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Home My WebLink About2710 LA GOLONDRINA ST; ; CB072278; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-04-2007 Electrical Permit Permit No: CB072278 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2710 LA GOLONDRINA ST CBAD ELEC 2155410500 Lot#: 0 GRIFFIN: 100AMP TO 200AMP REMO Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/04/2007 JMA 09/04/2007 09/04/2007 LEE MASTERS GRIFFIN ZIEGLER FAMILY LIVING TRUST 01-25-07 2846 CAMINITO CAPE SEBASTIAN 92007 760 420-4566 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 100 0 0 0 2710 LA GOLONDRINA ST CARLSBAD CA 92009 $10.00 $25.00 $0.00 $0.00 $0.00 $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 APPR VAL Date: 0 LO er) 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 tram 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 es/exa ti n f hi h hav r vio I b en iv n a N Tl imi rt hi r wh' h he t f Ii i i h I h i City of Carlsbad 1635 Faraday Ave .• Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. C BO 7 2-2-7 r------ Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date t,.f+-GC>l--610D R i r0 A SUITE#/SPACE#/UNIT# I APN -7 LOT# I'""" --1 • OFUNifs 9°ESCRIPTION OF WORk:: ' IOOA 'i"O CT/PROJECT 11 MA/60 I' BEDROOMS PArvr£L- ' BATHROOMS -I TENANT BUSINESS NAME EXISTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF) IDECKS (SF) !FIREPLACE YES □# __ NO □ CONTACT NAME (ff Different Fom App/leant) ··zr[~· ~ rz:)'<"b ADDRESS ADDRESS ~1.--bv-) CITY STATE ZIP CITY STATE PHONE EMAIL I FAX -------------~------------- PH~C) '40? ---4SG,G,, EMAIL ••o~'V'~~~ GR.I Fr=')IV '~o~••~'f"Fif<C,. I CONSTR-TYPE-I occ GROUP I AtR CONDITIONING IFIRE SPRINKLERS YES □ NO □ YES O NO □ ZIP "55"~7/D CA-001-0JUDR..1/IJJ+ 01 •D~'Vt0 c,A/1/\tNr,o ~ ~r~~TlAI\J ------=~-----=----f-=~---------~=----=-------- ciiv CA,Q.L) 1 pp::' sr~",4--ZIP cCAf<PI ~F ~ qz.co'7 --------~=~--------------f-==~------------==----------------- PHO~o 431 17?o l'AX PH~6o .,f:26 -45t.,,1.,, IFA7~o '1'4-Z 2c:i 1"9 EMAIL -----~------------f-==---------~---~~-----~--- EMAL.,€1'::MASTI:zR.S Joe e YArf i,o, cCf\l\ ARCHi6ES1GNER NAME & ADDRESS I STATE LIC. # !Sec. 7031.5 Bu1mess and Proleu1on1 Code: Any City or County: whrch requires a permit to construct. _al1er improve, demolish or ref!air any structure prior to ,ts ,nuance, also requires the a_ppl1cant for such permit to file a signed statement that he 11 ,censed l)Unuant to tht provisions of the Contractor's licenie law {Chapter 9, commending with Section 'looo of D1vi1ion 3 of the Business and Pro{miou Code} or that he is txtmpt therefrom, and the buts for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjecu the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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 fOf which this permit is issued. □ r have and will maintain workers' compensation, as req_t1ired by Section 3700 of the Labor Code, for !he performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: lnst:raQce Co, · Policy No _______________ Expiration Date __________ _ ~ section need not be completed if the permit is for one hundred dollars ($100) or less. ~ Certificate of Exemption: I certify that in the perfor ce of the work for which this ~rmit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal1forn1a. WARNING: Failure to secure workers' o ensation c age is unlawful, and shall subject an employer to crfmlnal penalties and clvil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensall~ , cl·"<.:,:i,y--•••ovided f n ion 370~ ~ode, interest and attorney's fees. CONTRACTOR SIGNATURE 1iicl~l:!CIC ~ U//.+- 1 hereby affirm that I am exempt from Con/ractor"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 sale {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are no\ intended or offered for sale. If, however, !he building or improvement is sold wi1hin one year of completion, the owner-builder will have the burden of proving tha1 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 □ Yes □ No 2 I (nave/ have not) signed an application for a building permit for the proposed work 3. ! have contracted with the following person (firm) to provide the proposed construction (include name address I phone 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 I address I phone I contractors' license number) 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work ind,r.-'ltf!d (include name I address I phone I type of work) ~ PROPERTY OWNER SIGNATURE DATE • ls !he applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management 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 ob1ain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be cons1ructed within 1,000 fee! of !he outer boundary of a school 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. I certify that 1 have read the application and state that the above information is correct and that the information on the plans ls accurate. I agree to oomptywtth an City ordinances and State laws relating to building oonstructlon. !hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property' for iflspection 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 perm~ is required for exc:avations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eveiy permit issued by the Buikling I nder the pr · · ns of this Code shall expire by limitation and become null and void W the building or wort< authorized by such permit is not commenced within 180 days from the date of such permi work au · y such p~ded or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform BuildnQ Code). APPLICANT'S SlGNATUR 'tfz,(J ~ DATE City of Carlsbad Bldg Inspection Request For: 10/09/2007 Permit# CB072278 Title: GRIFFIN: 100AMP TO 200AMP REMO Description: Type: ELEC Sub Type: Job Address: Suite: Location: 2710 LA GOLONDRINA ST Lot: 0 APPLICANT LEE MASTERS Inspector Assignment: PD --- ll-,,, &-14 / '-•· ;/' (,>of I/). Phone: 7604204566 Inspector: MC.. Owner: GRIFFIN ZIEGLER FAMILY LIVING TRUST 01-25-07 Remarks: Total Time: CD Description Act Comments Requested By: LEE Entered By: KATHY 39 Final Electrical £L PJZI vt:A b/ .. tlv ~ ot.., l'.'.k1E:, oiC. Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 0912712007 33 Service Change/Upgrade Act lnsp Comments AP PD NOT FINAL