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Home My WebLink About2652 LA COSTA AVE; ; CB054296; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-20-2005 Electrical Permit Permit No: CB054296 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2652 LA COSTA AV CBAD ELEC Status: Parcel No: 2162801300 Lot#: 0 Applied: Reference #: Project Title: BRAMBLE Res TEMP ELECTRIC Applicant: DEL MAR CUSTOM HOMES STEB 2737 E COAST HWY 92625 949 874-5299 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fe~ · Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: BRAMBLE RICHARD 24821 STANHOPE #F DANA POINT CA ·92629 ISSUED 12/20/2005 KG 12/20/2005 12/20/2005 $10.00 $0.00 . $0.00 $0.00 $0.00 $0:00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20-:00 Balance Due: . ,: ' Inspector: Clearance: ------ $0.00 NOTICE: Please take.NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referre1Ho 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 _pro.test 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. · PERMIT APPLICATION FOR OFFICE USE ~5 k___/ ,o PLAN CHECK N~7p < ' • CITY Of CARLSBAD BUILDING DEPARTMENi EST. VAL. _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ~ Valida~AY . __ / Date &/-r-2?J :c6""; Legal Description Lot No. Subdjvision Name/Number .9..\6~2-~-l~ Unit No . Phase No. Total # of units Assessor's Parcel # , Existing Use · . Proposed Use 71:;:M:£?.c surc:v2.l e. • · - Description of Work sa. FT. #of Stories # of Bedrooms # of Bathrooms Address City State/Zip Telephone# Fax# Name , Address City State/Zip Telephone# w::-:1'1?·PROPERTY.:QWNER~,,.i ·,~;;-~,1·t';:,;:·:, ·.;-~;·-,:.·, _ _----:-,,~~A?.-,·. n_, ... -:::·~:; ;-~":-t-' "'' :·.:.z1:_;-.. ·.-.. ,:~\-·1 z.i:._: -:;~ '-~"7:,f<>:+ -·.:,-\ '\._;: <~-,1_~-i-;,,~· --,'c{~~~·sp-n;;::.:~'-i';:~·;,\;:4"\ :.,,,.-3" 7--·;5r~ l~,:-~~ .. ::-,>:;!;::1;._.;;;: .. ~tt,~~\~-r::~ --··rR··lac·' ···si'~~, ·-···2-~cg·" ?~<fy_,..-.-q-:···-~---v;~"s.'"'c1t-""'or·+1 ··~7·z· gz:.?i -Ml.v, -:· Naml! Address · _,.~ .. ,--~----,""""" City S.tate/Zip . Telephone# 7 . ®:~(}.fl!:tSA.~T9ll::~:qg,MP,~-~~t4~i~;'fi ;[/';,:;;:~:T:;.'~:?:;?o:~TJX;;,~:{f:: .... ,·,,·~---·"""'' (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 statemflnt that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commendi11g 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001) . .fPeL nA-tL. c~ k~n c;:tAc '\bW)( "2..Cc)S 5feN 0:-Af-cd> ct 5 2.s::Y,c, lXI-Ci <i?74.SZ9'.} Name ' Address · . City · · State/Zip · T~lephone # State License # ---t-.,;'--"-~.._...._~-License Class lb City ~usine_ss License # 1-Z.. \ '15 '+ <67 Designer Na'nie Address City State/Zip Telephone State ·J.:icense :.;,#;;:;;::::::::;;;;::::;::::::;;:::;::::::;;::;;::;;;:::;:::::::;; 1G:~;§,v-cQeffl=-~,~t19,,o.MR~bttitifl~7~:;~ ~~:i:t1~.I~~;:~r{.J0.~;:~~~:::::~:r~cr,~·s2~l~~r;~~;)~-,~i~~:rt-~~-;~~~~:¥2rt?~~3~.;~~~~~zt11j~t}~0?1t~~g~-~~~~~~c:~~~:~~-1F9;t~~~ Workers' Compensation Dl!claration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have.and will· maintain a .certificate of consent to self,irisure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ~ave and will m'aintain 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: · ~ '"1 / ( l ),·,../ lnsuranl;e Company ~ fl,>rJD Policy No. 1 ~ ~l lc:::::> Expiration Date b _ O\ _\.JC:.> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR .ONE.HUNDRED DOLLARS ($1001 OR LESS) I [I CERTIFICATE· OF EXEMl!TION: I certify that in-the pe.rfor.mance of the work for_ whic!i this permit is issued, I shall not employ any person in any manner so as to become·s1,1bject-to the Workers' Compensation Laws of Califor(lia, WARNING: Failure to secure workers' compensation coverage Is unlawful, end ahaU subject an employer·to criminal penalties and civil fines up to one hundred thousand dollars ($1 O), I n to the cost of .com~ansatlon, demagei as provid!!d.for in.Section 3706 of the Labor code, interes !'~mey's fees. SIGNATURE . . , DATE °2-20 CQ t~;~jfti.WA~li -~ I ,:_,jij/_QE~f~::-, ·,~-~~----, ·:, t:i;:~~~:-t:::::.:.~;t~-~i ~:~J ~~:::::·J }~~~ ,:i;r/~;~<1::::)~?.~li~J£: ;-,:,; tl~~f 1 {~:t::Jt:~:;i,if:~\~/;~:~"l(}?;:i:if!J:Jtr:~;\(rr:'K~':>?<;i~t:9:{t;:{?i' ~-r:,::ttf?'~~:~:t, I hereby affirm -at I am exempt from the Contractor's License Law for the following reason: · 0 I, as owner of the property or my employees with wages as· their sole compensation, will do .the work and the structure is npt intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does riot apply to an owner of prop11rty who builds or improves thereon, and who does such work himself or through-his own employees, provided that such improvements are not.intended or offertid 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). ·O I, as owner of the property, am exclusively contracting with licensed contractors to c::onstruct thl!' project (Sec. 7044, Business and Professions Code: The Contractor's ·License Law does not apply to an-owner of property who builds or· imp.roves thereon, <!nd contracts for suc)1 projects with contractor(s) licensed 'pursuant to the Contractor's License Law). tJ I _am ex.empt under Section ______ Business· aricl Professions Code for this reason: 1. I pers~>nally plan to provide the major labor and materials for construction-of the··proposed property improvement. 0 YES ONO ,2. I (have/ haye·not) signec! 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 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 Ji'cense n\Jmb_er): · 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. work): __ .....,.--~----,-------------------~"""'"--,--~----------------------- PROPERTY OWNER SIGNATURE _____ -,--,---------------"-.....--~---'--DATE ________ _ iqq_~JY(m,It!J$11$l!liLQ..~F.Alt}tlcm~qf)v~,.~i~N,~~e,isDMJtj;g~i;'\:::•2~:~1~{ljiJ~'t?.t'.fJ;..l~'i(}~&~-;z·::;£c?:?!JfilL;;t)~o;t~1:~tl~!t1i~/t!i;~1ii;:f}M . Is the applicant or futur!I building occupant required to submit a business plan, acutely hazardous materials· registration form or risk management and prevention program under Sec!ions 2.55?5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO · Is the applicant or future·building occupant required to obtain-a permit from the air pollution-control district or air quality management district? 0 YES O NO ' . . . Is the facility to be constructed within ,;ooo feet of the outer ~oundary of a sc!iooi sit!!? 0 YES o· _NO IFAN'v OF THE ANSWERS ARE YES,.A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENT.S·OF'THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I, hereby affirm that there is a-construction.lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ..c...,--~----------LENDER'S ADDRESS [Qf0.f::~_eJ;l~~~~~l:JElC,AIJ_Qr,1~t~Jz;:ff;:;:J?Z~~a;~~~ilft~;fIYli~::;.:}~~;:}~1::\~~ifl.-1-~~-:/£-··'-""-~:/-S--I~,::~:r-t1_0_J:-?:--~?-~-i:-¢t-}~---:~-\:>_!_5_-~;-J~-:t-f;'.-:f:~-f-~-&-:~~-:r-~f-·ir-\:-<r,:-if-fI'-~r~--7i-;;}_:_f_-:;.._r_c-~-:?-,P-:?:!'-_.=-~-r~-:r--.;::-:<,$.-t-~:;~ · I certify·that I ~ave. read the application and state that the above information is corrl!ct and that the information on the plans is acpurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 EXPENSESW~ICH MAY IN'ANYWAY ACCRUE AGAINST SAID CITY.IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required f9r excavations over 5'0" deep and demplition or con~tructiori llf structures over 3 stories in height. EXPIRATIO!II: Every permit issued by the building Official under the provisions of this Gode shall expire by limitation and become null and void if the building or work !l,\Jtliqriz\:)d l;>y such ,permit is not commenced within 180 days from the date of such permjt orif the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced a perio f days (Section 106.4.4 Uniform Building Code). DATE City of Carlsbad Bldg Inspection Request For: 12/22/2005 Permit# CB054296 Title: BRAMBLE RES TEMP ELECTR.IC Description: Type: ELEC Sub Type: Job Address: 2652 LA COSTA AV Suite: Lot 0 Location: APPLICANT DEL MAR CUSTOM HOMES Owner: Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 9498745299 Inspector: _e Requested By: RICK Entered By: CHRISTINE 32 Const. Service/Agricultural A/I _-efi'i,Siili-._~__,_-C,"""".~"-;-. ~'/~ti ___________ _ Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB050696 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2652 LA COSTA AV CBAD ELEC Status: Parcel No: 2162801300 Lot #: 0 Applied: Reference #: Project Title: BRAMBLE RES-TEMP POWERPOLE Applicant: DEL MAR CUSTOM HOMES STEB 2737 E COAST HWY 92625 949 87 4-5299 Electric Issue Fee Single Phase perAMP 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: BRAMBLE RICHARD 24821 STANHOPE #F DANA POINT CA 92629 ISSUED 03/08/2005 LSM 03/08/2005 03/08/2005 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: EXPIRED PERMIT $20.00 PERMIT HAS EXPIRED IN ACCOROANiWt1ff 8.i:'8~ SECTION 106.4.4 AS AMENDED BV C.M.C.18.04.030 0002 01 CGP Inspector: DATEml(:M \o<e SIGNATURE __ _..., t).r:...;..::,::.iUA)""--__ _ 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. 02 20 .. 00 FOR OFFICE USE ONLY .PERMIT APPLICATION PLAN CHECK NO. (:__/3 0 7::>7J& '1 0 ! CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, ·CA 92008 EST. VAL. _________ _ Plan Ck. Deposit-~....,.,..---=----- Validated By __ _,.~:c...,...=,,;..-rv=------ Pate __ ,_31'-+-f-=+t/-"-ili-=-,......-- Address (include Bldg/Suite #) ·Business Name (at this address) Legal Description · Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use ::Tee\1?2 Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name . . Address · , City ' State/Zip Telephone # ~ -~:·z,!;-:en2~~N~·l02_~:};'>: .. :::"[·· :,:·:'>;:,;/;f .. -:;·.-.;-:;·:·_:·x.\•\'':;s-_-:.:·~-';'._1·.~;,::;;d,:(;;:::::_-;._,::c>_:,,::~;4'-'j .·~-,~:~'3(< , '\: Name · Address City S.tate/Zip Telephone # ~!?.i:i2!¢.P.fl!itR~Q:J,;0R'~:g~r,,~xr~tJMi'!E'~ ,'-~-' ~).' . .'''' ,:: · _ _. ".~: -.. ,,_;<-,:. _,.:. ·4"-; .. -~--~/;-: 'f:=·:~1 "~' ,':'.); (Sec. 7031.5 Business and Profe~ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its jssuance, also requires the applicant for such permit to file a signed statemEmt 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 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 thl!n five hundred _dollars [$500)~ J:?EL HA12--C.\°1t--%V\ \1Q:::l\2~ . ;t:NC... 2/) :S f) S> CoA-sv lt~ "f\6 · Co~ @ tl{vl't <.A: Name · · Address · City tate/Zip Telephone# °I~ State License # '7C/ Z...?, ::3 :'.::) License Class _ Q . City Business License # I d-l & 4 % 7 D . N M,~1¥-' esIgner ame . . Address City State/Zip Telephone State License # _________ _ rt";?:s;1ll.qtil~~Y.f~.tiM~~ii:AJ1p:f(j:\.,:,:~:,.: -;,:;-;: · ·-'?·.:\. ·,:·/<:, -·:;,_:-, ,\;/;.~ -, .' '_-._;·::: .:,.:-,, .. -.,, · ,-~.,·_.-.:: ..... ,._, -, ·. -!0: -:: • -;,.:, 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 t~e performance of the work for which this permit is issued, -• ~--~ have and will maintain workers' compensation, as required by Section ?,700 .of the Labor Code, for the performance of the work for which this permit is ~-My worke_r's compensation_i11s·urance carrie! and policy numb.er are: _ _ ~ I(:;, /f) (JJ),f;.-0 ~ Insurance Company S"Cffi:"t;;;f B-,)JJ.f) Policy No. / 5 5 . .,).. . Expiration Date _______ • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ' -" . 0 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 t<l the Workers' Compensation Laws of California. WARNING:· Failure.to secure workers' ci;>mp~nsation coverage Is unlawful,, l!nd shall subject an employer to criminal penalties and civil fines up to one hundred I thousand dollars ($10 00 a on.to e cost of compensation, damages as.provided for in Section 3706 of the Labor !od~iJterest and attorney's fees. · SIGNATURE: __ ~===16---,:l,~1,.;::!S:::..:::5:::::::::'.:1~""""".-,::::.:.._ __ ---,-______ DATE. ~ t ~<AL: ?iht 'AV\'.NE#.~ijj:(f" ' .. ii]>l<f1 :·:·:·. '', -• ..... \ -~'.:.r}\::."//·) ;, r:\'At (;;,;?,;: ,'; -:~::::·::·; ... ~~ ,1~-:, .. '.\··' .: \ ,-:-,:,·,,\: ·J.:_-_: . ,:: ~ ,?;, -.::-::· :'};:'. :::: ' ,(',_ ::_ ,;-:.-, . '",,_-' I hereby affirm th t I am exempt from the Contractor's License Law for the following reason: 0 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 f>rofessions 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 improyement 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 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 prope'rty wh~ builds or improves ther~on, 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'iabor and ~aterials for construction of the proposed-property improvement. Cl 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 th_e proposed 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 work): ________ ~----"-'---------,-'---------------'---~--------------------- PROPERTY OWNER SIGNATURE ________ ~-------------DATE ________ _ t.¢,9M.~b~.I~[Jil${~E.cit'iPli1FQ1!:#9A'~f$(QfNti.,4,l;',~ti,J¢OiN.G ~ER~f:TS,PN~Y:::/ ·,__ .. ·, .,_·:.-_. 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 S~ctions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? [J YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school .site·? 0 YES tJ 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 POL~UTION CONTROL DISTRICT. f8t~~'.~§>..N~;t,f.lV9,JfQ~Jt~~QJ.NG~A.G.1;!119)';:;~,0)~:t~:!~>·. . ...... , ... -.. -: .. -~ I hereby affirm that there is a construction-lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAM_E· _ -'-'-----'---------------- 1~\;5'1~1!e,~J~~til;f:,pJiRJ:lflC~JfQ.!11i::'t-i · ·, { :. I certify that I have read the application and state that the above information is correct and that thE! information on the plans is accurate. I agree to comply with all City ordinances and. State laws relating to building construction. I hereby authorize representatives of the Cit\! 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 l>ERMIT. 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 bf thi!l 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 atanytimeafterthe·workiscomm ·ced _r eriod 180days(Section106.4.4Uniform~~ / ) ,._..-, APPLICANT'S SIGNATURE -· , DATE 3 B _ D;:) t l