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Home My WebLink About2371 SPRUCE ST; ; CB152997; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-14-2015 Permit No: CB152997 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2371 SPRUCE ST CBAD PME Status: Parcel No: 1560321600 Lot#: 0 Applied: Reference#: PC#: Project Title: Applicant: NELSON: UPGRADE TO 200A MAIN PANEL NELSON SHAD&BLAKE 2371 SPRUCE ST CARLSBAD CA 92008 858-997-8017 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: NELSON SHAD&BLAKE 2371 SPRUCE ST CARLSBAD CA 92008 ISSUED 09/14/2015 SLE 09/14/2015 09/14/2015 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: /tl · 7-/ J Clearance: $0.00 NOTICE Aease ta<e NOTICE lt1ft aw"CMi ci yos l'Cied irdl.des tre ""lnµ:sitiorl' ci fees, declcaticrs, """"""""' or cther exactcrs hereafter rolectvay raerred to as 'fees/exact=" You raveOOdaysfraTitre-llis pemit w,s i""-"<ltopn:test inµ:sition citresefeeslexactcrs. If you pn:test ttan you rrust fclloothe pn:test ~ set forth in GMJrrrert Cale Secton 60020(a), and filetre pn:test anda,yctherrecµred infomaion wth tre OtyMragerfor ~ng in 1<XD"damwth Gaisboo Mridpa Cale Secton 3.32.tro. Failu-etotirrelyfclloothal ;:rocecirewll tier a,y~ legal ooion to atta:l<, review, set aside, vtid, tr anJ treir illl)CEitioo. You ,re hereby FLRTI-ER NOTIFIED that yosrigt to pn:test trespecified fees'exactons IXES NOr APP\.Yto"81E< and,,,_ oonnedonfees and~ otmgss, nor i,mng, 2lll'ing gadng or cther smla-api,ication ~ng orserArefees in oonnooionwth ttis l'Cied. 1'-1'.F IXES IT APP\.Ytoa,y i ·m1 tli a i · THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD (city of Building Permit Application Plan Check No. C,8152497- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov DateC\-\\._} -\c:; lswPPP JOB ADDRESS !).371 s~rv~,P ~ 9Jov1 SUITU/SPACEf/UNIT# r-PN --- CT/PROJECT# I LOT# I PHASE# l # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) UP~f'AJ.e_ to ~e:rv e,ii.v\f ""'""'"' p--......,..\ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES0, I AIR CONDITIONING I FIRE SPRINKLERS No0 YES □No □ YES □No□ APPLICANT NAME PROPERTY OWNER S-.ho-.-1 t'\J.~ ... .I\ Primary Contact ADDRESS / l !,Me..,. ~ ADDRESS f). J 7 ' :f:,of",,t: .. e "5'+. -Y,d' CITY "b'' STATE ZIP CITY C,v-ls\,--di STATE CA ZIP "J'J,.l>O '( PHONE IFAX PHONVff °l'i7 '(P/7 I FAX EMAIL EMAIL_. $, "'.., d a. s "' €, 1'< \.,._,,_ ,;,.:,•NI DESIGN PROFESSIONAL CONTRACTOR BUS. NAME • ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX EMAIL EMAIL I STATE UC.# STATE LIC,# I CLASS I CITY BUS. LIC,# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's license Law JChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he 1s 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: I hereby affirm under penalty of petjuf'/ one of the following declarations: B I have and will maintain a certificate of consent to self-insure for workers' compensation as pro~ided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance or the work for which this permit is issued. My workers' compensation insurance carrier and policy 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' Compensatkin Laws of California. 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. ~ CONTRACTOR SIGNATURE □AGENT DATE 'OWNER-BUILDER DEC,LARATION , I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ IBI i □ 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 Professklns 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 tor 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 ol sale}. 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 ot property who builds or improves thereon, and contracts tor 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. 0Yes 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, supeNise and provide the major work (include name I address I 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 I phone I type ol work): Ji:S PROPERTY OWNER SIGNATURE □AGENT DATE ' , COMPLETE THIS SECTION FOR NON·RESIDENTI~~. ".'UILD!.N,Cl 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 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 laws relating 1D building construction, I hereby autl1orize reixesentative oflhe City of Carlsbad to enter upon the above mentioned property for inspection JX,IJX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permtt is required for excavations over 5'0' deep and demol~ion or ronslruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offcial under tt,e provisklns oftl1is c.ode stiall expire by limitation and become null and void ff the building or v.ork authorized by such permit is not commenced v.itl1in 180 days from 111e date of soch permit or if 111e buik:ling or v.ork authorized by such permij is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building c.ode). ,/l5 APPLICANT'S SIGNATURE DATE 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, Ca~sbad, California 92008. CONTACT NAME ADDRESS CIT'/ STATE PHONE EMAIL DELIVERY OPTIONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1.) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ~ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. UC. No. ASSOCIATED CB#-----------~ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB152997 Type: PME Date ln_sp_t)ction Item __ 10/07/2015 33 Service Change/Upgrade 10/07/2015 33 Service Change/Upgrade 10/07/2015 39 Final Electrical Thursday, October 08, 2015 Inspector Act PD PD RI AP AP NELSON: UPGRADE TO 200A MAIN PANEL Comments --------- DISC/REC Page 1 of 1