HomeMy WebLinkAbout2611 LA GOLONDRINA ST; ; CB161634; Permit04-28-2016
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB161634
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2611 LA GOLONDRINA ST CBAD
PME Status: ISSUED
04/28/2016
SLE
04/28/2016
04/28/2016
Parcel No: 2155621900 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: ESTES: 125A PANEL UPGRADE
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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ESTES DAVID H&GILVEY MARGUERITTE F
2611 LA GOLONDRINA ST
CARLSBAD CA 92009
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Clearance:
$0.00
l'OllCE Please-l'Oll that ci your prcje:l irdt.des tte "lrTJ)C)Sitiorl' ci fees, cladcaions, reseMllions, or cther exaiions teeafter CXlllaclively
re!erred to as ·-e,oo;crs" Yoo have oo dajS from tte -tns pem;t """ is&.ed to praest irTJ)C)Sition ci trese fees/e>ooicrs If you praest th3rr\ you rrust
fdlCM1the praest prooeciressetforth in G>lerrrrerl Cooe Section €0020(a), ardfilethe praest ard anycther requred infonraion l'.ith tte Qty """-'fo,,
processirg ;,, amdaa,,ith Qrlsba1 MJl"ici!"i Cooe Section 3.320?0. FailuetotirreyfdlCMllh!t ~\MIi ba' anySLiloeql.ent legal aclion to atta1<.
review, set aside, vdd, a clTIJ their ifllXEiition.
Yoo ae hereby R.RTI-m l'OllFIEDthat yr;,.r right to praest tte specified fees/exmions OCES l>l'.Jf !'PPL Y to v.eter ard ,..,.,,-OOl'Y'<rlion fees ard cap,.;ty
ctmges, nor plmrg, zcrirg, !Jl".lrg or cther snilar application processirg or senna, fees in OOl'Y'<rlion wlh ths prcje:l. l'l:R OCES IT !'PPL Y to any "'" . .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING 0FIRE □HEALTH 0HAZMAT/APCD
<<~,> Building Permit Application Plan Check NoC-511..0 l lQ ':)L\
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date L..\-?~-\lP jSWPPP
JOB ADDRESS SUITEf/SPACEt/UN11t IAPN 2611 La Golondrina St 215-562-19-00 -
CT/PROJECT# !LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME
1
CONSTR. 1YPE
I
acc. GROUP
o_,,.RIPTION OF WORK: Include Square Feet of Affected Area(s)
Panel Upgrade to 125 amp
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS v,so NcQ YES0No0 v,s□NoO
APPLICANT NAME {Primary Contact) Calsouth Electric APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS 1365 North Johnson Ave #115 9880 Magnolia Ave #119
CITY STATE ZIP CITY STATE ZIP
El Caion CA 92020 Santee CA 92071
PHONE IFAX PHONE IFAX (6191722-6903 619-405-2648 619-330-4796
EMAIL EMAIL
mespinoza@calsouthelectric.com jennifer@permitrunner.net
PROPERTY OWNER NAME David Estes CONTRACTOR BUS. NAME Calsouth Electric
ADDRESS ADDRESS
2611 La Golondrina St 1365 North Johnson Ave #115
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 El Caion CA 92020
PHONE IFAX PHONE I FAX (7601 603-9780 (6191 722-6903
EMAIL EMAIL
mespinoza@calsouthelectric.com
ARCH/DESIGNER NAME & ADDRESS !STATE UC.# STATE UC.# ICLASSC10 I ciTY M~~c~eed to apply 961906
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demoUsh 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 B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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 declarafions:
8 I have and wlll maintain a certificate of consent to self-insure for worllers' COITl)E!f'lsation as provided by Section 3700 of the Labor Code, for the performance of the work for which lt1is permit is issued.
I have and will maintain workers' compensation, as required bv Sectkln 3700 of the labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co. STATE COMPENSATION INSURANCE Policy No. 9127325 Expiration □ate 0311612017
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation cove e is unlawful, and shall subject an employer to crtmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost Of compensation, damages as rovided for i o,n 3706 of the labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE
I hereOf affirm that I am exempt from Contractor's License 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 sa~ (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 empklyees, 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 wilt have the burden of proving that he did not buik::I or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting wfth 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 ex.empt under Section ____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials br construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (f1nn) to provide the proposed construction (include name address I phor.e 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/ address/ phone/ contractors' lice rise 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 <l'.ldress I phone I type of work):
Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE ·-------------------------~
I
I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk maia;Jement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air poMon control district or air quality management district? □ Yes □ No
Is lhe facility to be constructed within 1,000 feet of the outer boundary of a schod site? □ 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 lendmg agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certtfythat I have read the application and state that the above information is correct.and that the Information on the plans is accurate. I ag,ee to comply~ all City ordinances and State laws ielatlng to bulldlng construction.
I hereby authorize representative of the City of Carlsbad to enter up:m the above menlbned propertybrinsp;,c{lon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILmEs, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required br excavations owr 5'0' deep and demolltk>n or construction of structures owr 3 stores in heght.
EXPIR/fflON: Every permit issued by the Buik:ling Official under lhe provisions ofthi shall expire by imitation and oo::ome nu! and void if the b.Jik:ling orv.ork authorized try such pennit is not oommenced v.tthin
100days from the date of such permit or if lhe building or oork orized by It is suspended or abandoned at any lirre after the v.ork is oommenced bra period of 100 days (Sectk>n 100.4.4 Unibrm Buildi,g Cooe)
..@S° APPLICANT'S SIGNATURE DATE 4/27/16
--------------·-
Inspection List
Permit#: CB161634 Type: PME ESTES: 125A PANEL UPGRADE
Date lnspec:tion_ltem Inspector Act Comments
05/11/2016 39 Final Electrical RI CARD INSIDE PANEL
05/11/2016 39 Final Electrical PY AP
05/04/2016 33 Service Change/Upgrade RI DISC/REC
05/04/2016 33 Service Change/Upgrade PY AP
Monday, May 16, 2016 Page 1 of 1