HomeMy WebLinkAbout2425 STEVEN CIR; ; CB081497; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-04-2008 Electrical Permit Permit No: CB081497
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2425 STEVEN CR CBAD
ELEC
1671510400
GERMUNDSON RES -INSTALL
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
6 NEW RECESSED LIGHTS IN EACH OF 3 UPSTAIRS
Applicant:
GERMUNDSON ERIC
2425 STEVENS CIR
CARLSBAD CA 92010
760 729 3479
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
Owner:
GERMUNDSON ERIC
2425 STEVENS CIR
CARLSBAD CA 92010
ISSUED
08/04/2008
LSM
08/04/2008
08/04/2008
$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: f\:'.\, ~ 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 feesfexactions. 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 will 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 cind 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
vi I I I
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No. Q.&o8' /4 q ~
Fax: 760-602-8558
www.car1sbadca.gov
Est. Value
Plan Ck. Deposit
Building Permit Application Date g'/ '-f / OK
SUI #/SPACE#/UNl # APN
TENANT BUSINES AME
EXISTING USE
CONTACT NAME (If Different Fam Applicant)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAMI '( W\ \,( VI CONTRACTOR BUS, NAME
ADDRESS 2 415 Steve VI ADDRESS
CITY Ca v-l s 'o"" STATE CA CITY STATE ZIP
PHONE 1-6 O 1 zA-'.) ~ 1'I FAX PHONE FAX
EMAIL
STATE UC.# CITY BUS. UC.#
WORKERS' COMPENSATION
-• Compen111fon Decllfltlon: / herllby affltm under pena/lyd per/uty OM dfl>e io//owing dtcJmlions:
□ I have and wlll maintain • certfflclt, of con1ent to 1elf•ln1ltl'I for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
□ I have and wlll maintain workers' compen11tion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit ls Issued. My workers' compensation Insurance carrier and policy
ntJmbern: Insurance Co. ___________________ Policy No. _____________ Expiration Date ________ _
This section need not be completed If the permit Is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as lo t>ecome suti;ect lo the Workers' Compensation LaNS of
California. WARNING: FaUunt to secure workn' compenutlon coverage 11 unlawful, and 1h1H tubjtcl M employer to criminal pen1Mn and clvll nne, up to one hundred thou1111d doNars (&100,000), In
addition to the colt of compensation, d1mag1111 provided for tn Stcllon 3706 of the Labor code, lntlrtlt and ltlomey"1 fees.
,6$ COIITRACTORSIGNATURE DATE
OWNER-BUILDER DECLARATION
I hereby affirm th8t I am exempt tom Contractor's Ucense Law for the following reason: ,c 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 bullds 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 build or Improve for the purpose of sale).
0 I, as owner of the property, an exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions C.ode: The Contractor's license Law dots not apply lo an owner of
property who builds or Improves thereon, md contra:ts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
□ 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. □ Yes □ No
2. I (have I have not) signed an application for a bulldlng pennit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address/ phone I contractors' license number):
4. r plan to provide portions of the work, but I have hired the followlng person to coordinate, supervise and provide the major work {include name/ address/ phone/ contractors' llcense number):
5. I will provide some of the work, but I have contracted {hired) the followlng persons to provide the work Indicated (include name I address/ phone/ type of work):
Is the applicant or fultlf9 bufkling 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 lhe
Presley• Tanner Hazardous Substance Account Act? □ Yes □ No
ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feel of the outer boul'lda,,y 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 affinn that there ~ a construction lending agency for the pelformance of the worf< th~ pennlt 1s issued (Sec. 3097 (i) C1~I Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I haw read the apptlcation and state that the above lnfonnatlon Is correct and that the lnfDrmatlon on the plans Is accurate. I agree to oomplyv.tth all City on:llnances and Stam laws 191atingl0 buHdlng O>nStruction.
I h81.i,y au1horize -1a!Ne tithe Cfy ti Cansbad ID enlerupon the-. "'"1tioned propertylorilspectlon puposes. I ALSO AGREE TO SAVE, INDEM'IIFY AND KEEP HARM..ESS THE CITY OF CARLSBAD
AGAINST ALL LIABLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MI\Y IN-WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT.
OSHA: AA OSHA perrnl Is l8qllie<f b excavafl0ns CNOl 5U' deep !rld -lion orconsJrudl)n dslllJcms """3 SIDries il height
EXPIRATION: Eve!)' pe,mil issued by the Btikling OJlk:ial under Ille proyisions of Ills Code sllaR e,pre by -!rld become ool !rld vol:I I Ille bulding or WOfl< -by sucl1 pemit is not ca I I 1 .. ..., -
180 days from lhe dale of sucll pemitor llhe buldilg or'""1< autlorlzed by sucl1 perm! osuspended or-at111y line after lhe '""1< o oonminced b a period ti 180 days (Section 106.4.4 lJnililnn &.incJ~ Code).
,es' APPLICANT'S SIGNATUR f' _ DATE ~ 4 / 2o O ';?
Project Threat Assessment Worksheet • for Determination of Construction SWPPP Tier Level
Construction
Project Storm Water Threat Assessment Criteria* SWPPPTier
Level
Significant Threat Assessment Critena a My project includes clearing. grading or other disturbances to the ground resulting in
soil disturbance totaling one or more acres including any associated construction
staging. equipment storage, stockpiling. pavement removal, refueling and
maintenance areas; or,
□ My project is part of a phased development plan that will cumulatively result in soil Tier] disturbance totaling one or more acres including any associated construction staging.
equipment storage, refueling and maintenance areas; or,
□ My project is located inside or within 200 feet of an environmentally sensitive area
(see City BSA Proximity map) and has a significant potential for contributing
pollutants to nearby receiving waters by way of storm water runoff or non-storm
water dischmge(s).
MQderate Threat Assessment Criteria
My project does not meet any of the Significant Threat Assessment Criteria described
above and meets one or more of the following criteria:
□ Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter
15.16 of the Carlsbad Municipal Code); or,
□ Project will result in 2,500 square feet or more of soils disturbance including any
associated construction staging. stockpiling. pavement removal, equipment storage,
refueling and maintenance areas and project meets one or more of the additional
following criteria: Tier2
• located within 200 feet of an environmentally sensitive area or the Pacific Ocean;
and/or,
• disturbed area is located on a slope with a grade at or exceeding 5 horizontal to I
vertical; and/or
• disturbed area is located along or within 30 feet of a storm drain inlet, an open
drainage channel or watercourse; and/or
• construction will be initiated during the rainy season or will extend into the rainy
season (Oct. I through April 30).
Low Jbreat AS!fe§l'Dml Criteria
□ My project does not meet any of the Significant or Moderate Threat criteria, is not an
exempt permit type (see City's list of Permit Types Exempt from Construction
SWPPP requirements) and the project meets one or more of the following criteria: Tier l • results in some soil disturbance; and/or
• inpludes outdoor construciion &Ptivities (s®h as roofing, saw cutting. equipment
washing. material sto!lkpiling. vehicle fueling. waste stockpiling)
No Jbreat Proiect A'5nmrrt Critetja □ My project is in a category of permit types exempt from City Construction SWPPP
requirements (see City's list of Permit Types Exempt from Construction SWPPP
.,requirements) and/or does not meet any of the High, Moderate or Low Threat criteria
Exempt
described above.
• The City Engineer may authonze minor vanances from the .Storm Water Threat Assessment Critena
in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier
Level is warranted in the opinion of the City e·ngineer
Conot,uctlon SWPPP Standards and Requlrementa Rev 8/4/200II
-
,------------------------~
Storm Water Compliance
Exemption Form
I am applying to the City of Carlsbad for the following type(s) of construction permit:
rp(_ Building Permit □ Right-of-Way Permit
~ My project is categorically exempt from the requir.ement to prepare a sto~ water pollution ·
prevention plan (SWPPP) because it only requires issuance of one or more of the following
permit ty'..'.:pe.=s::=--::::=~c::::::--:,
Fire Additional Permit
Fire Alarm Permit
Fixed Systems Permit
Mechanical Permit
Mobile Home Permit
Re-Roofing Permit
Patio Deck
Plumbing Permit ·
Sign Permit
Spa -Factory Mede
Sprinkler Permit
Water Discharge Permit
.
□ My project is exempt from the requirement to prepare a storm water pollution prevention plan
(SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat
Assessment Worksheet for Determination of Construction SWPPP Tier Level.
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE ABOVE CHECKED STATEMENTS
ARE TRUE AND CORRECT.
'
I UNDERSTAND AND ACKNOWLEDGE THAT EVEN THOUGH THIS PROJECT DOES NOT
REQUIRE PREPARATION OF A CONSTRUCTION SWPPP, I MUST STILL ADHERE TO, AND AT
ALL TIMES DURING CONSTRUCTION ACTIVITES FOR THE PERMIT TYPE(S) CHECKED ABOVE,
COMPLY WITH THE STORM WATER BEST MANAGEMENT PRACTICES PURSUANT TO TITLE
15 OF THE CARLSBAD MUNICIPAL CODE AND TO CITY STANDARDS.
. .Owner/Owne(1 Authorized Agent Information and Signature Box
Thil BoxlotCly Use Only
Addreullocatlon: Aase11or Parcel
Number(1): ,;;tl.(;)-'5' ~tevU\ C,;f2._
0Wner/Owne(1 Authorized Agent Name: Tttle:
0Wner/Owne(1 Authorized Agent Signature: Date:
1/-,._ f. rl--'-i/Li /1.-00~
-
-----------------·-···--···•-·
City of Carlsbad Bldg Inspection Request
For: 08/21/2008 ·
Permit# CB081497 Inspector Assignment:
Title: GERMUNDSON RES -INSTALL t lo lo 4--14
Description: 6 NEW RECESSED LIGHTS IN EACH OF 3 UPSTAIRS
BEDROOMS
L.t---lc-'?T",,_[wr t= ~ -ri-u -==ST/~ ~ {
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
2425 STEVEN CR
Lot:
OWNER GERMUNDSON ERIC
Owner: GERMUNDSON ERIC
0
Remarks: WANTS MIKE COLLINS (RECESSED LITES)
Total Time:
CD Description Act Comments
34 Rough Electric
~ I~
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Phone: 7607293479
Inspector: f'1t.
Requested By: ERIC
Entered By: CHRISTINE