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.
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·~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