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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