HomeMy WebLinkAbout1630 FARADAY AVE; B; CB142977; PermitCity of Carlsbad•1635 Faraday Av Carlsbad, CA 92008Plumbing/Mechanical/Electrical (PME) Permit10-31 -2014 Permit No: CB142977Building Inspection Request Line (760) 602-2725Job Address:1630 FARADAY AV CBAD St:BPermit Type:PME Status:ISSUEDParcel No:2121302200 Lot #:0 Applied:10/31/2014Entered By:JMAReference #:Plan Approved:10/31/2014PC #:Issued:10/31/2014Inspect Area:PDProject Title:FOUNDRY MEDICAL: 2 NEW PANELSADD WIRING FOR NEW MACHINES AND AIR COMPRESSOR-DO NOT HAVE
SDG&E SERV.ORDER: APPLICANT NEEDS TO TALK TO INSPECTOR THEN
SDG&E.
Applicant:Owner:
WARE ELECTRIC YOUNG RICHARD B
PO BOX 2997 1854 POUMELE WAY
VISTA CA 92085-2997 OCEANSIDE CA 92054
760-802-4173
Plumbing Fees $0.00
Electrical Fees $160.00
Mechanical Fees $0.00
Other PME Fees $0.00
TOTAL PERMIT FEES $160.00
Total Fees:$160.00 Total Payments To Date:$160.00 Balance Due:$0.00
FINAL ]
Inspector:Date:Clearance:
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 permit 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.
You are hereby FURTHER NOTIFIED that 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 other similar application processing or service fees in connection with this project.NOR DOES IT APPLY to any
fees/exactions of which you have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
......._.-.•ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:DPLANNING DENGINEERING DBUILDING [FIRE ®HEALTH 0 HAZMATIAPCD,-,4 ::'Building Permit Application Plan Check No.cal 4 -29 7?L.City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. ValueCarlsbadPh: 760-602-2719 Fax: 760-602-8558email: building@carlsbadca.gov Plan Ck. Depositwww.carlsbadca.gov Date fa7j(,I Li.SWPPPJOB ADDRESS SUITEI/SPACEVUNIT#APN ---CT/PROVMv3°FRolirC:414CLY PHASEY D #OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUPFot)(\cr\)Aeat1 MIDESCRIPTION OF WORK:Include Square Feet of Affected Area(s)M(WORK:'IC*1144A41 '9.b 2-0 g V %00"eAS CC 0V&N5 CO vik.e.71-e_f-5 ,20 _0 ex.D C...) C.44ckc_1.0 y•kq 5\—A)e.A.3 Air-Co.&pressor,
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES El#NOE YES EINO 0 YES0 NOE
APPLICANT NAME PROPERTY OWNER
Primary Contact
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS.
NAMEO i %....OLCQ_Qe...-1-e 1 t:-El
ADDRESS ADDRESS9.o.zt...A 9 q ?
CITY STATE ZIP CITY \STATE ZIP
\ S'A-CA Os) 8 S"
PHONE FAX PHONE FAX')U0 —11 °.1"41.*?3
EMAIL EMAIL Co
STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.#
(a(0'2-ILI Ckb AV/I'eig(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,Is _reouires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 70 f Division 3 of theBusiness and Professions Code) or that he is exempt 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 ..
Workers' Compensation Declaration:I hereby affirm under penaltyof perjury one ofthe following declarations:0 I have and will 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.
111 I have and will maintain workers' compensation,as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co.Policy No.Expiration Date
Thi
secectrtioifincnaeteedofnoEtxbeemcoptimopnle.tlecd
if
ertitfyhethpaetrimnitis the fpoerrfoonrme haunncedreofdthdoellwoarsrk(Sfo1r00w) ohicrhletshsis.permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
alifomia.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
Ac CONTRACTOR SIGNATUR --at ElAGENT DATE 0 3/
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:0 I,as owner of the property or my employees with wages as their sole 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 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 within 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).0 I,as owner of the property, am exclusively contracting with 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).
EiI 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 the proposed property improvement.OYes EjNo
2.I (have/ have not) signed an application fora building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
RSPROPERTY OWNER SIGNATURE ['AGENT DATE
111111111111111•10.11.11.1111.1.1.111111.11i-I COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY r.Z..k.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 thePresley-Tanner Hazardous Substance Account Act?YesIsthe applicant or future building occupant required to obtain a permit from tIVZpollution control district or air quali management district?Yes f.Isthe facility to be constructed within 1,000 feet of the outer boundary ofa school site?Yes NoIFANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNL THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OFEMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.,;'CONSTRUCTION LENDING AGENCY My•'•=1.I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).Lender's Name Lender's Address-J .14rit44-tr4044.ilf00.*(p•.N .r*.:.I..;..ii1/4.:..".,i.epf ...:..i;'•r.oiStiiiii...•....440010000160v11111w.z,;IriIcertify thatI have read the application and state thatthe above information is correct and that the information on the plans is accurate.I agree to complywith all City ordinances and State laws relating to building construction.I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBADAGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHAperil is required for excavations over 50' deep and demolitbn or constriction of structures over 3 stories in height.EXPIRATION: Every permit issued by the Building Official under the provisions ofthis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within180 days from the date of such perm'.i : building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
..lESAPPLICANT'S SIGMA i -.w
I DATE V 3 t /y,....
1 (I..;:.P„:
STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C L c..
Fax (760) 602-8560, Email bUildillg@CaltbadCa.g0V 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 ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION
MAIL /FAX TO OTHER:
CHANGE OF USE /NO CONSTRUCTION
JeAPPLICANT'S SIGNATURE DATE
aaInspection ListPermit#:CB142977 Type:PME FOUNDRY MEDICAL:2 NEW PANELSADD WIRING FOR NEW MACHINES ANDDateInspection Item Inspector Act Comments11/18/2014 34 Rough Electric PD AP11/18/2014 39 Final Electrical PD AP11/03/2014 34 Rough Electric PD PA
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