project Title: NOVAK RES-NEW ELECTRIC VEHICLE CHARGER IN GARAGE-(1 NEMA OUTLET) -NO METER Applicant: SMITH ELECTRICAL CONTRACTORS PO BOX 7996 SAN DIEGO CA 92167 619 758-9829 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $161.00 $0.00 $0.00 $0.00 $1.00 $1.00 Owner: NOVAK TIBOR&LAURA 2345 MICA RD CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 11/25/2015 Entered By: RMA Plan Approved: 11/25/2015 Issued: 11/25/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00 Clearance: ~ cl 'fOS ~ed irdules 1re "lrTJXlSltlcr/' ri f-declc:aicr,s, """1\/aicrs, cr cite' exa:lia-s tueeiter rolediwy rderred to as '1ee&'exa:licrs:' hal.e 00 day.! fttmtl'e dale Ins pemit v,as iss..ed to pn:test irT]XlSitlon cl ttese fees'exa:lia-s. If )OJ pn:test tl'em )OJ rn,;t fdlo.vtl'e ~est f'1X"(ireS set lath in GcMmrfrt Code Section oonl(a), ..-d file Ire pn:test ..-d a,y cite' req..ired irtamiion wth Ire Oty ~ fer ~l'!J in axuda wwth catsbal M.Jidpa Code Section 3.32.030. FalLretotirrelyfdlo.vtt.i pmrlrewll t..-a,ys,.b;eq.Jert lega dontoatta:Jc, revieN, set asi<E, \Od a anj tt-eir il"f1'.XEl'ticn. You ae reret,; FLf{J1-ER I\OllFIED trat 'fOS rig! to pn:test Ire sµrified fees'exa:lia-s IXES t-DT />PPL Y to was: ..-d ""1!1: oonnedion fees ..-d ~ty cta-ges, n:r plannrg, 20irg, ga:trg er cite' snila-'l'lliic:aion ~rg er sen.ice fees in oonnedion wth Iris ~ed. l'ffi IXES IT />PPL Y to a,y i widi 'rrila-hi ct as ·rn ri initai . • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING QFIRE □HEALTH OHAZMATIAPC «~'» ~ CITY Of CARLSBAD JOB ADDRESS T/PROJECT #. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT #OFUNITS #B DROOM # BATHROOMS Plan Check No. SWPPP OCC. GROUI EXI FIRE SPRINKLER~ YESONoC APPLICANT NAME ADDRESS CITY PHONE . EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY CITY STATE ZIP SANTEE CA\ . :92071 PHONE FAX PHONE 619-758-9829 FAX EMAIL EMAIL . gaillangford@jjmall.com STATE LIC.# , CLASS . . . CITY BUS. LIC.# sn200 ,a,.1:0. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair anx structure, prior to its issuance, also require,;, the applicant for such permit to file a signed statement tt,at he is licensed pursuant to the provIsIons of the Contractor's License Law JChapter 9, commending witt; Section 7000 of Division 3 cf 1ht> Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for a permit subJects the applicant tc a civil penalty of not more than five hundred dollars {$500)). WORKERS COMP ENS AT ION • ,•_:f-:, Workers' Compeneatlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensatiori as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. 0 I have and WIii maintain worb' •. 'rs' ,c __ o,mp_e~.saJi_on, as ... ~Wr~,by Se' c_tion. 3,rn,o 'of ~t_.~;or C' od' '·. for.the perfonnance of the work for w,hich th.is permit is issue~. My workers' compens' au_on i_nsur_f'A,~17er and P'Jl1q numberare:lnsuranceCo,··•;, · .· . --~¥!:REST_NATJO.~~-,..","",,, , · ...... ,,,PolicyNo.· · 76000i01A0,131 ,·.· .. ". Expiration Date ·--, ... :-•,fD1v1:!J//(a.__ ~secUon need not be completed If the pennlt rs for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perto nee of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wofker.;· Compensation Laws of California. WARNING: Fallure to secure w ' p on coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama,i;J~'fjf,i I ection '.l7flR nf th .. 1 •l)or code, Interest aod attorney's fees. k$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractors Ucanse Law for the following reason: 0 I, as owner of the property or my employees with wages as their so~ compensation, 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 himse~ or through his own employees, provided that such improvements are not intended or offered for sale. If, tiowever, the bui!ding or improvement is so!d Within one year of completion, the owner-builder wm nave the Durden of proving that he did not build or improve for ttie purpose of sale) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Lk:ense Law does not appfy" to an owner of property who builds or improves thereo,n, 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 construction of Ifie proposed property improvement. OYes ONo 2, I (have I nave not) signed an application for a building permit tor the proposed work. 3. I have contracted with the following person {f1nn) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, superviSe and pro~ide the major work (include name/ address I phone I contractors' license number): 5, I wrn provide some of the work, but I have contracted {hired) the following persons to provide the work indicated {include name I address/ phone/ type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE 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 D 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 facility to be constructed within 1,000 feat 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the application and state that the above infomiatlon Is correct and that the information on the plans is accurate. I agree tocomply1Mth all Cttyordioances and State laws relating tD buildlng construction. I hereby aulhorize representative of the City of Cartsbad to enter uJX)l1 lhe above mentioned p-operty 'Klr inspectbn pul]X)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAJNST AU. LWJILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/IJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt is required for excavati nsovev ' ' d demoliOOn or construction of structures over 3 stortes in height. EXPIRJ\TlON: Every pennit issued by the Bui ! u provisions of this Code shall expjre by limitation and become null and void if the buik:ling orv.ork aulhorized by suct1 pennit 6 not oommenced 'Mlhin 1&ldays from the dateof sudl ~rmrt or if the · sudl perm~ is suspended or abandoned at any time after the 'MJrk is oommenced for ape · of 180 ys {Secoon 106.4.4 Uniform Building Code). ,I!$ APPLICANT'S SIGNATURE DATE ll IJi) ~ Inspection List Permit#: CB154119 Type: COGEN EVG Date _ _J_11_spection Jtem Inspector 1210412015 33 Service Change/Upgrade 1210412015 34 Rough Electric PY 1210412015 39 Final Electrical PY Friday, December 04, 2015 Act RI AP AP NOVAK RES-NEW ELECTRIC VEHICLE CHARGER IN GARAGE-(1 NEMA OUTLET) Comments FIRST APPT PLEASE Page 1 of 1