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HomeMy WebLinkAbout2425 STROMBERG CIR; ; CB101039; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-10-2010 Electrical Permit Permit No: CB101039 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2425 STROMBERG CR CBAD ELEC Status: Parcel No: 1672301900 Lot#: 0 Applied: Reference #: PC#: Project Title: COBB: REPLACE 100AMP SERVICE PANEL Applicant: WANNAMAKER ELECTRIC 366 LA VETA AVE ENCINITAS CA 92024 760-519-8160 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: Issued: Inspect Area: Owner: COBB FAMILY TRUST 09-07-05 2425 STROMBERG CIR CARLSBAD CA 92010 ISSUED 06/10/2010 JMA 06/10/2010 06/10/2010 $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: FINAL APPROVAL 0-/,6~/~ Date: 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. - - ·~t~~ Building Permit Application PlanCheckNo.(~l O(0,'2,q 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD www.~rl~blil!Q~.gQ;V Date ft?/ 10 [ (0 Uwvt ,,. ADDRESS 'Z... '-\ <-"':, ~~U'..(,, c~. SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I u;NANT BUSINESS NAME I CONSTR. TYPE I occ. GROUf> DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) > I ') 0 V>,. ,v,.._ ,f' "7 "2_ ~J; C-'L C, !iAl,j(D 'L EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I ARE SPRINKLERS YES □#_ NOD YES □ NOD YES □ NO □ CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZJP PHONE ,, .. PHONE ,, .. EMAIL EMAIL PROPERTY OWNER NAME .. f;:ONTRACTOR BUS. NAME ~~ i--I. If>."-~ IV""'vv\."',,l., F°L'7<...T 'TNC.... ADDRESS ADORES~ le, 0 u-'\ e...-rt>r lfl.. t D CITY STATE ZIP CITY STATE ZIP "F" 1c.,.~n-~ CA-~ LD'L l\ PHONE l'AX PHONE I ''S /,,,(0 L( :,(o 9. I -i,~o"'"I"\ ~l \o0 too EMAIL e, ~ b SsJd, f" ~ I l {J (9,...._ l· r,.J<y" ARCH/DESIGNER NAME & ADDRESS I STATE UC.# R,ATE LIC.# ~ ~ ~ I V J['v .i,,""p";'1 ,eo( "'" q~r.-, o I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re air an structure, rior 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 /C~apter t, commen&ng 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 sub,lectS the appUcant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of f)6fjury one of /he following declarations: □ I have and wlH maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the pelformance of the work for which this permit Is Issued. □ I have and wtH maintain workers' compensation, as required by Section 3700 of the labor Code, br the performance of the work for which this pennll ls issued. My work81'$' compensation instnnce carrier aid policy mimber are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _ lJ}ls ~on need not be com~ed if the permit is for one hundred dollars ($100) or less . ..J3'"'""""Certiflcate of Exemption: l certify Iha! in lhe pelfoonance of lhe wDf1< for which lhis 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil ffnts up to one hundred thousand doUars (&100,000), In addition to Iha cost of compensation, damages as provided for in Seclio~a labor code, ilternt and attorney's feeL Af COHTRACTOR SIGNATURE '-... Q \,____.,,' ·----E:::;:=::=:= □AGENT I hatflby affinn that I am exempt from Contractor's License Law for the following reason: □ I, as OY,1"181" of Iha property or my employees with wages as their sole compensation, wltl do the wm: and the slruclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractof's License Law does not apply lo an owner of property V.00 builds or improves thereon, and who does such work himself or through his own employees, provided Iha! 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 wiQ have the burden of proving that he did not build or improve for lhe purpose of sale). □ I, as CMT1er of Iha property, am excluslvely contracting with licensed contractm lo construct the project (Sec. 7044, Business 111d Professions Code: The Cootractor's License Law does not apply to an OWf"l8I" ol property who builds or improves thereon, and contracts for such pro;ects with contraclor(s) licensed pursuant lo the Conlractol"s license law). □ I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the ma)OI" labor and materials foc construction of the proposed property improvement. □ Yes □ No 2. I (have / have not) signed an application for a bulldlng permit for the proposed worlt 3. I have contracted with Iha follONing person (firm) to provide Iha proposed construction (Include name address/ phone/ contractors' license number): 4. I plan to provide portions of Iha work, but I have hired Iha followlng person kl coordinate, supervise and provide the majocwork (Include name I address I phone I contractn' llcense nwnber): 5. I will provide some of the work, but I have conlracted (hired) the following persons lo provide the work indicated (Include name/ address I phone/ type of work): Af PROPERTY OWNER SIGNATURE CIAGENT DATE COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program undw Sections 25505, 25533 or 25534 of lht Presley-Tanner Hazardous Substance Accouri Acr! □ Ye& □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air QUali ly management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of tie outer boundary d a school site? □ Yes □ No IF MY OF THE ANSWERS ARE YES, A FINAL CERTIFtcATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the perfonnance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certlytllat I haw read the application and state that the above Information Is coned and that the infonnatlon on the plans Is accurate. I ag,ee to complywltn all 0tf on:llnances and Stall8 laws relatlnC to building oonstNctlon. I he!8by autlorize reprasenlawe ollhe City of Carlsbad t>enle<upon lhe above -property for nspediJn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN />N'/WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE Cf THE GRANTING Cf THIS PERMIT. OSHA: AA OSHA permit is required br excavations we,; 5'0' deep BOO demolilioo oc consbudi>n of SlrucUes over 3 si>ries fl he;111. EXPIRATION: Eve,y permit issued by the Building Offaal IJ1Cler lhe provisions of this Code shall expire by linitation and become oo• and ',00 if t'8 buildi'lg or \\Olk aullorized by such permit is not corrmenced wt1il 180days ioo1 h! dale otsuch penrit .-Wlhe buidilg .-"""' au~lzed by ~"°:S' • suspended .-abandorod at any line afler"" "°"'" """""'1aldfor a period ol 180 days (Sedi:xl 106.U lMlnn Buidi1g Code). AS' APPLICANrs SIGNATURE '---C? _ C :) DATE (p -\ (),... \ 0 ) I: c0 4\ w City of Carlsbad Bldg Inspection Request For 06/15/2010 Permit# CB101039 Title: COBB: REPLACE 100AMP SERVICE Description: PANEL Type:ELEC Sub Type: Job Address: 2425 STROMBERG CR Suite: Lot: O Location: OWNER COBB FAMILY TRUST 09-07-05 Owner: COBB FAMILY TRUST 09-07-05 Remarks: NOONISH PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7605198160 Inspector: 12 e I , Requested By: LES Entered By: CHRISTINE 33 Service Change/Upgrade /tf. ______ _ fl-/~ I Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments