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Home My WebLink About2710 OBELISCO CT; ; CB120092; Permit01-19-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: CHANEY ELECTRIC City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PM E) Permit Permit No: CB120092 Building Inspection Request Line (760) 602-2725 2710 OBELISCO CT CBAD PME 2154202700 Lot#: 0 KIRKEBY RESIDENCE 150 AMP PANEL CHANGE OUT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/19/2012 MOP 01/19/2012 01/19/2012 KIRKEBY GERALDINE W FAMILY TRUST 05-23-00 4105 HIGHLAND DR CARLSBAD CA 92008 433-3455 2710 OBELISCO CT CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: FINAL Inspector: fl:'.'. ~ ~ Date: .:;;0~.:.:~li..:2.=---Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'lmpositicn' of fees, dedications, reservations, or other exactions hereafter ccllectively referred to as "fees/exactions." You have 90 days from the date this permit was iss!Jed 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 Municioal 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 impositior,. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/e~actions 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 f x i n f whi h h v r vi n iv n N Tl E imil r thi r whi f limi i n ,· (~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN CcJ PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME Include Square Feet of Affected Area(s) J) v -/-S eFc/ /cc.. GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NOD APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY CITY STATE PHONE FAX 7~r~J[I-- AIL AIL PROPERTY OWNER NAME ZIP CITY PHONE FAX PHONE FAX MAIL AL ARCH/OESIGNER NAME & ADDRESS STATE UC.# SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES D NOD ZIP ZIP 9;:ia;, (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 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 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)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to sell-Insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this perm It Is Issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ol the worl< for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Pohcy No.---------------Expiration Date ----------- E on need nol be completed if lhe permit is for one hundred dollars ($100) or less. ificate of Exemption: f certify that in the performance of the worl< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' Compensation Laws of . WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollars (&100,000), In addition lo the cost of compensation, damages as provided for in Secti 3706 of the Labor code, i and attorney's lees. ~ CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and lhe structure is not lnlended 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 worl< 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 nol build or Improve /or the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construcl 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 lo the Contractor's License Law). D 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 improvemenl D Yes D No 2. I (have I have not) signed an application for a building permit for the proposed worl<. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' lic:.ense number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worl< (include name I address I phone I contractors' license number): 5. I will pro · of the worl<. but I h e contracte e following persons to provide the work indicated (include name I address I hone I of worl<): ~ PROPERTY OWNER SIGNATURE DAGE NT DATE " Is the applicant or Mure 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? 0 Yes O No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 have read the application and state that the above infonmation Is conect and that the infunmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Car1sbad 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 of this Code shall expire by limltation and become nun and void if the building or wor1< authorized by such permit is not commenced within 180 days from the date of such permit or if the buildilg orwor1< authorized by such permit is suspended or abandmed at any time after the wor1< is convnenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,Ji$ APPLICANT'S SIGNATURE ~ DATE / ,--/?-/ -2...._ City of Carlsbad Bldg Inspection Request For: 01/24/2012 Permit# CB120092 Inspector Assignment: MC Title: KIRKEBY RESIDENCE Description: 150 AMP PANEL CHANGE OUT Type: PME Sub Type: Job Address: Suite: Location: 2710 OBELISCO CT Lot: 0 OWNER KIRKEBY GERALDINE W FAMILY TRUST 05-23-00 Owner: KIRKEBY GERALDINE W FAMILY TRUST 05-23-00 Remarks: --- Phone: 7605189830 Inspector: ---- Total Time: Requested By: C Entered By: CHRISTINE CD Description Act Comments 39 Final Electrical A t-.1o ~ o,j .s t<Cl;:. Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 01/20/2012 33 Service Change/Upgrade Act lnsp Comments AP MC EMR f'Lt:::Ase. ~£::Ab t..0?'( o F ~ u-1,lL-~fb'Z-r'" t""n µ. D .