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Home My WebLink About2425 STEVEN CIR; ; CB013638; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-26-2001 Miscellaneous Permit Permit No:CB013638 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2425 STEVEN CR CBAD MISC Subtype: OTHER 1671510400 Lot#: 0 $0.00 GERMUNDSON -ELEC & DUCT TO KIT ISLAND & ELETRICAL TO LIGHTS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/26/2001 JM 11/26/2001 11/26/2001 Applicant: GERMUNDSON ERIC&NADJA GERMUNDSON ERIC&NADJ)X63 1.:./26/01. 'l0(.)2 )J )'.' 2425 STEVENS CIR CARLSBAD CA 92008 Total Fees: $120.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2425 STEVENS CIR CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT C: C> F" :.:2 0 .Ji: Balance Due: $120.00 $120.00 $0.00 $0.00 $120.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Cl½! 3£ 3~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ 1. flRQ.ij:CT INFORMATION Address (include Bldg/Suite #) Business Name (at this address) 1.'11S S \..~ve."' Legal Description (ivc.\e_ I 1\1.00~ Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 113 E\ Cqwi ;~o Moo. -"'3 Assessor's Parcel # Existing Use Proposed Use \b"l -\S\-0 4-00 Description of Work ve,1l:n\ SO. FT. #of Stories # of Bedrooms # of Bathrooms u~~U' I\VO~"l~lc.\14c,\:. "'"~ ~\(.c.\.rtc~\ 2. CONT)(CT PERSON ,(If different from applicant) w,_.,..,'.\ \.o \.<i\.c.,\.ie.,, i'!>\a"'~ ,;"'c.\14~1"'l d v:f"'G\ \\ woo/\< Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent:for·Contractor □•Owner '. 0 Ag'ent•for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER E V'IC ~WI Nu.~· CA Name Address City 5. CONTRACTOR -·coM!'ANY NAME (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 ($5001). Name Address City State/Zip Telephone # State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ,6. WORl<ERS' COMf>E_N~ATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ______________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for w hich 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 w orkers• 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 attorney's fees. SIGNATURE. _______________________________ _ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 ha did not build or improve for the purpose of sale). !:ii: 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 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. 0 YES O NO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / address / phone number/ contractors license number):. _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):, ___________ _,,.----.,---------------------------------------------- PROPERTY OWNER SIGNATURE 2-. ~ . . DATE _\-'-\....,/~1._5--'-/....,,D...._.\ __ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS'ONl:Y Is the 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit 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. 8, . CONSTRUCTION LENDING .AGEN.CY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ •9. APPLICANT CERTIFlCATION 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 w ith all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 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 Otticial under the provisions of this Code shall expire by limitation and become null and void ii the building or work \hor'1.ed by such permit is no\ commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned !~ an/time afler the work 1s commenced lor a period ol 180 days (Section 106.4.4 Uniform Building Code). ·oPUCANT'S SIGNATURE ~ · \=:==(.__ WHITE: File YELLOW: Applicant PINK: Finance DATE ....c\~\.!.../1,=:....::!.5.L/.=....Oi.\ ____ _ Inspection List Permit#: CB013638 Type: MISC Date lns1>e_ction Item 01/11/2002 39 Final Electrical 01/11/2002 39 Final Electrical 01/11/2002 49 Final Mechanical 01/11/2002 49 Final Mechanical 12/13/2001 17 Interior Lath/Drywall 12/11/2001 31 Underground/Conduit-Wirin 12/11/2001 34 Rough Electric 12/04/2001 31 Underground/Conduit-Wirin 12/04/2001 41 Underground Ducts Tuesday, January 15, 2002 OTHER Inspector Act RI PY AP RI PY AP PY AP PY PA PY AP NF AP NF AP GERMUNDSON -ELEC & DUCT TO KIT ISLAND & ELETRICAL TO LIGHTS Comments UNDER FLOOR WIRING Page 1 of 1