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Home My WebLink About2092 TRUESDELL LN; ; CB162137; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-02-2016 Permit No: CB1 62 137 Building Inspection Request Li ne (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2092 TRUESDELL LN CBAD PME 1671802500 Lot#: SORLIE RES-REPLACE EXISTING 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 100 AMP PANEL W/ NEW 200 AMP PANEL-SAME LOCATION Owner: ISSUED 06/02/2016 RMA 06/02/2016 06/02/2016 SF ELECTRIC SERVICES, INC. P.O.BPX 471 SORLIE MATTHEW&TAYLOR STACY C VISTA CA 92085 760-724-3666 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2092 TRUESDELL LN CARLSBAD CA 92008 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NCmCE: Rease ta<e NCmCE thci <WM r:J yax ptje::t irdudes Ire "lrrp:stioo" r:J fees, dedc:aicrs, reservciicns, ex ctrer exa::ticrs heraater cdledivay retEmld to as "fees'exoctims." Yoo rave 00 day.; fran tre date tlis i:amt Y.as i$1.8'.J to pretest irrp:stioo a these fees'exa::ticrs. If >0-J prctest trem, >0-J rrust fdlON the pretest pttedres set fcrlh in C?o.mYra1 Co:le Sedioo 60020(a), crd file Ire prctest crd cny cther re::µred infOOTEtioo wth tre Oty ~ fex p-ccessirg in OCCO"dcrce wth Ca1sboo Mricipel Co:le Sedioo 3.32.cro. Failue to tirrely fdlON thci ~ wll ra-cny stbsaµrt legal a:tioo to attad<. review, set aside, \tid, ex crru treir irrp:stim Yoo are hereof R.RTl-ER NCmRED u-at yax rigt to prctest tre specified fees'exa::ticrs CCES NOT APA.. Y to v-a.e,; crd seM?f amectioo fees crd ~ d1crges, ra plaTirg, zo-irg, gadrg ex cther sirrilar applicatioo p-ccessirg ex 58Vica fees in amectioo wth tlis ptje::t. t-rn CCES IT APA.. Y to cny t • r:J v.ticn 'OJSI CE sirrilar t th as v.ti 11 r:J lirritaticrs 'OJSI ctherw • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C_cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov JOBADDRESS~Dq-z ,ie.u€5DELL ~ SUITEf/SPACEf/UNI /PROJECT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS DESC • are Feet of Affected Area(s) tZtO er _, IC> 0 71.) 0 BULOING □FIRE Plan Check No. Est. Value SWPPP CONSTR. TYPE C. GR UP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) FIREPLACE YES0 _No0 AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME Primary Contact ADORES {) J .o. ,o,.., 620 CITY DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE ZIP Or FAA STATE ZIP FAA STATE UC.# So(ll'Ce ADDRESSZ. D °/ 2, STATE ZIP ~ FAA EMAIL CITY v~ * STATE c1- STAT (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 requi es 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 Chat he is exempt therefrom. and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). Workers' Compensation Declaration: / hereby affirm under penalty of petjlX'f one of /he lo/lowing declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as proviled by Section 3700 of the Labor Code, for the performanca of the work for which this permit is issued. D I have and will maintain worke7fompensation, as required by Section 3700 of the Labor Code, for the performanoe of the work for which this ~rmi is issued. My workers' compensatJon rs,u7: ~rrier and policy number are: lnsuranca Co. .t!._ftl\,r-ffiv\J) :P!'::$ Policy No. 72 w~ <S I Co !.. Expiration Date I lL {...!2._ This section need not be completed ~ the permit is for one hundred dollars (S 100) or less. 0 Certificate of Exemption: I oertify that in the performanca of the work for this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' CompensatJon Laws ol California. WARNING: Failure to secure worke ' mpensati cove ge 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, damage ovided fo n S lo 706 of the Labor code, interest and attorney's fees. ,K5 CONTRACTOR SIGNATURE O AGENT I hereby affirm that I am exempt from Contractor's License Law for the lo/lowing reason: □ □ □ I, as owner or 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 Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 or proving that he did not build or improve for the porpose 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 Contracto(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 Contraclor's Lloense law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. □Yes 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted Y<ith the follol'<ing person (firm} to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan 10 provide portions or 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 (include name I address / phone/ type or work)· ,K5 PROPERTY OWNER SIGNATURE □AGENT DATE 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 Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district 0< &r quality management district? □ Yes □ No Is 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. Lender's Address I certify thatl have read the application and state that the above information is conectand that the lnlonnation on the plans Is accurate. I agree ID comply with all City ordinances and Slate laws relating ID building constructJon. I hereby authorize representative of the Ci1y of Garlsbad to enter upon the atxive menooned ~ br ~ ~JJX)SeS. I ALSO AGREE TO SAVE, INOEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AC?AINST ALL LI.ABILITIES, JUDGMENTS, COSTS AND EXPENSES ICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permtt is requred for excavations over 5'0' deep and ioon oroonstrucoon of structures over 3skllies n height. E.XPIRA TION: Every permrt isslJed by the Buidi ·aI u the • oos of • all expire by limitation and berorne null and voo W the buikling or v..orl< by such permit is not commenced v.ithin 180 days ft'orn the date of such permtt or if the bu v.Of1I by such suspended or abandooed at any time afi!rthev..orl< is commenood br ood 100days (Sedoo 100.4.4 Unoonn BuikJing Code). ,/i:5 APPLICANT'S SIGNATURE DATE (;, ~ I l 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 Mall the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D ASSOCIATED CB#'-------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: _________________ _ o CHANGE OF USE / NO CONSTRUCTION A5 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB162137 Type: PME Date Inspection Item 06/16/2016 33 Service Change/Upgrade 06/16/2016 33 Service Change/Upgrade 06/16/2016 39 Final Electrical Friday, June 17, 2016 Inspector Act PD PD RI AP AP SORLIE RES-REPLACE EXISTING 100 AMP PANEL W/ NEW 200 AMP PANEL Comments DISC/REC Page 1 of 1