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HomeMy WebLinkAbout2720 ABEDUL ST; ; CB032650; PermitCity of Carlsbad . 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 09-25-2003 Electrical Permit Permit No: CB032650 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 2153502000 Lot #: 0 Applied: 09/25/2003 Reference #: Plan Approved: 09/25/2003 Issued: 09/25/2003 Project Title: MCBRIDE RES-INSTALL SUMP PUMP Inspect Area: 2720 ABEDUL ST CBAD Entered By: RMA AT REAR PATIO Applicant: GEISSLER ENGINEERING STE 101 2533 S HWY 101 92007 760 633-4252 Owner: MCBRIDE FAMILY TRUST 02-04-94 5002 09/2S/03 Wpl. 02 2720 ABEDUL ST CARLSBAD CA 92009 20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RernodeVAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. Ud3 acf, EST. VAL. Plan Ck. Deposit Validated By Date Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use NAM (Sec. 7031.5 Business and Professions 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 from, and the basis for the alleged an five hundred dollars 1$5001). 0 of the work for which this permit is issued. I have and will maintain a certificate of consent to self-insure ior workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the myich this permit is Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1~1001 OR LESS) I 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 to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' 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, damages as provided for in Section 3706 of the Labor code, interest and attornay's fees. SIGNATURE DATE I hereby affirm that 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 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 bulld 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 property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): Business and Professions Code for this reason: UNO 4. number / contractors license number): 5. 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 / phone 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 number I type of work): PROPERTY OWNER SIGNATURE DATE program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO 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 Citv 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 PERMIT. OSHA: An OSHA permit is EXPIRATION Every permit authorized bv such Dermit is and demolition or construction of structures over 3 stories in height. provisions of this Code shall expire by limitation and become null and void if the building r work date of such Dermit or if the buildino or work authorized bv such Dermit is susoended or a&doned DATE at any time ifter the work is co APPLICANT'S SIGNATURE - WHITE: File YELLOW: Applicant PINK: Finance 1' City of Carlsbad Bldg Inspection Request For: 03/12/2004 Permit# CB032650 Inspector Assignment: JM Title: MCBRIDE RES-INSTALL SUMP PUMP Description: AT REAR PATIO Type: ELEC Sub Type: Job Address: 2720 ABEDUL ST Suite: Lot 0 Location: APPLICANT GEISSLER ENGINEERING Owner: MCBRIDE FAMILY TRUST 02-04-94 Remarks: ELEC SUMP PUMP Phone: 7608151 892 InsDector: Tm Total Time: Requested By: HEIDI Entered By: CHRISTINE CD 39 Description Final Electrical &comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 09/26/2003 34 Rough Electric PA JM OK TO BACK FILL, R.O.W. PERMIT REQUIRED 09/26/2003 44 RougNDuctdDampers WC JM Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: Ruth and Donald McBride 2720 Abedul Street La Costa, Ca .# MAIL TAX STATEMENTS TO: SAME AS ABOVE SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX S...O easement only ....................... ..... Computed on the consideration of value of property; OR ..... Computed on the consideration of value less liens or encumbrances remaining at time of sale. Signature of Declarant or Agent determining tax - Firm Name APN # 215-350-21 EASEMENT GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Martin Ove Havre, Trustee and Cyntia Stummer Havre, Trustee of the Havre Living Trust dated October 5,2000 and any amendments thereto hereby GRANT(S) to Donald S. McBride and Ruth M. McBride, Co-trustees of the McBride Family Trust dated February 4,1994 the real property in the City of County of San Diego ,State of California, described as An Easement for the purpose of maintaining Drainage Pipes, over, under, along and across the Westerly 5 feet of the Northwesterly 5 feet of lot 445 of La Costa Meadows, Unit No. 3, in the City of Carlsbad, County of San Diego, State of California, according to Map thereof No. 7076, filed in the Office of the County Recorder of San Diego County, October 6,1971. M Martin Ovc Havri - Cynta Stummer Hahe STATE OF CALlFORN , }ss. COUNTY OF 1 -25 -20h3 before me, On ~ 1D personally appeared Marin Ove Havre and Cvntia Stummer Havre 74 // KL+i t? kvckk .*. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name@) is@subscribed to the within instrument and acknowledged to me that he/shem executed the same in hisher-uthorizeud capacity(ies), and tKby hisher@ signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. MAIL TAX STATEMENTS AS DIRECTED ABOVE (This area for official notarial seal) 1002 (l/94) . ..- CERTHOLDER COPY PENSATION INSU,RANCE so REGIS PROPERTY MANAGEMENT ATTN ANN MARIE DOUGLAS 8160 L MESA BLVD LA MESA CA 91941 so This is to certify that we have issued a valid Workers’ Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30days’ advance written notice to the employer. is not an insurance policy and does not amend. extend or alter the coverage afforded Notwithstanding any requirement term, or condltlon of any contract or other document with respect to which this certificate of insurance may be issued or may pertaln. the insurance afforded by the policies described herein is subject to all the terms. exclusions and conditions of such policies. PRESIDENT .I_ AUTHORIZED REPRESENTATIVE DEFENSE COSTS: si .ooo.~~~.oo PE RENCE . -STANDARD EXC YERS AND HUS6AND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS”EMPL0YEES UNDER THIS POLICY. - ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS‘ NOTICE EFFECTIVE 06-01-2003 IS ATTACHER TO AND FORMS A PART OF THIS POLICY.