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Home My WebLink About2419 LA PLANCHA LN; MP; CB102561; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29-2010 Electrical Permit Permit No: CB102561 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2419 LA PLANCHA LN CBAD St: MP ELEC 0000000000 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Project Title: RANCHO PONDEROSA-REPLACE Inspect Area: 100 AMP METERED PEDISTAL & CONCRETE BASE FOR PARK Applicant: PROTEC ASSOCIATION SERVICES 8170 RONSON RD 92111 858 569-1 080 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 0 100 Owner: ISSUED 12/29/2010 RMA 12/29/2010 12/29/2010 $10.00 $0.00 $0.00 $0.00 $25.00 $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: FINAL APPROVAL Date: 2 · 7 -( ( 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 NOTIFi;;"D that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, graciing or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f e x i n f h' h h v rl)vi T Ii i h I h «1'» Building Permit Application Plan Check No. (j ~ /n r/5/4 I V ' ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value OF 760-602-2717 / 2718 / 2719 CARLSBA~!hP Fax 760-602-8558 rPiA- Plan Ck. Deposit www.carlsbadca.gov Date / ).._ / :Z 9 1111 SWPPP JOB ADDRESS 2419 G Plancha Lane, Carlsbad, Ca 92009 SUITE#/SPACE #/UNIT# IAPN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Replace 100 AMP meter pedestal and concrete base @ Park Area. -f~-~ y-~~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) TDECKS {SF) FIREPLACE I AIR CONDITIONll'IIG I FIRE SPRINK_yc.~S YES0, No[] YES □No □ YES □No□ CONTACT NAME (If Different Fom App/leant) APPLICANT NAME Mark Adams ADDRESS ADDRESS 5555 Kearny Villa Rd, CITY STATE ZIP CITY San Dieao STATE ZIP Ca 92123 PHONE IFAX PHONE IFAX 858-569-1080 858-569-1088 EMAIL EMAIL madams@ao protec.com PROPERTY OWNER NAME Rancho Ponderosa HOA CONTRACTOR BUS. NAME ProTec Buildina Services ADDRESS ADDRESS 4059 Oceanside Blvd, Suite M 5555 Kearny Villa Rd, CITY STATE ZIP CITY STATE ZIP Oceanside Ca 92056 San Dieao Ca 92123 PHONE IFAX PHONE I FAX 760-643-2200 858-587-9844 858-569-1080 858-569-1088 EMAIL EMAIL Cheryl Leonard cleonard@curtismanagement.com info@goprotec.com ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# STATE UC.# 803435 !CLASS B I CITY ,us uc.1212045 (Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to c_onstruct. alter, improve, demolish or repaIr-,;i,ny structure, p_nor 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, comme_ndmgwIth 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORl<ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. lZ] 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 perm~ is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Evere,t National Policy No. CA1000103101 Expiration Date !!110/2C1n ]l!,i§,sectkin 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 wo ers' 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, dam s as provided for in S on 3706 of the abor code, interest and attorney's fees. ,85 CONTRACTOR SIGNATURE □ □ 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) 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 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. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed wori\, 3. I have contracted with the following person (firm) to provide the proposed construction {include name address/ phone/ contractors' license number) 4, I p\an 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 I address I phone/ type of work): KS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business~, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes L.JNo Is the ap~icant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? [Jves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo 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 lend mg agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1l Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon is corred: and thatthe Information on the plans Is accurate. I agree to oomplyv.tth all City on:llnaoces and State IEMs relatlngto building oonstructlon. I hereby a.rthorize representative of the City of Ca1sbad to enter upon the above menlione:I property for inspection purp:,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF Cll.RLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C<X'JSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required klrexcavatOns over 5'0' dee and dem::ilition or construction of structures over 3 stories in height. EXPIRATION: Every pennij issued by the Building Offici u · · ns of is C.ode shall expire by limitation and become null and void if the building or 'M)!'k authorized by such permit is not commenced within 180 days from the date of such pennit or if the bui · by sue pennit is suspended or abandoned at any time after the work is commenced for a perioo of days ( 106.4.4 Uniform Building C.ode) . .a$ APPLICANT'S SIGNATURE DATE . m City of Carlsbad Bldg Inspection Request . . Permit# CB102561 For: 02/03/2011 Title: RANCHO PONDEROSA-REPLACE Inspector Assignment: Description: 100 AMP METERED PEDISTAL & CONCRETE BASE FOR PARK IRRIGATION & LIGHTING Type: ELEC Sub Type: Job Address: 2419 LA PLANCHA LN Suite: MP Lot: 0 Location: APPLICANT PROTEC ASSOCIATION SERVICES Owner: Remarks: Total Time: Phone: Inspector: ---- Requested By: MARK ADAMS Entered By: CHRISTINE CD 32 39 Description Const. Service/Agricultural Final Electrical if-Commeo'e,:-,;j/ L- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments