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