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Home My WebLink About2391 SPRUCE ST; ; CB100104; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-15-2010 Electrical Permit Permit No: CB100104 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2391 SPRUCE ST CBAD ELEC Status: Parcel No: 1560321400 Lot #: 0 Applied: Reference #: PC#: Project Title: LOHSE RES-ELECTRIC TO EXISTING SHED IN REAR YARD ( CV) Applicant: LOHSE RICKY A 2391 SPRUCE ST CARLSBAD CA 92008 559 967 0770 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 Entered By: Plan Approved: Owner: LOHSE RICKY A 2391 SPRUCE ST CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 01/15/2010 LSM 01/15/2010 01/15/2010 $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: FINAL APPROVAL Inspector: Date: t> 0 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 will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. «~-Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. C-6 IO O 1 0'---t '¥ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date ,s-,o APN #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE .GR UP EXISTING USE PROPOSED USE GARAGE (Sf) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NO □ CONT ACT NAME (" Dlt'lerent Fom Appllcant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS, NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL om STATE LIC. # STATE UC.# CLASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct1 alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to flle a signed statement tliat he Is licensed pursuant to the provisions of tne Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or (hat he Is exem_11t therefrom, and the basis for the alleged exemption. Any violation of Section ?031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: 0 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. D 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 workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall 1ubject an employer to criminal penalties and civil fines up to one hundred thousend dollars (&100,000), In addition to the cost of compenutlon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: ~ □ I, as owner of the property or my employees with wages as their sole compensation, wi!I 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 Wont 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). l, 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 contraclor(s) licensed pursuant to the Contractor's License Law). Q I am exempt under Section . Business and Professions Code for this reason: rJ '/,\ J¾ ,-r-O ally plan to prOV1de the major labor and materials for construction of the proposed propertyimprovemenl □ Yes □ No 1 (f,,, l have not) signed an application for a building permit for the proposed work. contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired th following person lo coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. will b I I h tr d I d) the following persons to provide the work indicated (include name I address I phone I type of won<): AS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure 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-Termer Ha7.ardpus Substance Account Act? □ Yes □ No Is the applicant Oi Mure 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 feet of the outer boundary of a school site? D 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 1s a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) Civil Code), lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the abow lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with an City ordinances and State laws relatlngtD bulldlng cons1ruction. I hereby aulrorize n,presenlalive of lhe Cily of Carlsbad lo 811ler upon lhe above mentioned property for i1spedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is requi'ed for excavations over 5'0' deep and demolioon or construction of structures over 3 stories i1 height EXPIRATION: Every permit issued by lhe Buiding Official under lhe provisions of lhis Code sh " by lmlation and become nul and >old , lhe bundu,g or-aulhorized by such pennit is not ooomenced v.ifhn 180 days from lhe dale of "f11 perm! or,~ buof -aulhorized by such It is pended or abandoned at any lime aflerlh, _ • commenred for a period of 180 days (Section 1116.4.4 Un-Bui~ng Code). AS' APPLICANT'S SIGNA • t• DATE . m City of Carlsbad Bldg Inspection Request For: 04/09/2010 . Permit# CB100104 Title: LOHSE RES-ELECTRIC TO EXISTING Description: SHED IN REAR YARD ( CV) Type: ELEC Sub Type: Job Address: 2391 SPRUCE ST Suite: Lot: 0 Location: OWNER LOHSE RICKY A Owner: LOHSE RICKY A Remarks: electric to a shed in the yard Total Time: CD Description Act Comments WL. Inspector Assignment: MC --- Phone: Inspector: Mt,... --'--'--- Requested By: MICHELE Entered By: CHRISTINE 31 Underground/Conduit-Wiring -------------------- Date Description fl ~ 'F~ e~ 'P~L-o~, &ii-Pl p.e..:,~o,J Comments/Notices/Holds -k -z,o A+.ff' C.l~,, -t-o ~ o~ Associated PCRs/CVs Original PC# Inspection History Act lnsp Comments 02/12/2010 34 Rough Electric PA MC LABEL PANEL, PROVIDE DEA0FRONT AT PANEL CO MC SEE NOTICE 01/19/2010 39 Final Electrical