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Home My WebLink About2284 CAMINO ROBLEDO; ; CB020263; Permit\ 01-28-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB020263 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: * Reference #: Project Title: 2284 CAMINO ROBLEDO CBAD ELEC 2552704200 Lot #: BOUGHNER RES-ELECT RECEPT& GAS & ELECT FOR FUTURE SPA Applicant: BOUGHNER GAIL B 2284 CAMINO ROBLEDO CARLSBAD CA 92009 Owner: Status: ISSUED Applied: 01/28/2002 Entered By: RMA Plan Approved: 01/28/2002 Issued: 01/28/2002 Inspect Area: 9761 01/28/02 0002 01 COP 02 47-00 Total Fees: $47.00 Total Payments To Date:$0.00 Balance Due: $47.00 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 $10,00 $0.00 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 tees/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(3), 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 capactjy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES (T 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLK PLAN CHECK NO/^V EST. VAL Plan Ck. Deposit Validated By Date 1. PROJECT INFORMATION Address (include Bldg/Suke #)Business Name (at this address)0*} & ?9 $*2Z$£ gt JX*JL y<~^ Description of Work 2. COrJTACT PERSON (rfoWereoit from appicant) SO. FT.f of Stories i of Bedrooms # of Bathrooms Name 3. APPLICANT Address City,p *-iuurv»9 **i*i BFcomraator Q Agent for Contractor •••=-; Q Owner 0 Agent if or Owner State/Zip Telephone *Fax * Name •4. PROPERTY OWNER Address City State/Zip C4- Telephone # Name Address City State/Zip Telephone * 5. CONTRACTOR - COMPANY NAME (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 end Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sectiipa 7031.5 by anv applicant fpr.a permit subjects the applicant lo a civil penalty of_nof more than jive hundred dollars Name State License # Address License Class ~ 1 City State/Zip Telephone * City Business License * / 2- / £- Designer Name v Address City State/Zip Telephone Stete License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have end 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. Q 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date ^^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 te unlawful, and shall subject an employ* to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). 0'l< 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). C I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES I (navey have not) signed an application for a building permit for the proposed work. I have contracted with tbeJq|lpwioa>person IfIrmLto orovidexhe.Droposed 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 workj:_ PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITfiADNLYfyr 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 26505, 2S533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. fli..:. CONSTRUCTION LENDING AGENCY I hereby affirm that there is s 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 l». APPLICANT CERTIFICATION I certify that I have reed the application and state that the ebove information is correct and that the information on the plans is accurate. I agree to comply with aH City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0* deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corpmpnced for a jjeriod or 160 days (Section 106.4.4 Uniform Building Code). DATE /~~ 2.<y<""O2-APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/31/2003 I Permit* CB020263 Title: BOUGHNER RES-ELECT RECEPT& GAS Description: & ELECT FOR FUTURE SPA Inspector Assignment: JE 2284 CAMINO ROBLEDO Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT BOUGHNER GAIL B Owner: BOUGHNER GAIL B Remarks: Phone: 7609420006 Inspector; Total Time: CD Description 39 Final Electrical Requested By: GAIL Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/14/2003 39 Final Electrical NR JE NO NEW WORK COMPLETED 01/27/2003 31 Underground/Conduit-Wiring 01/27/2003 34 Rough Electric 01/03/2003 31 Underground/Conduit-Wiring PA JE ELECTRIC CONDUIT IN FRONT YARD ONLY AP JE WALLS THROUGH GARAGE AND NEW BREAKER DEDICATED CO JE NO PLANS OR PERMIT ON SITE FOR INSPECTION City of Carlsbad Bldg Inspection Request For: 01/27/2003 Permit* CB020263 Title: BOUGHNER RES-ELECT RECEPT& GAS Description: & ELECT FOR FUTURE SPA Inspector Assignment: JE 2284 CAM1NO ROBLEDO Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT BOUGHNER GAIL B Owner: HAHN MARGARET K Remarks: FIRST INSP OF THE DAY PLEASE Phone: 7609420006 inspector: Total Time: CD Description U*&-e*4fe*«34 Rough Eldetrlc Act Comment Requested By: GAYLE Entered By: ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 01/03/2003 31 Undergrouno7Conduit-Wiring CO JE NO PLANS OR PERMIT ON SITE FOR INSPECTION City of Carlsbad Bldg Inspection Request For: 01/03/2003 Permit* CB020263 Title: BOUGHNER RES-ELECT RECEPT& GAS Description: & ELECT FOR FUTURE SPA Inspector Assignment: 2284 CAMINO ROBLEDO Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT BOUGHNER GAIL B Owner: HAHN MARGARET K Remarks: CELL 533-4447 Phone: 7609420000 Inspector: Total Time: CD Description Act Comment 31 Underground/Condult-Wlring Requested By: GAIL Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments NOTICEC'TY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1 635 FARADAY AVENUE DATE ...g/r ...* j r.P-. ... . TIME LOCATION. .../?*>; y PERMIT NO. S 6'av FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? LJ YES FOR FURTHER INFORMATION, CONTACT. X'.' PHONE CODE ENFORCEMENT OFFtCEpT