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HomeMy WebLinkAbout2610 SOMBROSA ST; ; CB051658; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-11-2005 Electrical Permit Permit No: CB051658 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2610 SOMBROSA ST CBAD ELEC Status: Parcel No: 255111 0500 Lot #: 0 Applied: Reference #: Project Title: NESS RES-ELECT & GAS TO BBQ Applicant: TERRA FIRMA LANDSCAPE 9550WAPLES SAN DIEGO CA 92121 AMA 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: NESS RICHARD A 2610 SOMBROSA ST CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 05/11/2005 AMA 05/11/2005 05/11/2005 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 8028 05./J.1/05 0002 ·J.1. ')~'. Inspector: Clearance: NOTICE: Please take NOTICE at approval of your project includes the "I mposttion" ct fees, decf1cations, 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY lo water and 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 f rwise ex ir d. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN cHEcK No. Oo s lb 52 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By ~ Date S //t /d, ~ i Address tlnclude Bldg/Suite I) Business Name lat this address) c.J,qebtv+d-ot ~ -:2(R/O 6o@hco5A- Legal Oescriptlo2 FD Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Usec::_ .-, ,_,;yV. Proposed Use SQ. FT. #of Stories II of Bedrooms II of Bathrooms Name Address City State/Zip Telephone# [?,4-~< Name Address Telephone# ~t1~!.IQ'8rt'IIJ:~A.~~•--ilfM:i9Yftt:~:t~.)'iTi?;S::::;,.,, 11;=; F·., 'i,..-C:,::":i ;~:'!!.t;'i'-\~'.:i!.'':1';:.VJ:\\~ .Alf', !. ,. 'L· :•,\1,:_i;;i•,~,,;;,1~,':1,, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any atructura, prior to Its Issuance, also requires the applicant for such permit to flle a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 .of the Business and Profusions Code) or that he" ls exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit suble s the applicant to a cMI penalty of not more than five hundred dollars (t600J). . 171/1-tJ.: 2' -.3 o Name State License # ~nw~'53e,,.,::__;_/1~~~--- Address City State,Zip Telephone I License Class {J-,s3 ~c:7-27 ·~~7v Business License 1[2L.?73;z) Designer Name Address City State/Zip Telephone State License # _________ _ (e.t,t:Wlili~li.11$;ir C.i!lll,w.rs~tlQr,ii\j,;';". . ;,,. ' , ... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' com·pensatlon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit la issued. '6:l-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 ~. My worker's compensation insurance carrier and policy number are: Insurance Company'A...uz.W dtr'>e4i44¥1 Polley No.i,/)C -z.J6ef?0?..a05 Expiration Oate.k> -l -os tTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for whtch this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compen o Laws of Callfornia, WARNING: Failure.to u..,,...,.,. o naatlon coverage 11 unlawful, and ahal subject an employer to crtmlnal penaltlea and clvH flnea up to one hundred ,00 the cost of co ensatlon, damagea as provided for In Section 3708 of the code nterest and attomey'1 fees. SIGNATU~~~ii~~~~~ii~~~~~;~;;;;~;;;~~;; DATE 1,;,i1:;:11wlj~1!''"'"'. , lijl!li.lili!ti<l'iii'•'r,< ''iif , ,, '::r,,,,,, , , ,. ' . ., th.at, am 8xe~pt f~~m ~'h~··contractor's Llcens~ L~~ 'for the following reason: 0 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, am excluslvely 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 contractor(s) licensed pursuant to the Contractor's License Law). D 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3, I have contracted _with the following person !firm) to provide the proposed construction {include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number) .. ·_------------------------------------------------ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name/ address/ phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ sbolli~ll~~t,'l:ll!Silll!c,tioNJFDR,'QOl{a/tfS/DtNTfAt.li~ILDING••PERMITS, ONLY Is the applicant or future building occupant required to submit a business plan, acutely haznrdous materials registration form or risk management and prevention program under Sections 25506, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occopant required to obtain a permit from the air pollution control district or air quality management district? ·D YES O NO Is the facility to be constructed within· 1,000 feet of the outer boundary of a school site 1 0 YES O 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. !li\ll1trl:lli'!~t!ll!Q'iiil!llifiilili!1rl~A!l~tll!.~;,;1'. ', ·: I ·• Cc I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ !l\:fo\l!i'Alll!!iliillN:if:ti!:tat1);1'¢jl*IQl'!W ;. ,.,. ' . I certify that I have read the application and state that the above Information Is correct and that the Information on the plans is accurate. I agree to comply with a11 City ordinances and State laws relating to building construction, I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS f:IERMIT. OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolltion or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Offlclal under the provisions of this Code shall expire by llmitatlon and become null and vold If !he building or work authorized by such permit ls not commenced Within 180 d from the date of such permit or If the bulldlng or wor1< authorized by such permit Is suspended or abandoned at any time after the wor1< is com d f peri O days (Section 106.4.4 Uniform Bullding Code). ~ APPLICANT'S SIGNATU WHITE: FIie .YELLOW: Applicant PINK: Finance DATE ""6">'0'--'/...,_'/r-/4_,.CJ.,__5..,_ ___ _ I l City of Carlsbad Bldg Inspection Request For: 07/13/2005 Permit# CB051658 Title: NESS RES-ELECT & GAS TO BBQ Description: Type: ELEC Sub Type: Job Address: Suite: Location: 2610 SOMBROSA ST Lot 0 APPLICANT TERRA FIRMA LANDSCAPE Owner: NESS RICHARD A Remarks: Total Time: Description Act Comment Inspector Assignment: PY --- Phone: 6195710031 Inspector: ---- Requested By: MARK Entered By: CHRISTINE CD 23 29 31 39 Gas/Test/Repairs wY-----/--,r-.--1'-L--.----l--\----- Final Plumbing Underground/Conduit-Wiring Final Electrical ~------,¥-JV----J--f--fl--ct--=..::------ _JJ.)_........,_ __ ------\~------+-+------- ~~~~~~ Associated PCRs/CVs lnsQection History Date Description Act lnsp Comments 06/16/2005 23 Gas/TesVRepairs AP PY 06/16/2005 31 Underground/Conduit-Wiring PA PY 06/16/2005 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY