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Home My WebLink About2344 JEFFERS PL; ; CB100879; Permit' ,. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-14-2010 Electrical Permit Permit No: CB100879 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2344 JEFFERS PL CBAD ELEC 2081615800 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: GROVE: ROOF MOUNT. PV SYSTEM Inspect Area: Applicant: JOHN STEMMERMAN 668 TAMARACK AVE #3 CARLSBAD, 92008 314-435-5704 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 0 0 0 0 Owner: GROVE JAY R&VICKI F 2344 JEFFERS PL CARLSBAD CA 92008 ISSUED 05/19/2010 JMA 06/14/2010 06/14/2010 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $110.00 $0.00 $120.00 Total Fees: $120.00 Total Payments To Date: $120.00 Balance Due: Inspector: FINAL A_J;PROVAL AC') Date: 4l -/ 7..-/V Clearance: $0.00 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 I s/ x ci n whi h h v r<>vi n iv n N Tl E imilartothi r whi h hest t flimial n h oheiwi eex ired. ~. «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. CB { 00 ~ 4 ~ CI TY OF Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date ";; ('1 / ID VV¥\ !OBAOORESS SUITE#/SPACE#/UNIT# APN CT /PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES D NOD CONTACT NAME (If Different Fam Appllc,,nt) APPLICANT NAME - h ADDRESS ADORES~ CL>~<? T ~ .... -re. t-k Av{ CITY STATE ZIP CITY C c.4\, $ lo a. STATE ZIP C 4 '\ ';}.O O 'i? PHONE FAX PHONE '°::)ll.-\_-'isS--5 7D'1 FAX Col°t-Q~-<!)l l O EMAIL PROPERTY OWNER NAME ~ONTRACTOR BUS. NAME s ..f c_ l l 0-✓ s C, l o.. /' CITY STATE C ZIP °t?-00 CITY (\ STATE ZIP c c-As \:J L o.Y cP-4l ?-CO PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATELIC.# /'-{ C\O°t ~ CIASS c..-LO (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 e applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Cha'fter 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 Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)), .,.~ "' , W O R K E R S ' C O M P E N S A T I O N . . . . ,. 1, Workers' Compensation Declaration: I h6reby affirm under penally of parju,y one of the following declarations: □ I have and will maintain a ctftJflcate of consent to H lf•ln•urt fO( workers' COfnpensation as provided by Section 3700 of lhe Labor Code, for lhe perfoonance of the work for which this permit Is Issued. ~I have and will maintain worl(en•:~u~n, as _;iuired by Secjjoo 3700 of lhe labor Code, for the perfOfmance of the wori( for which thipjlt is Issued. My workers' compensation ~nee carrier and policy number are: Insurance Co. ~ i\-l, !r:""L<1,k'."s:l-L Policy No. \ 0( 0 J l../ Y "::1-Expiration Dale -~=>---,/1--=(~t:,~---- This section need not be COfnpleted if the permit is for one hundred dollars ($100 , less. 0 Certlflcate of Exemption: I certify that in the perfOfma of th WOfk for ich this permit is issued, I shall not employ any person in any manner so as to become subjed to the WOfkers' Compensation Laws of California. WARNING: Failure to secure wor1(1rs' com sat n cover Is unlawful, and shall subject an employer to criminal penllties and civll lines up to one hundred thousand dohrs (&100,000), In addition to the cost of compensation, damages II pro 3706 of the Labor code, lnter11t and attorney's IHI. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Conlnlctor's Ucense Law /0( the following reason: D I, as owner of the property°' my employees wilh wages as their sole COfnpensation, will do the work and lhe structure is not intended°' offered for sale (Sec. 7044, Business and Professioos Code: The ConlractOf's Licensa Law does not apply to an owner of property who builds °' improves thereon, and who does such work himsalf °' lhrough his own employees, provided that such improvements are not intended Of offered fO( sale. If, however, the building°' improvement is sold wilhin one year of COfnpietion, lhe owner-builder wiN have the burden of proving lhat he did not build°' improve for the purpose of sale). □ I, as owner of the property, am exdusively contracting with licensed contractO(S lo construct the project (Sec. 7044, Business and Professions Code: The ContractOf's License Law does not apply to an owner of property who builds°' improves !hereon, and conlracts for such projects with conlractor(s) licensed pursuant to the ConlractOf's Ucense Law). □ I am exempl under Section ---~Business and Professions Code for this reason: 1. I personally plan to provide lhe majOf labor and materials for construction of the proposed property improvement. □ Yes □ No 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 consb-uction (include name address/ phone/ contraclO(S' license number): 4. I plan lo provide portions of the work, but I have hired the folio • person lo coordinale, supervise and provide lhe majOf work (include name I address/ phone / contractors· Mctnse number): 5. I wiH provide some of lhe work, but I have con (hired) e following persons to provide the wllfl( indicated (indude name / address / phone/ type of work): ~ PROPERTY OWNER SIGNATURE AGENT DATE COMP"LET£ THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant Of future building occupant required to submit a business fl!an, acutely hazardous materials registration foon Of risk management and prevention program under Sections 25505, 25533 Of 2553-4 of the Presley-Tanner Hazardous Substance Account !di □ Yes ~ Is the applicant°' future building occupant required to obtain a pellllit from the air pollution control district°' ai~l!!ity management district? □ Yes ><CJ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes ,)li(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. I certify that I hM lead the application and state that the above lnfonnation is c:ol19Ct and that the lnfonnation on the plans is accurate. I agree ID c:omplywtth all City onlinanc:es and SbM laws n!lating ID building construc:lion. I hereby auflorize representaweof tieCityof Cansbad t>enlerl4)00 aboYe menooned property for i,spedi)n Jllll)OSeS. I Al.SO AGREE TO SAVE, 11'-0EMNIFY AND KEEP HARMLESS TfE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A/'-ll EXPENSE ICH MAY IN mY WAY ACCRUE ~NST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA penni is requied for excavations 5 'deep ""1 ,llorr.-llili" ·,., or consuudi>n ci slrucUes fM!l: 3 siJries i1 heg1t. EXPIRATION; Every pem,it issued by tle Buikling . . of this Code shall expie by linitalm and become nul and -.00 l tie buidilg or 'Mlfk autlOlized by such pemit is not oorrmena,d \\fl1 180 days tom fie dale of such pemit or ij tie by such pem,it is suspended or abandoned at My tine after tie 'Mlfk is commenced for peood 180 days (Secti:ln 106.4.4 ltibm &ting Code). ,I$ APPLICANr S SIGNATURE DATE (✓3& ✓ JJ&£} J(CJ7 ,87 City of Carlsbad Bldg Inspection Request For 06/17/2010 Permit# CB100879 Title: GROVE: ROOF MOUNT. PV SYSTEM Description: Type: ELEC Sub Type: Job Address: 2344 JEFFERS PL Suite: Lot: 0 Location: APPLICANT JOHN STEMMERMAN Owner: GROVE JAY R&VICKI F Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 3144355704 --- Inspector: - Requested By: JOHN Entered By: CHRISTINE 39 Final Electrical ftE ______ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB100879 DATE 5/19/10 ADDRESS 2344 JEFFERS PL RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE OTHER SOLAR PANELS PLANNER GINA RUIZ ENGINEE~1t:A/{ II, \ADMIN\ CIIIINTER/PLANNING /ENGINEEruNG APPROVAi.i POOUSPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING DATE 5/19/10 DATE 1-5/;t /; (_} I I