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Home My WebLink About1375 SAPPHIRE DR; ; CB152768; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-26-2015 Cogeneration Permit Permit No:CB152768 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1375 SAPPHIRE DR CBAD COGEN Sub Type: EVG Lot#: 0 Constuction Type: NEW Reference #: 2122500600 $0.00 FELDMANN: 200 AMP NEMA 14-50R FOR TESLA CHARGING IN GARAGE Owner: Status: ISSUED Applied: 08/26/2015 Entered By: SLE Plan Approved: 08/26/2015 Issued: 08/26/2015 Inspect Area: Plan Check #: HMT ELECTRIC INC STE 105 FELDMANN FAMILY TRUST 04-20-12 9550 WAPLES ST SAN DIEGO CA 92121 858-458-9771 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $1.00 1375 SAPPHIRE DR CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINAL APPROVAL Date: /r/Z r/k? ' Clearance: $0.00 $158.00 $0.00 $0.00 $160.00 $0.00 NOT!CE: 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 f I ctions of whi h o h v reviousl b en iven a N TICE similar to this r which the statut f limitations has revi I h rwise ex ired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO · Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@ca~sbadca.gov www.carlsbadca.gov Plan Check No. Q}b \ 15 :z_ 71.J> 'i5 Est. Value Plan Ck. Deposit Date 8-2..La-1 SWPPP JOB ADDRESS /37S SUITEI/SPACEf/UNITf APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS 19ANT BUSINESS NAME CONSTR. TYPE OCC. GROUP •-;•;:;;:~;h,.b:_:;:.•:+ ~o ltm-f PllfL. ~"1>.Vlr S" 5~ box ~1.1-c--fa.ce-) r"'"' z-#(. ~ SOA·wif breo-~ au'()~ 1 -Ht ~, 3n>v..Yld,_ ~~n II {l.(-9:) R-ou-...\-'1-e-+ rar -1-e.slc... ca., -h P1V,J ;YI, APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER AOORESS J -3 7,_ ZIP CONTRACTOR BUS. NAME ZIP EMAIL STATE LIC. # STATE LIC.'t\oo '5 \ \ CLASS c-CITY BUS. LIC.# 22-1\UJS (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 1031.5 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 Oeclaratlon: I hereby affirm under penalty of petjury one of the following declarations: t:J 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. Jz51 have and will maintain workers' compensation, as reQui bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy oumbe,a~las,raoceCo~~ ic -e. • Po1;cyNo.tfcS"S'l:37.JS"C\ e,p;ra1;00Date J 0-f-J:S: ~section need not be completed if the permij is for one hundrad dollars ($100) or less LJ Certificate of Exemption: I certify that in the pertormance 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, da es as provided for in Section 3706 of the Labor code, interest and attorney's fees, _g CONTRACTOR SIGNATU I heteby 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 arid the structl/re is not intended or offered for sale (Sec. 7044, Bllsiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does sl/ch 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 pllrpose of sale). I, as owner of the property, am exclusively contracting with licensed coritractors to construct the project (Sec. 7044, Business arid Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, arid contracts for such projects wilh contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reasori: 1. I personally plari to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an applicatiori for a building permit for the proposed work. 3. I have contracted witl1 the followirig person (firm) to provide the proposed construcHon (include name address I phone/ contractors' license number): 4. I plan to provide portkms of the work, but I have hired the following person to coordinate, supervise and provide lhe major work (include name I address/ phone/ contractors' license number) 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work iridicated (include name/ address I phorie / type of work): _8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMJ'LETE THIS SECTION FOil NON•IJESIDENTIAL BUILDING 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 Acr? Yes No Is the applicant or Mure 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, CONSTIJUCTION LENDING AGENCY l hereby affirm that there Is a construct10n lending agency for the performance of the work thts permit IS issued (Sec 3097 (1) C1vd Code) Lender's Name Lender's Address APPLICANT CliRTIFICATION I certlf/thatl have read the application and state that the above Information Is correct and that the lnfonnatlon on the plans Is accurate. I ag,ee to complywtti all City ordinances and Sta1e laws relating ID building consbUCtion. I hereby authorize reprasentative of the City of Carlsbad to enter u~ the alxlve mentioned property kir inspecoon pulµ)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY ..AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TlilS PERMIT. OSHA M OSHA permit is requred for excavations over 5'0' deep and demolioon or constructkm of structures over 3 sbries in height. EXPIRATION: Every pennit issued by the Buikling Offdal under the provisbns of this Code shall expire by linitalion and beoome nu~ and voK:l if the buikling or w:irk authorized by such permit is not commenced Ylithll'l 180 days from the dale of such permit or if the Wilding orw:irk authorized by such permit is suspended Of abandoned at any bme after the w:irk is commenced klr a pericx:I of 180days (Section 100.4.4 Unibnn Building Code) . .6SAPPL1C 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, 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) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATEDCB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Perm it#: CB 152768 Date __ lnspe_ction_l!em_ 01/12/2016 34 Rough Electric 01/12/2016 34 Rough Electric 01/12/2016 39 Final Electrical 01/12/2016 39 Final Electrical Tuesday, January 12, 2016 Type: COGEN EVG Inspector PB PB Act RI AP RI AP FELDMANN: 200 AMP NEMA 14-S0R FOR TESLA CHARGING IN GARAGE Comments EV CHARGER Page 1 of 1