HomeMy WebLinkAbout2805 ROOSEVELT ST; ; CB141143; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-23-2014 Permit No: CB141143
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2805 ROOSEVELT ST CBAD
PME
2031811200 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: DANISH BAKERY-REPAIR CIRCUIT
BREAKER IN ELECTRIC PANEL BECAUSE OF A SPARK/FIRE. PERMIT &
INSPECTION REQUIRED BY THE HEAL TH DEPT. THE PANEL STILL
HOT--HAS NOT BEEN SHUT OFF BY SDG&E
Applicant:
BENCHMARK PACIFIC LTD II
DOUG AVIS
550 LAGUNA DR #B
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
BENCHMARK PACIFIC LTD II
550 LAGUNA DR #B
CARLSBAD CA 92008
ISSUED
05/23/2014
RMA
05/23/2014
05/23/2014
$0.00
$158.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector: 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 pennit 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.
'THE ~LOWINl.:J APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:
'
□PLANNING □ENGINEERING «,
-~ CITY OF
CARLSBAD
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.car1sbadca.gov e SUlTEt/SPACE#/UNITI
# BATHROOMS
GARAGE (SF) PATIOS (SF)
PROPERTY
ADDRESS
CITY
□BUILDING □FIRE
Plan Check No,
Est. Value
STATE
ff,Y,
CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE
PHONE ff,Y, PHONE FAA
EMAIL EMAIL
STATE UC.# STATE UC.# ClASS
SWPPP
ONSTR. TYPE OCC. GROUP
ZIP
ZIP
CITY BUS. LtC.#
(Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, Improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such per_mit 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 Business and Professions Code} or that he 1s exem~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 c1v1I penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations:
8 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Laber Code, for the performance of the work for which this permit is issued
I have and wUI maintain workers' compensation, as required bv Section 3700 of the Laber Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and pol~
number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _
~section need not be completed if the permit is for one hundred 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: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to crinlnal 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.
_,6 CONTRACTOR SIGNATURE QAGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's 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 hfmself or through h:s own empklyees, provided that such Improvements are not intended or offered for
sale, If, however, the buiijing 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)
s owner of the property, am excluslvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply ti 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 JJ.
1. I pElrsonally plan to provkle the major labor and materials for construction of the proposed property improvement. OYes c::J){" {;_t-.:J.J-
2. I (have/ have not) signed an application for a building permit for the proposed work. J / • • 'i C } · Q 73 //J
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license num'oer):/vf ) ~ ~ 1o -i
4. I plan to pro~ide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name / address I phone/ contr ors' license number):
5. I will provide some of \he rk, but I have contracted {hired) the following persons to provide the work indicated (include name/ address I phone I type of work):
DATE
Inspection List
Permit#: CB141143
Date Inspection Item
05/28/2014 34 Rough Electric
05/28/2014 39 Final Electrical
05/28/2014 39 Final Electrical
Thursday, May 29, 2014
Type: PME
Inspector Act
PD AP
RI
PD AP
DANISH BAKERY-REPAIR CIRCUIT
BREAKER IN ELECTRIC PANEL BECAUS
Comments
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