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Home My WebLink About2809 SOMBROSA ST; ; CB111351; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-22-2011 Electrical Permit Permit No: CB111351 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2809 SOMBROSA ST CBAD ELEC 2551040200 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: YARGER: REPLACE ELEC PANEL Inspect Area: Applicant: ROBINS AIR SYSTEMS 343 LOS ARBOITOS BL OCEANSIDE CA 92058 760-828-7083 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 Owner: YARGER BENERANDA R 2809 SOMBROSA ST CARLSBAD CA 92009 ISSUED 06/22/2011 JMA 06/22/2011 06/22/2011 $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: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" f fees, deo'1cations, 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 tees/exactions. JI 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, vokl', or annul their ·,mposition. You are hereby FURTHER NOTIFIED that you; right to protest the specified fees/exactions DOES NOT APPLY to 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. NOA DOES IT APPLY to any .~ ~f' ~ c11Y or CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717; 2718; 2719 Fax: 760-602-8558 www.carJsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT # -;l ~6 CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME ESCR IPTION OF WORK: Include Square Feet of Affected Area(s) K'i tCi'Cf v7i µ'i....f.__ SWPP CONSTR. TYP OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#~ NOD AIR CONDITIONING YES O NOD FIRE SPRINKLERS YES O NO □ CONTACT NAME (ff Different Fom Appllcant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ,?c:,::s ZIP ZIP 's 7_ C>_----_1) EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, lmprove, demolish or repair any structure, prior to its issuan e, also requires the applicant for such per_mIt to file a sigr1ed statement that he is 1/censed pursuant to the provisions ofthe Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exem_P.t therefrom, and the basis for the alleged exemption. Any v1olat1on 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)) . • ::i•iliiJ:IW¥i 1iii:itiii·i/ !J I Workers' Compensation Declaration: I hereby affinn under penalty ci peljury one of the following declarations: . . I \ 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. II 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 earner and policy I number are Jnsurance Co--~--------~-----------Policy No ________________ ExpIratIon Date___________ I Th ctIon need not be completed 1fthe permit rs for one hundred dollars ($100) or less ert1ficate of Exemption I certify that rn the performance of the work for which this permit Is issued, I shall not employ any person m any manner so as to become subJect to the Workers Compensation Laws of I California WARNING. Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage as provided r in Section 3706 of th Labor code, interest and attomey's fees . .,/!S CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason· CJ 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 saje (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 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). □ I, 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 contractor(s) licensed pursuant to the Contractor's License Law). □ 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. !J Yes O No 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 I phone/ 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 I address/ phone/ contractors' Jicense number): 5.1 wm prov·1de some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): ,I$ PROPERTY OWNER SIGNATURE □AGENT DATE fs the applicant or future buildlng 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 I Presley-Tarmer Hazardous Substance Account Act? D Yes D No I Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No I Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O No , IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT SE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF I EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. h·itiii·l'#iit~ifii·iJl·li:i~·Cifi··i./ii1 I I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code) \ Lender's Name Lender's Address ~liiii:iiii►tiiiiiW:iii·ii ~rtify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans Is ClCCtlrate. I agree to comply IMth all Cify ordinances and State laws relating to building construction. I I hereby authorize representative r:/lhe City of Carlsbad lo enter upon the above men6oned property for inspeCOOfl pu,poses.1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD I AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT I OSHA: AA OSHA perrnij is required for excavafions over 5'0' deep and demoHlkin or construction of structures over 3 slofies in he't)hl. I EXPIRATION: Every permit issued by the Building · I under the provisions of this Code shall expire by f1milation and become nuN and void if the building or work authorized by such pamit is not commenced within ~ :;:;::T'.:::::;~:~,b'.;1 · g~d~som~ · ;ss~~~b:::•ny:a~r:,~;:mmen:;:;;~::e:n~~~n:~~u~;n~Cooe) City of Carlsbad Bldg Inspection Request For 07/12/2011 Permit# CB111351 Title: YARGER: REPLACE ELEC PANEL Description: Type: ELEC Sub Type: Job Address: Suite: Location: 2809 SOMBROSA ST Lot: APPLICANT ROBINS AIR SYSTEMS 0 Owner: YARGER BENERANDA R Remarks: electric panel followup inspection Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7608287083 Inspector: ----- Requested By: NA Entered By: CHRISTINE 34 Rough Electric (I 4-~-oY ____ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 06/27/2011 33 Service Change/Upgrade PA PY NEED GROUND