HomeMy WebLinkAbout1156 LARKSPUR LN; ; CB161632; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-28-2016 Permit No: CB161632
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1156 LARKSPUR LN CBAD
PME
2054300500
COSBY: 200A PANEL UPGRADE
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
NO WORK IN ROW WITHOUT ROW PERMIT
Applicant:
CALSOUTH ELECTRIC
STE 115
1365 NORTH JOHNSON AV
EL CAJON CA 92020
619 722-6903
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
DOMPE LEE&JOYCE C
1156 LARKSPUR LN
CARLSBAD CA 92008
ISSUED
04/28/2016
SLE
04/28/2016
04/28/2016
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date S' 2-(~ Clearance:
$0.00
I\OllCE: Aeaseta<e I\OllCE Iha: "A'IM ci your J)'tject indudes tre "lm:x,siliori' ci fees, claclcations, reseMtiors, or ctrer ""3Clioris rerea11er cdlec>vely
refened to as ''fees/""3Clicm" You t,a,e 00 days fromtre-ttis perrrit .as isscedtoprctest im:x,silion citresefeeslexadions. ~you prctest Itel\ you rrust
fdlwtre pretest proa,c!..res set forth in G:M,im-erj Code Sec>on oo:Y20(a), and file tre prctest and~ ctrer required infonralon wth tre Clty M;r,ager!or
!>")O'SSlrg in acx:orctaoo, wth catsba:I Mridpal Code Section 3.32.030. FailLJeto timaly fdlwtha: proce:lcre wll ba" ~ slilseql.Erl legal a:lion to attad<,
r,,,,iew, set aside, l,ljd, or am.I treir irrµ,silion.
You ,re reretr,, RRII-ER I\OllFIEDthal your rigtl to pretest tre specified fees/""3Clioris OCES NOT l'PA.-Y to wae, and se,.er oonnection fees and c:apa:ity
~ nor plannrg, zoorg, gralrg or at-er snrilar ~icalion !>")O'SSirg or seMCB fees in oonnection wth this J)'tject. N::.R OCES IT l'PA.-Y to arr;
. . ij
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
l~-, Building Permit Application Plan Check No.(\ P.., I lQ I ( n 3 '2.
~, .. Ji:· 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY 0 f Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date L\-?R-11 ,,, fswPPP
JOB ADDRESS SUITEI/SPACH/UNIT# IAPN 1156 Larkspur Ln 205-430-05-00 -
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS TTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of AffiJcted At&a(s)
Panel Upgrade to 200 amp
EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE IAIR CONDITIONING 1FIRE SPRINKLERS v,so NcCJ vesONoO YESONoO
APPLICANT NAME (Primary Contact) Calsouth Electric APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS
1365 North Johnson Ave #115 9880 Magnolia Ave #119
ZIP CITY STATE ZIP CITY STATE
El Caion CA 92020 Santee CA 92071
PHONE PHONE IFAX I FAX (619) 722-6903 619-405-2648 619-330-4796
EMAIL EMAIL
mespinoza@calsouthelectric.com jennifer@permitrunner.net
PROPERTY OWNER NAME Deirdre Cosby CONTRACTOR BUS. NAME Calsouth Electric
ADDRESS ADDRESS
1156 Larkspur Ln 1365 North Johnson Ave #115
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 El Caion CA 92020
PHONE I FAX PHONE IFAX (760) 213-4806 (619) 722-6903
EMAIL EMAIL mespinoza@calsouthelectric.com
ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# STATE LIC.# I CLASS I cilY M~~c~eed to apply 961906 C10
(Sec. 7031.5 Business and Professmns 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 70_00 of Div1s1on 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}),
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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, D I have and will maintain workers' compensation, as re<1uired by 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
number are: Insurance Co, STATE COMPENSATION INSURANCE Policy No. 9127325 Expiration Date 03/16/2017
~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' compensation cov e is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dolla!"I (&100,000), In
addition to the cost of compensation, damages as rovided for I oil 3706 of the Labor code, interest and attorney's fees.
Jt! 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, and who does such work himself or through his own employees, provided that suet, 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 wdh 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 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. 0Yes 0No
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 proposed construction (include name address I phone I 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 I address I phone I contractors' license number):
5. I wm provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
i
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardoos materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes D 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 fcdlity to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) CIVIi Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certtfylhat I have 188d the application and sta1e that the above lnfonnallon Is correct and that the infonnation on the plans is accurate. I agree to comply~ all Cltyon:tlnarcesand Sta1e laY4 relating 1D building oonstructlon.
I hereby authorize representative of the CityofCartsboo to enter up:m the above mentioned property br insp;lciion purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY 0: CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SI\ID CITY IN CONSEQUENCE CF THE GRANTING OF THIS PERM~.
OSHA: AA OSHA permit is required br excavations over 5'0' deep and dem:JlltKln or oonstruction of structures over 3 sbries in hei(Jht.
EXPIRATION: Every permit issued by the Building Offcial under the provisklns ofthi shall expire by limila!k'.ll1 and berome null and void if the building orw:Jrk authorized by suet, permit is notCXJmmenced wthin
100days from the date of such perm~or if the buildrlg or 'Mlrk thorized by . It is suspended or abandoned at any time after the w::irk is oommenced for a pericxl of 100days {Sed:Kln 106.4.4 Uniform Buildhg Code).
,f!5 APPLICANT'S SIGNATURE DATE 4/27/16
Inspection List
Penni!#: CB161632 Type: PME
Date lnspectionlt_em
05/09/2016 33 Service Change/Upgrade
05/09/2016 33 Service Change/Upgrade
05/09/2016 39 Final Electrical
Monday, May 09, 2016
Inspector Act
PD
PD
RI
AP
AP
COSBY: 200A PANEL UPGRADE
NO WORK IN ROW WITHOUT ROW PERMI
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