The URL can be used to link to this page

Home My WebLink About2683 SAUSALITO AVE; ; CB153858; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-09-2015 Permit No: CB153858 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2683 SAUSALITO AV CBAD PME 1675121800 Lot#: LASUA: REPLACE 125AMP PANEL 0 Applicant: Owner: A -RAYMAN ELECTRIC INC STE 8-222 32295 MISSION TRL LAKE ELSINORE CA 92530-2305 760-480-2702 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/09/2015 SLE 11/09/2015 11/09/2015 $0.00 $163.00 $0.00 $0.00 $163.00 $163.00 Balance Due: Inspector: ~ FINAL Date: VF Clearance: $0.00 IIKJllCE: Rease take IIKJllCE Iha~ ci :,o.r prqecl indl.des tte ""lflll(llitiaf ci lees. declcaicrs, """3IVaials, a ctte-eoca:ticrs -oola:lively ra'erra:J to as "fees'~" Yoo rave 00 days mm tte date tns pemit v.as iSSU9dto p,ctest irrpcstion ci these fees'~ If yoo p,ctest ttem yoo rrust follONtte p,ctest proa,dres set lath in G:Mmra1 Code Sedion Ei!mJ(a), ,rd file tte J>desl ,rd any ate-req.ired irtooraion wth tte aty Mroagerfcr pn:x:assirg in amda ce ,.th Galsba:J MridJ>'l Code Sedion 3.32.000. Falll"8totirrayfollONlta l)"OCB(irewll t..-anySl.bsecµrt lega don to attack, l"EMeYI, sa: aside, vcid, a anJ tteir irrµ:Eitia,. Yoo ,re herecy FlRl1-ER IIKJllRED that )OJ rigt to p,ctest tte sp,cilied fees'eoca:ticrs DCES l\01" APPLY to-,rd,,,,,., a:m,coon fees ,rd~ cra,ges, ra ~mrg, mrg, ga::irg a ctte-sirril..-wicaion pn:x:assirg a 5el\lice fees in arrec:oon wth tns prqecl. I'm DCES IT APPLY to any i . . 'rril . vJi Ii . . . . )r THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD Ccicyof 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 Plan Check NoQ,{:) \ 5 ?::J:PS'l, Est. Value Date· SWPPP SUITH/SPACEt/UNITt CT/PR PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESC)jPTION OF WORK: Include Square Fe,.tt._of Affected ,.,s) C:. ,? f<.~f L./-fC.I':-/1-.J /}-'IT /~1'- EXISTING USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING NoC) YES □No □ FIRE SPRINKLERS vEsO•oO rl- ADDRESS CITY STATE ZIP PHONE FAX C52-FAX EMAIL STATE UC.# (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, 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 /Chapter 9, commend1ngw1th Section 7000 of 0Ivis1on 3 of the Business 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 cIvII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pedury one of the following declarations: 8' have and will maintain a certificate of consenl to self-insure for workers' compensation as provided by Sectio11 3700 of the labor Code, for the perfomia11ce of the work for which this permit is issued. D I have and wlll maintain workers~~~oo, as required by Sectio11 3700 of the Labor Code, for the perfomia25 ,oJ_the..,olk for '1"i~if.E9rmil is issued. My workers' compensation ins nee number are: l11surance Co. S / tr::£.£ ,Ft/4-P D Policy No. J_ (9 1 0 b 'l_t:I Expiration Date _,/-4,__._4.-.+--I--G>-- This section 11eed not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: ! certify that ill the perfomia11ce of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workeis' Compensation Laws of California. WARNING: Failure to secure worke mpensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to lhe cost of compensation, dama,9'l"9' ,t,~ Id O · Labor code, Interest and attorney's fees . .6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 himseH 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 compleijon, 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 property1 am exciusively contracting with licel\Sed 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 construction of the proposed property improvement. Oves 0No 2. I (have/ 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 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ,lf5 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 Sectiol'lS 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substarce 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 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. I certify that I have read the application and state that the above infonnatlon Is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State ISYS 181ating ID building construction. I hereby authoriz.e representative of the City of Carlsbad to enteruJX)fl the aOOve mentioned property br inspedion pul'JX)ses. I ALSO AGREE TO SA..VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAA.LSBA.D AG-\INST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /,NI WAY ACCRUE AG-\INST SAID CITY IN CONSEC!JENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Olli;ial1~rthe JYQvisbns of this Code shall expire by limitation and become null and vod if the building or'Mlrk authorized by such pennit is not oommenosd 'MIilin 180 days from the dateofsuch pennltor if the bui or rk autho · by uch pe it is suspended or abanooned at any time after the 'Mlrk is oommenred for a pericd of 180days (Sectbn 100.4.4 Unifonn 0.Jilding Code) . .--· ,@S' APPLICANT'S SIGNATURE • DATE I /-1-I 7 • 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. LIC. No. DELIVERY OPTIONS 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#: CB153858 Type: PME LASUA: REPLACE 125AMP PANEL Date Inspection Item _ _ ____ Inspector Act Comments ------ 11/24/2015 33 Service Change/Upgrade RI EMR 11/24/2015 33 Service Change/Upgrade AEK AP 11/24/2015 39 Final Electrical RI EMR 11/24/2015 39 Final Electrical AEK Fl Tuesday, November 24, 2015 Page 1 of 1