HomeMy WebLinkAbout2031 MAR AZUL WAY; ; CB141434; Permit06-20-2014
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: CB 141434
Building Inspection Request Line (760) 602-2725
2031 MAR AZUL WY CBAD
PME
2151305100 Lot#:
LARSON RES-REPLACE EXISTING
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
200 AMP SERVICE W/ NEW 200 AMP SERVICE PANEL AT SAME
LOCATION
Owner:
ISSUED
06/20/2014
RMA
06/20/2014
06/20/2014
RA BOOKER BUILDERS, INC
2240 ENCINITAS BLVD
SUITED
PMB-54 7 92024
858-759-5170
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $158.00 Total Payments To Date:
Inspector:
$0.00
$158.00
$0.00
$0.00
$158.00
$158.00 Balance Due:
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 pennit 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.
I
THE t"OLLOWl~G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
~ ... Building Permit Application Plan Check No. ( Y1/-I/T9J
«..ti►' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value V /
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck~I eposiJ CARLSBAD email: building@carlsbadca.gov (//K www.carlsbadca.gov ~Date (,, /:2 O I/ LJ. lswPPP
SUJTEI/SPACEI/UNIT# I JOB ADDRESS fie.; IAP~lC. ;;)o?JI vW,j'l__ V1,. ,,,,>....__.,,, -\3D -:::ii -a) •
CT/PROJECT# ILOT# HASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTA. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) ~~ Puv:.-4 JJ.a-w .;;>.ou kwf· '501-V~ f1.'!-j l~+-e ~ts.la4
-r ~ct../~-._,~-\.> ~holL l ii-lo :stu.a--\-e~
~ .!_ E ~~ t)~ '3 l.,.;) ~ S I -D\O
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING l FIRE SPRINKLERS
YESO No[] YES □NO □ YES□ NO□
APPLICANT NAME /"l, (').A.~ PROPERTY 1'?"~R _ _ _ ~ Primary Contact n Iv<..
ADDRESS ADDRESS
~~(JV ~ 9031
CITY STATE ZIP CITY C ,lo..\.'
,
ST~ ZIP • e")-:,.vo,
PHONE IFAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL i.lA--CONTRA"BR E· "'ME Pv,,\d~ (~ -' ADDRESS AOORESS;:;i ~ , &! o BN-<!-1..i1.¼cs Blvcl ~~t)
CITY STATE ZIP CITY~~• srpi,, ZIP _14 Kl~ ..._ "\:>o;).
PHONE FAX PHONE IFAX <xZi7-7~-'5T1D 75F-?9='> -7<}f$<\
EMAIL EMAIL b b w •14-1.1 oo~ -~., e(!),,-f I STATE LIC. # STATE LIC.# ">3l 0) ;;-5" c~ I c1/ ~~c! i--::,_ 0/
(Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he ts 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 (hat 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' COMPENSATION
Worlun' Compensation Declaration: I hereby afflnn under penalty of peljury 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 performance of the work for which this permit is issued.
~have and wlll maintain wo,k"'' compensation, as ~quired by Section 3700 of fue Labo, Code, fo, fue perlo,mam,a of the* to, wh<h this pennil is issued. My wo,ke~' compensaton insurance carr•!!nd policy
numberare:lnsuranceCo, ~ :fLL,b PolicyNo. ':'Jo S3~ ExpirationDate d-J8-I-:,
~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' Compensation Laws of
California. WARNING: Failure to secure workers' compansatlon 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, da a rovld for In ctlon of the bor code, Interest and attorney's fees .
..65 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, arid who does such work himself 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 completion, 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 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).
I am exempt urn:ler 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. OYes ONo
2. I (have/ have not) signed an application for a building permit for the proposed work,
3. I have contracted with the followlng person (firm) to provide the proposed constndon (include name address I phone/ 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/ address/ 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 (iriclude name/ address I phone/ type of work):
.8$ PROPERTY OWNER SIGNATURE □AGENT DATE
d
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUHDING 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 Ac(f 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.
C OfU .. T I? Y C !JD Iii L E N D I N G . A G E N CY
I hereby affinn that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address HA--_
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfunnation Is conectand that the lnfonnation on the plans is accurate. I agree ID comply with all City ordinanoos and State laws relating ID building construction.
I hereby authorize representative of the City of Car1sbad to enter u~n the atxive mentioned property br inspection puFJX!S8S, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ WAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: NI OSHA pennlt is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height.
EXPIRATION: Every pennil issued by the Building ()ffk;jal under the proviskins of this C,ode shall expire by !imitation and berome null and vok:I Wthe building oroork. au1horized by sudl pennit is nota:immen03cl within
180 days from !he date of such ~9 or w::irk iulho · by sudl nnlt is su nded or abanOOlled at any time after the WJfk is commenced for a period of 100 days (Section 100.4.4 Unifonn Building Code) .
..@f APPLICANT'S SIGNATURE V'"~ ,.l'"-lr::w;,~ ,;,I\ DATE 1/J ' ;lo-)
• 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.
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 OPllONS
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: _______________ _
,65 APPLICANT'S SIGNATURE
ASSOCIATEDCB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB141434 Type: PME LARSON RES-REPLACE EXISTING
200 AMP SERVICE W/ NEW 225 AMP SER
Date Inspection Item -----------Inspector Act Comments
11/13/2014 39 Final Electrical RI
11/13/2014 39 Final Electrical PD AP
07/25/2014 33 Service Change/Upgrade MC AP EMR CALLED IN TO DEBBIE
Tuesday, November 18, 2014 Page 1 of 1