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Home My WebLink About2061 TRUESDELL LN; ; CB061305; Permit' 'I City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-11-2006 Electrical Permit Permit No: CB061305 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2061 TRUESDELL LN CBAD ELEC 1671302600 Lot#: 0 MENGER RES-UPGRADE PANEL FROM 100 TO 200 AMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PENDING 05/11/2006 LSM SULLIVAN ELECTRIC MENGER JEANNINE LIVING TRUST 01-08-05 7933 SILVERTON AV SAN DIEGO 92126 858 271 7758 Electric Issue Fee ·single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 100 0 0 0 2061 TRUESDELL LN CARLSBAD CA 92008 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE t at approval of your project includes the 'lmposi ,on· 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.a.J6 bfc 12P~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit -----,..------- Validated By ____ ___,~~~---- Date. ____ _.c:~::....-1,...1 ..:....\ ,..>...+\ O=,.J=--o- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # ~C'...rJ 1<.....e Existing Use -'.).O c) A Proposed Use Description of Work SQ. FT. #of Stories II of Bedrooms # of Bathrooms i,. _.pQtf(f\CT PEJtSON ('if different from appllcentl Jo\tw\ C2,>CS 'L' '.'z1J:--S\\ver\-vc Name Address °'-.v e. Sc..ur-. P< -e...?:? D City S-6 State/Zip ~ l,11.(p Telephone# ( ~)-1-11-11 Fax # ;i. ~e_L!CANT O Contractor E.Ag•nt for Contractor [1 Owner SCl..wl e ~ co n \-:c.. J 0 Agent for Owner Name Address City State/Zip Telephone# 4. l"'\I V'~ r--e V\. (?(' ')O Ct. ( rve..;c}.t...l\ b~ Cu..< <2t1... oo't> Name Address City State/Zip Telephone# ~ COl!IIBM:TOl3 • CQMPAN.Y W\NI_E (Sec. 7031.6 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 Sectio'?I 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($500)).11 () ?, , \l , uc..,N\ cl :e e.rr IL 1 ec ~3 o \,-1~ r b:,V'\ t>--Jt-, .ScvYI O,e7 o Cc,.. ct-z... 1 2-(e (9n) '2., 11 -5; Name Address City State/Zip r~':llh~~e # State License II '~ 't'1"'1C> 17 License Class (',I t:> City Business License II a-ff}~\, Designer Name Address City State/Zip Telephone State License # _________ _ 8, WO.RI!;!\$' i;:or,n~SATl9"1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. f3'... I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iTsued. My worker's compensation insurance carrier and policy number arp.: ~ Insurance Company (' k 1-e C0 M f \ 'n S \J (vJ\I\C., e. Y v '{'policy No. I i a 3 I & l ~ 7,,c)C S Expiration Date '] c? DJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI O 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 ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damages aa provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.______________________________ DATE 7. Q.wr,IER-JUIIJ)ffl.!)~CLARATION --:--:;:;:=::::::=::;;:-:-=:;::: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 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). O 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 buifds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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 . 0 YES ONO 2. I (have / 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 proposed construction (include name / address / phone number / 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 number/ 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 / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ @f,1f:I.HL_THIJ SiCTJ.ON..fQB~JlE!mlY..!!!HLD!!'i!i ~.HMITS OJtl-.Y 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, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from tho air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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. ~OfllJRl,ICTION LENDING AG£NC ____ _ _ _.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _ --..c~l'H.All.ON 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 laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required EXPIRATION: Every permit issued authorized by such permit is not co at any time after the work is com APPLICANT'S SIGNATURE r excavations ove 5'0" deep and demolition or construction of structures over 3 stories in height. uilding 0 within 18 a period e provisions of lhis Code shall expire by limitation and become null and void if the building or work e date of such permit or if the building or work authorized by such permit is suspended or abandoned action 106.4.4 Uniform Building Code). DATE j / , / I {J (i> WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/02/2006 Permit# CB061305 Title: MENGER RES-UPGRADE PANEL Description: FROM 100 TO 200 AMP Type: ELEC Sub Type: Job Address: Suite: Location: 2061 TRUESDELL LN Lot APPLICANT SULLIVAN ELECTRIC 0 Owner: MENGER JEANNINE LIVING TRUST 01 -08-05 Remarks: Total Time: Inspector Assignment: PD --- Requested By: DAN Entered By: CHRISTINE CD Description 39 Final Electrical ~ _c _o_m_m_e_n_t _________________ _ --------------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 05/30/2006 33 Service Change/Upgrade Act lnsp Comments AP PD NOT FINAL