The URL can be used to link to this page

Home My WebLink About1715 KIRK PL; ; CB122303; Permit11-01-2012 Job Address. Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB122303 Building Inspection Request Line (760) 602-2725 1715 KIRK PL CBAD PME 2072604600 Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ROWE RES-REPLACE EXISTING Inspect Area: 100 AMP PANEL W/ NEW 100 AMP PANEL -SAME LOCATION Owner: ISSUED 11/01/2012 RMA 11/01/2012 11/01/2012 CHANEY ELECTRIC ROWE HOWARD L&JOHANNA E INTER VIVOS TRUST 01-17- 4105 HIGHLAND DR CARLSBAD CA 92008 433-3455 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1715 KIRK PL CARLSBAD CA 92008 $0.00 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 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 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 t·/•infh1chvouhave i 1·~1 1· ihh t· THE FOLL'lWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING □ENGINEERING □BUILDING □FIRE «~> ~· CITY OF CARLSBAD JOB ADDRESS, 7 -i CT/PROJECT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/ Plan Check No. Est. Value # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Alfected Area(sJ EXISTING USE PROPOSED USE GARAGE (SF} PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE '"" EMAIL ll~ce..-- STATE ZIP ~ '"" EMAIL ARCH/DESIGNER NAME & ADDRESS □HEALTH 0HAZMAT/APCO SWPP AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NOD ZIP (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, commending with Section 7000 of Division 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 civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPl!NSATION Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for worllers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worll for which this pennit is issued D I e and will maintain workers' compensation, as required by Sec~on 3700 of the Labor Code, for the performance of the worll for which this permit is issued. My worllers' compensation insurance carrier and policy ______________________ Policy No. ______________ Expiration Date _________ _ Th· section need not be completed if the pemiit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance of the worll for which this pemiil is issued, I shall not employ any person in any manner so as to become subject to the Worllers' Compensation Laws of alifornia. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100 ,000), In addition to the cost of compensation, dama es as provided fo in Section 37 of the Labor code, int and attorney's fees. AS CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees ...,,;111 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 sllCh work himself or through his own employees, provided ttiat sllCh 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 ttiat 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 arid Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves ttiereon, and contracts for SllCh projects with contractor(s) licensed pursuant lo 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. □ Yes □ No 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 (fimi) lo provide the proposed construction [include name address I phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persoris to provide the work indicated (include name I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COII/IPLlttl! THI$ $1!CTION FOIi NON•lll!UDl!NtlAI-BUILDING Pl!IIMITS ONI-Y Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratlon form or risk management and prevention program under Secboos 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 \s the facility to be constructed within 1,000 feel 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 hereby affirm that there 1s a construction lending agency for the performance of the won< this permit 1s rssued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPll(ANT t:l!RTfFlt:ATION I certify that I have read the application and state that the above infomiatlon Is amect and that the information on the plans Is accurate. I agree to axnply 'Mth all Cily ordinances and State laws relating to buUdlng construction. I hereby authorize representative of the City of Carlsbad to enterwx:m the above mentioned property for Jlspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG'.INST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST 8.'JD CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and clemolioon or construction of structures over 3 stories ln height. EXPIRATION: Every ~rmit issued by the 8uikling Of1k:ial under the provisK:lns of this Oxle shall expire by rmitation and beoome null and void n the buikling orw::irk authorized by sudl pemiit is not commenced Within 100 days from the date ofsudl buiklOO rx rk authorized such ~rmlt is suspended or abandoned at any time after the w::>rk is commenced for a period of 100 days (SectOO 106.4.4 Unibrrn Buiklflg Oxle) ,1$ APPLICANT'S SI 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 www.building@carlsbadca.gov or Mail the completed form to City of Car1sbad, 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) o CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATEDCB#•------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB122303 Type: PME ROWE RES-REPLACE EXISTING 100 AMP PANEL W/ NEW 100 AMP PANEL Date lnspectiC)n Jtem Inspector Act Comments 11/05/2012 33 Service Change/Upgrade PY AP Wednesday, March 13, 2013 Page 1 of 1