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HomeMy WebLinkAbout1949 COBALT DR; ; CB080247; Permit01-26-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB080247 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1949 COBALT DRCBAD ELEC 2132901000 Lot# WINFREY RES ELEC TO FUTURE ABO GROUND PORT SPA Status Applied Entered By Plan Approved Issued Inspect Area Applicant PRO EARTH LANDSCAPE INC STER 2210ENCINITASBLVD ENCINITAS CA 92024 760633-3120 Owner WINFREY LARRY J&KATHLEEN A 1949 COBALT DR CARLSBAD CA 92009 ISSUED 02/07/2008 KG 02/07/2008 02/07/2008 MC 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 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 __VL_ IN STORAGE ATTACHED inspector FINAL APPROVAL Date Clearance 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad £*^ 1635FaradayAve Carlsbad CA 92008 iH^lPff/^J 760-602 2717 / 2718 / 2719 O^tjP Fax 760-6028558 ^)^T^ Building Permit Application JOBADDRESS j^^ CoWl^T?^ CT/PROJECT # LOT* PHASE* » OF UNITS # BEDROOMS SL Plan Check N<L \3JoV •*- ^\f H Est Value ^ PlanCk Deposit Date^7_0£- .££, SUITE#/SPACE#/UNIT# APN jf # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP » DESCRIPTION OF WORK i 1 /\ 1! J ' EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (It Different fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ,- i IA/\ ijv I \, ADDRESS V \l I CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME -r-N £ 1 ~ 1 /!/'/• -rvD {j(S'/Y!¥V\ p/VV^^/l^-O^ )/2^-^ ADDRESS ^ ^.^ £^^/H| /f/t^ ~g/,J >T,J CITY ^ y STATE ZIP / PHONE ^ FAX EMAIL STATE LIC # CLASS. _,- CITY BUS LIC# (Sec 7031S Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair my structure, prior to ic issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law {Chapter 1 commending with Section 7000 of Division 3 of the Business and Profession! Code} or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 > by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {5500}) 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 ]3fl I have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performancacftfie work for^hu* this perrmt is jssugd My workers compensation insu /^number are Insurance Co \-1 V~< f- £ &VV\ p Policy No f\/W) tjQl 'XfJl^J Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less C] 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 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, damages as n/bvided for In Section 370fipf1he-Labor code, Interest and attorney s fees policy CONTRACTOR SIGNATURE I hereby affirm that I am exempt from 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) a 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 contractors) licensed pursuant to the Contractor's License Law) O 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 a 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 / 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 / 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 / type of work) ) PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf O 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? d Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D Yes a No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address Icerbfythatlhave read Hie application and state that the above Information is correctand that the infbmaflon on the plans feaoarate I agree to amply wim all City orta^ I hereby authorize represenfatve of the City of Cartsbad to enter upon the above mentioned properly for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit B required for excavations over 50 deep and demolition or construction of structures over 3 stones in height. EXPIRATION Every permit issued by (he Building Offictaj under (he provisions of the Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced withm 1 80 deiys from the date of such permrtw if the build«^jEf authors ^APPLICANTS SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 01/26/2009 Permit* CB080247 Title WINFREY RES ELEC TO ABOVE Description GROUND PORT SPA Inspector Assignment MC 1949 COBALT DR Lot Type ELEC Sub Type Job Address Suite Location OWNER WINFREY LARRY J&KATHLEEN A Owner WINFREY LARRY J&KATHLEEN A Remarks Project abandon' Reed aband req from HO Phone Inspector Total Time CD Description 39 Final Electrical Act Comments Requested By CHRISTINE Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/14/2008 31 Underground/Conduit-Wiring AP MC 1 1/2IN CONDUIT TO SPA ONLY City of Carlsbad Bldg Inspection Request For 02/14/2008 Permit# CB080247 Title WINFREY RES ELEC TO ABOVE Description GROUND PORT SPA Inspector Assignment 1949 COBALT DR Lot Type ELEC Sub Type Job Address Suite Location APPLICANT PRO EARTH LANDSCAPE INC Owner WINFREY LARRY J&KATHLEEN A Remarks Phone 7606333120 Inspector Total Time CD Description Act Comment 31 Underground/Condint-W.rmg Comments/Notices/Holds Requested By JULIE Entered By JANEAN Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments PROEART-01 CAKR ACORDn, CERTIFICA'i ^ OF LIABILITY INSURANCE PRODUCER (530) 668-2777 Armstrong & Associates Insurance Services License # OB50501 PO Box 1270 ^fcdland, CA 95776-1270 INSURED pro Earth Landscape Inc 2210 Encmitas Blvd #K Encmitas, CA 92024 DATE (MM/DD/YYYY) 3/23/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Endurance Reinsurance Corp of America INSURER B INSURER C INSURER D INSURER E NAIC# i I COVERAGES THE PC ANY RE MAYPE POLICI LTR SNSRD ^^V A LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING QUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR .RTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH ES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE (_ J OCCUR I I GEN L AGGREGATE LIMIT APPLIES PER 1 ' ! PRO I 1! POLICY | j JECT | | LOG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | j CLAIMS MADE _j DEDUCTIBLE | RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes descnbe under SPECIAL PROVISIONS below OTHER POLICY NUMBER WEN001801301 POLICY EFFECTIVE DATE (MM/DD/YY1 4/1/2007 POLICY EXPIRATION DATE<MM/DD/YY1 4/1/2008 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EAACC AGG EACH OCCURRENCE AGGREGATE V i WC STATU " I TORY LIMITS OTH ER EL EACH ACCIDENT E L DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT $ $ S S $ $ S S $ $ S $ S S S $ $ $ s 1,000,000 S 1,000,OOC s 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS License #768368 CERTIFICATE HOLDER CANCELLATION Contractors State License Board Attn Workers' Compensation Unit A PO Box26000 ^ Sacramento, CA 95826- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE . -, 1 . <-3f\A a_7~ti.«. C ff j\ a/r^T^-tA ACORD 25 (2001/08) © ACORD CORPORATION 1988 0607