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Home My WebLink About2630 SAUSALITO AVE; ; CB100643; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-13-2016 Electrical Permit Permit No: CB100643 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2630 SAUSALITO AV CSA□ ELEC 1675116700 Lot#: Status: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: NEWSOM RES INSTALL NEW 200 AMP PANE AT EXISTING LOCATION Owner: Issued: Inspect Area: NEWSOM THOMAS A TRUST NEWSOM THOMAS A TRUST 2630 SAUSALITO AVE CARLSBAD CA 92010 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 0 2630 SAUSALITO AVE CARLSBAD CA 92010 ISSUED 04/13/2010 KG 04/13/2010 04/13/2010 $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: $20.00 Balance Due: Inspector: V1'.'.\ lJ.U,.,, 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 wi11 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. NOA DOES IT APPLY to any t x in fwhi hv rvi I nivn NT i"lrtthi ra hihth t flii inha rviosl hi «~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check Est. Value Date EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NOD YES □ NOD CONT ACT NAME (If Different Fom Applkant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS STATE ZIP PHONE FAX EMAIL STATE UC.# CLASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anr structure, prior to lts Issuance, also requires the applicant for such permit to fHe 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 exem_P.t therefrom, and the basis for the alleged exemption. Any vlotation of Section 1031.5 by any apptlcant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS COMPENSATION Workers' Compensation Declaration: I hereby alfirm under penalty of perjufy one of the following declarttions: □ I have and will maintain a certlftcate or consent to eelf-lnsurt for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which lhls permit is issued. 0 I have and will maintain workers' compensation, as reciulred by Section 3700 of the Labor Code, for the pelformance of the work for which this pennlt is issued. My workers' compansalion insurance carrier and policy number are: Insurance Co. Policy No. _____________ Expiration Dale ________ _ 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 work for which lhis pBfTTlit is issued, l shall not employ any penion 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 clvll flnu up to ont hundred thousand dollars {&100,000), In addition to the cost of compensatkln, damagn as provided for in Stclk>n 3701 of the Labor code, interest and attomay's fees. .65 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucen8e Law for the follov.tng 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 himself or through his own employees, provided that such Improvements are not intended or offered for If, however, the buHdlng or Improvement is sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale). I, as O'Mler of the property, am exdusively 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 buOds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlraclor's License Law). □ I am exempt under Seclion ----~usiness and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □Ye& 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have with the following person (flnn) to provide the proposed construction (Include name address I phone/ contractors' license number): 4.1 pl of the WOik, but I have hired the following person to coordinate, supervise and provide the major wor1<. (include name/ acldress I phone/ conlraclors' license number): 5. I wi , but I have contracted (hired the fol provide the work indicated (include name I address/ phone/ type of work): A$ PROPERTY OWNER SIGNATURE □AGENT DAlE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe appllcant or Mure buHdlng occupant required to submit a business plan, acutely hazardous materials regisbation foml or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Arff □ Yes □ No . Is lhe,applicant or<fulure buUdlng occupant required to obtain a permit from Iha air pollution control district or air quality management district? □ Yes □ No · Is Iha racllity to be constructed 'Mlhin 1,000 feel 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. CONSTRUCTION LENDING AGENCY I hereby affim, that there is a construction lendmg agency for the perfonnance of the work this pem,1t 1s issued (Sec 3097 (1~ CMI Code). lender's Name Lender's Address APPLICANT CERTIFICATION I certfythal I have 188d the application and state that the above information Is correct and that the Information on the plans is accunrte. I agieeto cooiplywtth all Clfy onilmwlces and StatB laws relating to building construction. I hemby auhorize -IMI ol lhe City of Cambad b enlllr upon lhe above ""'11ilned property ror ilspection pulJl008S. I ALSO AGREE TO SAVF., INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LL<\BILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemil is 1'81f.Jied br excavations OYer 5'0' deep and demolioon or coostrucoon of structuras OY8I' 3 SDies 11 height EXPIRATION: Every pennlt issued by lhe Olli:ial ll1der lhe pro,isklr,s of !his Code shall e,pie by in-and become nun and void I lhe buidilg or Y,Qk aulhor28d by such pemil Is not ronwrenced willil 180days tom lhe dale olsuch pem;t orW'lflifldi,g 91-aullorized by such pem;t is suspended or abandoned a1any lire aftorlhe Y,Qk is oonm>na>d a ricd of 180 (Section 106.4A l)fum luldi,;i Code). ,1/5 APPLK:ANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 04/19/2010 Permit# CB100643 Title: NEWSOM RES INSTALL NEW 200 AMP Description: PANE AT EXISTING LOCATION Type:ELEC Sub Type: Job Address: Suite: Location: 2630 SAUSALITO AV Lot: 0 OWNER NEWSOM THOMAS A TRUST Owner: NEWSOM THOMAS A TRUST Remarks: RECORD CARD AT THE AMP BOX Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604346511 Inspector: j.l'lt- Requested By: MS. NEWSOME Entered By: CHRISTINE 39 Final Electrical J:L VAttJg-1 1-A-g,a_ ~ MAttG ..,e i:.!"- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 04/15/201 0 33 Service Change/Upgrade PA MC DRIVEN GRND OK, COMPLETE PANEL MAKEUP