HomeMy WebLinkAbout2436 SACADA CIR; A; CB132899; Permit11-21-2013
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
LIGHT CONNECTOR
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 132899
Building Inspection Request Line (760) 602-2725
2436 SACADA CR CBAD St: A
PME
2161905701
O'RIELL Y RES-REPLACE DUAL
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/21/2013
RMA
11/21/2013
11/21/2013
ELECTRIC METER PANEL (FEEDS BOTH UNIT A & B)-60 AMPS EACH &
ADD 2 SUB PANELS FOR UNIT A -ON SAME WALL
Owner:
KAGAN SAMUEL LIVING TRUST 11-20-94
C/O PERRY KAGAN
PO BOX 391
JACUMBA CA 91934
619 884-9465
2436 SACADA CIR #B
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$158.00 Total Payments To Date:
FINAL
Date:
$0.00
$158.00
$0.00
$0.00
$158.00
$158.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOT Eth t 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 pem,it 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 Calisbad 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
f i n f whi h r vi I n N Tl E imil r whi h h f i i n h I x
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
JOB
~ <<c"f' ~ CITY OF
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
SUITEI/SPACEI/UNIT
A-f-B
# BEDROOMS # MTHROOMS TENANTBU IN
Plan Check No.
Est. Value
Plan Ck. Deposit
DESCRIPTION OF WORK: Include Square Feet of Aft'ected Area(s)
Re-~
b;.<..0 tfit1A5 u/2L..
APPLICANT NAME (Primary Contact)
STATE LIC. #
APPLICANT NAME (Secondary Contact)
ADDRESS
PHONE
EMAIL
CONTRACTOR BUS. NAME L l '
ADDRESS D ;) lo
T•V• ttJX:
PH0N~
EMAIL
STATE
FAX
FAX
CLASS
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
YESONoO
ZIP
ZIP
CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, er, 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 of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or (hat 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 to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: D 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 D 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 _________ _
se · n need not be completed If the permit is for one hundred dollars ($100) or less.
artificate 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
alifomia. WARNING: Fallure to,, ure w rs' comp atl coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars {&100,000), In
p eit for ctlon 3706{f the Labor code, Interest and attorney's fees.
□AGENT . ' ' " 'ij• 'ii • , . ...... ·• P'.,;.J • ._ _,' ··-~, .. 1'11J9i!!..
OWNER~BUll.DER DEC;.ARATION
I hereby affirm that I am exempt from Contractors License Law for the following reason:
□
□
□
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).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Ccxle: 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 construction 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 with the following person (firm) 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 provide the major work (include name I address I phone I contractors' license number):
5. I wilt provide some of the work, but I have contracted (hired) lhe following persons lo provide the work Indicated (include name I address I phone I type of work):
,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COl)IIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenHon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf? 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 facility 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 leodmg agency for the performance of the work this penmt 1s issued (Sec 3097 (1) C1v11 Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have lead the application and state that the above infonnatlon Is correct and that the infonnatlon on the plans Is accurate. I agree to a:,mply\\ffll all Clly oldlnances and State laws relating ID building construction.
I hereby authorize representative of the Otyof Carlsbad kl enteru~ lhe atxwe menOOned p-operty br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JU ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST S'\ID CITY IN CONSEQUENCE OF THE GRAITTING OF THIS PERMIT.
OSHA: M OSHA pennlt is requred excavati 5'0' ltion or construction of structures over 3 stories n height.
EXPIRATION: Every pennit SSued the Buik:f g · l u rth "vis" ns of this Code shall expire by !imitation and beam'\e null and wid if the OOikiing oroork authorized by such pennit is not oommenced y,.tthin
180 days from the date of such i rk au such permit is sus~nded or abandoned at any time after the oork is rommenced for a periocl of 11:K) (Section 100.4.4 Uniform Building Code) .
.A!S' APPLICANT'S SIGNATU DATE \ l-2:)
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 building@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. LlC. No.
DELNERY 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
ASSOCIATEDCB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB132899
Date Inspection Item
03/28/2014 89 Final Combo
03/28/2014 89 Final Combo
Type: PME
12/17/2013 33 Service Change/Upgrade
Tuesday, April 01, 2014
Inspector Act
RI
PY AP
PY AP
O'RIELL Y RES-REPLACE DUAL
ELECTRIC METER PANEL (FEEDS BOTH
Comments
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