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Home My WebLink About2256 SARA WAY; ; CB090862; PermitCity of Carlsbad ,_ • 1635 Faraday Av Carlsbad, CA 92008 05-27-2009 Electrical Permit Permit No: CB090862 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2256 SARA WY CBAD ELEC 1675401900 Lot#: 0 POLACEK RES-UPGRADE PANEL FROM 125 AMP TO 200 AMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/27/2009 LSM 05/27/2009 05/27/2009 CERTIFIED ELECTRIC POLACEK FAMILY TRUST NO 3 07-10-03 STE 101 14781 POMERADO RD 92064 800 561-7575 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 0 0 0 75 2256 SARA WAY CARLSBAD CA 92008 $10.00 $0.00 $0.00 $0.00 $18.75 $0.00 $0.00 $0.00 $0.00 $0.00 $28.75 Total Fees: $28.75 Total Payments To Date: $28.75 Balance Due: FINAL APP~OVAL Date 7~ -t:JC/ 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 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 wit! 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 f s/ h' h h v r vi l n iv n a N I imil r hi r hi h h ta f limit Ii n h VI I h i CitY. of Carlsbad (i) Plan Check No. C.S6qor~;::) 1635 Fa~aday /{ve., Garlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit . Building Permit Application Date _s-J-;).-,foq JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2256 Sara Way --- CT/PROJECT# lLOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS lTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Upgrade 125 amp to 200 amp EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □# NO □ YES O NOD YES O NOD CONTACT NAME (If Dmerent Fom Appllc4int) APPLICANT NAME Jennifer Cole ADDRESS ADDRESS P.O. Box 711564 CITY STATE ZIP CITY STATE ZIP Santee Ca 92072 PHONE IFAX PHONE 619-405-2648 IFAX 619-330-4 796 EMAIL EMAIL oermitrunner cox.net PROPERTY OWNER NAME Tim Poacek CONTRACTOR BUS. NAME Certified Electric, Inc. ADDRESS 2256 Sara Way ADDRESS 14781 Pomerado Rd #101 CITY STATE ZIP 92008 CITY STATE CA ZIP Carlsbad CA Poway 92008 PHONE PHONE 760-720-5226 lFAX 800-521-1495 IFAX 858-513-2199 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# l0 c10 1 c,1Yr~~&o 789089 (Sec. 7O31.S B•sinHS and ~INIS Code: hy City or. CountJ: wh1dl rt11••m a pemut )0 CO~Slnlct. _alttr l!l!P"!"!. ~~isll or rtjtilr. any struCbll"f pnor to Its ISSUUCf, U9 f!qUll"fS the a,ppl1cant for Slldi .Pf!111t1 to file a Sl(lled swement that lie 15 TIUl!secl ..0.Ul'Slladt to the prqy111ons of the ~traqoi"s Lict1st 1,1w {Chapter _9, commending with Stctio1 1000 of Dr,won 3 of .. , Bu11ness and ~ions Code} or dlat he 11 exempt tfttrettom, and die lwii for the alleged rumpti011. Any •iolatiod of Section 7031.5 by adJ appllClllt for a pennrt subJKIS die appllCUt to a ow1I pNalty of ROI nm tliu mt hundl"fd dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaraDOfls: □ 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 perfotmance of the woril for which this pennit is issued. [2]1 have and will maintain workers' comP.en•atlj as required by Section 3700 of the Labor Code, for the perfonn~o~~~qlJtlis permit is issued. My workers' compensation insurance carrier and policy numberare, lnsuraoce Co. State Fun□. PolOy No. U'I .. -UULS,~l ~ E><piration Date 09/01 /09 This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the woril 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 workets' compensation coverage Is unlawful, and shall subject an amployerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag provided for In Sectl '9°~ Labor code, interest and attorney's fees. ,/l5 CONTRACTORSIGNATU C ?: c...:.___. OWNER-BVILDER DECLARATION -k,!!!J!l~i.J:;,;offacto,s se the fol/owing 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 property who builds or improves thereon, and who does such work himsett 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 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 owoer 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,----' usiness 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 (have/ have not) signed an application for a OOilding permit for the proposed 'M'.lrk. 3, I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. J plan to provide portions of the work, but I have hired the following person to coordinate, supeNise and provide the major work (include name/ a:ldress I phone I contractors' license number): 5, I will provide some of the woril, but I have contracted {hired) the following persons to provide the "WOrk indicated (include name I address/ phone/ type of work): ,/l5 PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building oc:cul)cllt 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 ActJ □ Yes □ No Is the applicant or future buildlng occupant required to obtain a permit from the air pollution control district or air quality management dlsbict? □ Yes □ No Is the facility to be constructed within 1,000 feet of the 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 I haw1 read the appllcatlon and state that the aDOVB infonnatlon ls correct and that the infonnatlon on the plans Is accurate. I agree to comply~ all CHy ordinances and Stam laws relatlngto building oonstructlon. I hereby aJthorize representati\18 of the City of Ca1sba:I to enter upon the above mentioned property b" insi;ection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AtN WAY ACCRUE AGAINST SAID CITY IN CONSECI.JENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pennlt is required br excavations over SO' deep and demolition or oonstn.coon of structures over 3 stales in height. EXPIRA TlON: Every pennlt issued by the Building Official under the proviSKll'ls of this Code shall expre by Umltatkm aid beoome null and void if the building or v.ork authorized by such pennlt is not oommenced iMthin 180 days from the date of such permit or if the ilding or work · :eclJf such~ is suspended or abandoned at anytime after the won< is oommenced for a period of 180 days (Section 106.4.4 Uniform Building c.cde), ,/l5 APPLICANT'S SIGNATU /(fl IZ , . ( ( CJ!_ DATE 0/,9 7 /) C -City of Carlsbad Bldg Inspection Request For: 07/07/2009 Permit# CB090862 Title: POLACEK RES-UPGRADE PANEL Description: FROM 125 AMP TO 200 AMP Type:ELEC Sub Type: Job Address: 2256 SARA WY Suite: Lot 0 Location: OWNER POLACEK FAMILY TRUST NO 3 07-10-03 Owner: POLACEK FAMILY TRUST NO 3 07-10-03 Remarks: PLEASE CALL CARMENT WITH ETA Total Time: CD Description Act Comments Inspector Assignment: Phone: 8005617575 lnspectG± ~--- Requested By: CARMEN Entered By: CHRISTINE 24 RoughfTopout ~ (_-~-----------------1 Q 10~30 4 __________ _:.--'-¥------'--'::'~o~~-----------~ Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments