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Home My WebLink About1730 CATALPA RD; ; CB152504; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-05-2015 Permit No: CB152504 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1730 CATALPA RD CBAD PME Status: Parcel No: 2155111400 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: SHELTON MARK W SHELTON RES -REPLACE 125 AMP PANEL, SAME LOCATION 1730 CATALPA RD CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: SHELTON MARK W 1730 CATALPA RD CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 08/05/2015 SLE 08/05/2015 08/05/2015 $0.00 $160.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: f'A· ~~ FINAL AF}PROVAL Date: t::>-L/ t>t f I l:. 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD (cicyof Building Permit Application Plan Check No. Ql ~ 15 2~) Q·~l 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 Date ~ -· ~-lS" jSWPPP JOB ADDRESS I ?3 u ~/pq ~d. (i><"<d SUITE#/SPACE#/UNIT# IAPN t If-'1~1 I --- CT/PROJECT # I LOT# I PHASE# I# 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) /Jr.,11e t /:e. /J I C'-t t e_ ; z~-l'h-11-f " EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I rR CONDITIONING 1 FIRE SPRINKLERS YESO NcQ YES0No0 vesONoO APPLICANT NAME PROPERTY OWNE~ /" /::::_ 5Ae 1-/tJn Primary Contact ADDRESS ADDRESS t~f~q .IZd . t73v CITY STATE ZIP CITY , STATE ZIP CAr I shovl t.l'1-9 2-t'J 1/ PHONE I FAX PHONE I FAX t/o · 'O'~o/-IZJ/3 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS .!CITY BUS. LIC.# (Sec. 7031.5 Bus1ness and Profess1ons Code: Any City or County wh1ch requ1res a permit to construct, alter, 1mprove, demolish or repa1r any structure, pnor to 1ts 1ssuance, also requ1res 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}). ~ rt <W" X< ««N f71' '«-~):')>'> > "' :V 'X~" ,_. f I "W;ilUUU!'RI'. IUUIRSNUU2UUI'' ·~·. , .,'1~;;. (,:\:; t' H< "'"'="-" « " ~'"""""" "''"" « « » Wh=-v-'> -» ":if%0&" "" h;_, ,_. """'""-"'-" »< ~-" M}ff.&fffiWM£:l ""' ~ » < « Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonmance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonmance of the work for which this permit is issued. My workers' compensation insurance carrier and pclicy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($1 00} or less. 0 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: 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. _g CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 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 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 himself or through his own employees, provided that such improvements are not intended or offered for _ ~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 licensed 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). D 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. DYes 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 propcsed construction (include name address I phone I contractors' license number): 4. I plan to provide pcrtions 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): _g PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State lciw.; relating to building construction. I hereby authorize represenlalive oflhe Cily of Carlsbad to enter upon the above mentioned properlly lor inspection purposes. 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 PERMrT. OSHA: An OSHA penn~ is required lor excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buikling Official under the provisions of this Code shall expire by lim~ation and become null and void if the buikling or 1\{)fk authorized by such permit is not commenced within 180 days from the date of such permit or if the building or\\{)rk authorized by such permit is suspended or abandoned at any time after the 1\{)rk is commenced lor a period of 180 days (Section 106.4.4 Uniform Building Code). R$ 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 buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 . STATE EMAIL DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ ~APPLICANT'S SIGNATURE • (Office Use Only) CA No. ASSOCIATEDCB#•------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List Permit#: CB152504 Type: PME Date .... _lnspec:tion !tem 02/01/2016 33 Service Change/Upgrade 02/01/2016 33 Service Change/Upgrade 02/01/2016 39 Final Electrical Monday, February 01, 2016 Inspector Act MC MC Rl AP Fl SHELTON RES -REPLACE 125 AMP PANEL, SAME LOCATION Comments RELEASEE-MAILED TO SDGE. Page 1 of 1