HomeMy WebLinkAbout2897 S STATE ST; ; CBC2021-0133; PermitPrint Date: 09/20/2021 Permit No: CBC2021-0133
Building Permit Finaled
Commercial Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2897 S STATE ST, CARLSBAD, CA
BLDG-Commercial
2032940600
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
04/15/2021
05/20/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
PBurn
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:09/20/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
ELECTRICAL WORK ASSOCIATED WITH REPLACING STREET LIGHT (ASSET #SL8582) (E-REVIEW)Description:
Project Title:
Property Owner:
CITY OF CARLSBAD, CARLSBAD MUNICIPAL
WATER DISTRICT
KRISTINA RAY2955 ELMWOOD ST
(760) 434-2957
Contractor:
PRIME ELECTRICAL SERVICES INC
480 ENTERPRISE ST
SAN MARCOS, CA 92078-4363(760) 471-6634
AMOUNTFEE
Total Fees:Total Payments To Date:Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
--------------------------·------~---------·
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(~ar lsbad
RESIDENTIAL
BUiLDING PERMIT
APPLICATION
8-1
Plan Check
Est. Value
PC Deposit
CBC202 l-O 133
Date 4/15/21
Job Addre552897 State Street Suite: APN: 203-294-06-00 -----
CT /Project #: __________________ Lot#: ______ Year Built: _________ _
.;__ _____ -!='c·m·--1;3...:,Cprinlde~. Q.v.~ @N -Air-CoAditieRing.;~ N...,_-...-leotrieal-Panel-Hperade: e vf5@ N,----------
BRIEF DESCRIPTION OF WORK:
Replace one existing free-standing parking light light fixture, pole and foundation (City Asset SL8582)
.-------========-=================--===-=--=--=--=--=----_-_-_-_-_-_-_--0 Addition/New:NIA ________ Living SF, ____ Deck SF, ____ Patio SF, ________ Ga rage SF __ _
Is this to create an Accesso ry Dwelling Unit? Ov ON New Fireplace? QY ON, if yes how many? __
0Remodel:N/A SF of ctffected area Is the area a conversion or chan~e of use? Ov ON
0 Pool/Spa: N_/A ___ SF Additional Gas or Electrical Features? _______ _
osolar:N/A KW, __ Modules, Mounted:ORoof OGround, Tilt: 0 vO N, RMA: Ov ON,
Battery: Ov ON, Panel Upgrade: Ov ON
0 Reroof: N/A -------------------------------------[j) Plumbing/Mechanical/Electrical
0 Only: Other:
NIA
Electrial work associated with replacing the street light -----''---------
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contnct throughout the permit process.
PROPERTY OWNER
Name: City of Carlsbad
Address: 1635 Faraday Ave
APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT
Name: John Maashoff
Address: 405 Oak Ave
APPLICANT 0
City: Carlsbad State:_C_A __ .Zip: 92008 City: Carlsbac1 State:~Zip:_9_20_0_8 __ _
Phone: _________________ Phone: 760-434-2980
Email: Email: john.maashoff@,carlsbadca.~ov
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT 0
Name :_John Maashoff Name: Q,..,W\:e,. Cl:<,tt>d C,ey\ ~:irVI t.•:r 1I:. nc.,.
Address: Address: '-\ 0 E:. 11"1 T-<-v-,~ L ~
City : _______ State: ___ Zip : _____ City:4;w,n.W\~~t.Q',a State:_.......__Zip: ~ .). 01
Phone: Phone: \ '6 l? ~ 4, \ -\p '-t
Email: Email: c'ov:Mh £Ac • '2f'' M (, (l. \:<-d: ri w I nJ
Architect State License: State License/class: ;,~~41 Bus. Licer~:L i~~\l.,._I
l63S Faraday Ave Cari>tJJd, CA 92008 Ph: 7GO-b02-7719 Fax: 760 602·8000 E1riall: u_11H(l1on~c.:.ulsbJ<JcJ,fi.Uv
REV 118/20
IDENTlfY WHO WILL PERFORM rHE WORK BY COMPLl':TING (OPrtON A) OR (OPTION B) BELOW:
(OPTION A): l!~l:NSfQ CO!'!Ift_AUOR UtqARAI!ON.
I hereby offirm under penolty of perjw y thot I am licensed under provisions of Chapter 9 (comrnencing with Section 7000} of Division 3
of the B11,iness nnd Professions Code, and my license i~ in full force um/ ejfeU I also offirm under penalty of perjw y one of the
following declarations:
01 l1avc and will maintain a certificate of consent_to self_-in,ure for workers' comoensatio11 provided by Section 3700 of the Ldbor Coue, fu1 the peI fu1 ma nee of the
work which this permit is issued Policy No. ___
0 I have and will maintain worker's co111pe11sJtion, a, required by Section 3700 of the Labor Code, fnr W perfttnn,1nr.e af tl1r w ,k ror wh,,h (h,s panril( fs •'S\H:d
My workers' W\!)Jl""~·•lion insurance cJrrier an<.I policy number are: Insurance Company Name; I..!._'{ py~-'I.~ ~U... v-t...,V'\Q..
Policy No. ?~wk\~fl_,~ -------ExplrationDate: __ L~-+--Li •Q.L\_ -
~, 1 IC' 1c wor ( or w l,r l ( 11~ ncun1l l" 1::;.,;,uc • ", 1.J nof cmp oy Jny pcr~on q Jny rn~mner :.o J£; ta ccomC'
subject to the workers' compensation 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest a11d attorney's fees.
ION LENDING AGENCY, IF ANY:
I l1ereby affirm that there is a construction lending agency for tl1e performance of the work this permit is issued (Sec 3097 (ii Civil Cude).
Lender's Name: Lender••r_t'e~ss: _
coNrnAnoR PRINT: 0.)½,d ~w,tfl htte....... s1GN: l.:1i T~ _ l
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
~DATE:
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 01 offered fur sale (Sec
701~. Business and Professions Code: The Contractor', License Law does not apply to an owner of property who builds or improves thereon, and who does such work
hirnself or through his own employees, provided that such improvements are nut intended or offer·ed 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 licPnsed contractors to construct the project (Sec. 1044, Business and Professions Code: The
Contractor's License Law does not apply tn an owner of property who builds or improves thereon, and contracts for suet, projects with contractorjs) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Business and Professions Code Division 3, Cl1apter 9, Article 3 for this reason:
O"owner Builder aclcnowledgcment and verification form" has been filled out, signed and attacl1ed to this application
0 Owners "Authorized /\gent Form" has been filled out, signed and attached to this application giving the agent (11Jt/writy to nhtnin tire perrnit on tl,e owner's belw//
By ,ny signatur·e uelow I ,icknowledge that, except for rny personal residence in wl1ich I must have resided for at least one ycJr prior to completion of the
inoµrovernents cove, cd by this r1er111it, I cannot legally sell a structuI e that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I undNstand that a copy of the applicable low, Section /044 of the 81/Siness and Professions Code, is available upon requesr when this application is
submitted or at the following Web site:http://www.leoinfoco.gov/ca/aw html
OWNER PRINT: SIGN: ___________ DATE: ______ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
Bv mv signature below, I certify that: I am the property owner or State of Califo1niu I icensed Contractor or authorized to act on the propel ty
owner or contractor', behalf. I certify thal I hove rearJ the uppliwtion unu state that the above information is correct and thot the information 011
the plans is acrnmte I agrf'e lo comply with all City ordinances and State laws relating ta building construction.
I hp1eby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SI\ VE,
INDEMNIFY AND KEEP HARMI.ESS Tl-IE Cl rv OF-CARLSHAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MIi VIN ANV WAY ACCRUE
AGAINST Sl\1O CITY IN CONSEQUENCE OF THE GRANTING OF Tl/IS PERMIT OSHA: An 051-/A permit is required Jo, excnvations aver 'i'0' deep and
demolition or comtruction af structures over 3 stories in height.
APPLICANT PRINT: John Maashoff SIGN: DATE: 04/06/2021
lG"J'i F.ir,1tl<1y Av~ CHblJnd, CA 92008 Pl,. 7GO·G02 271'l F<1, 7GO-G02-8'i'i8
2 REI/ 0B/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBC2021-0133)
BLDG-Commercial 04/15/2021Application Date:Permit Type:Owner:CITY OF CARLSBAD, CARLSBAD
MUNICIPAL WATER DISTRICT
P/M/E 05/20/2021Work Class:Issue Date:Subdivision:TOWN OF CARLSBAD AMENDED
03/09/2022Expiration Date:Status:
IVR Number: 32784
Closed - Finaled 2897 S STATE ST
CARLSBAD, CA
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
09/10/2021 09/10/2021 BLDG-31
Underground/Conduit -
Wiring
166235-2021 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
09/20/2021 BLDG-34 Rough
Electrical
166745-2021 Scheduled Paul Burnette Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Final Inspection 166746-2021 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Monday, September 20, 2021 Page 1 of 1
{cityof
Carlsbad