HomeMy WebLinkAbout154 SYCAMORE AVE; ; CB090738; PermitCity of Carls bad
1635 Faraday Av Carlsbad, CA 92008
05-05-2009 Electrical Permit Permit No: CB090738
Job Address:
Permit Type:
Parcel No
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
154 SYCAMORE AV CBAD
ELEC
2041210600 Lot#: 0
FRENCH RES-REPLACE 100 AMP
PANEL W/ NEW 200 AMP PANEL-SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/05/2009
RMA
05/05/2009
05/05/2009
FRENCH CLARENCE L JR&JEAN R TRS FRENCH CLARENCE L JR&JEAN R TRS
1545 CREST DR
ENCINITAS CA 92024
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
100
1545 CREST DR
ENCINITAS CA 92024
$10.00
$0.00
$0.00
$0.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35 00 Total Payments To Date: $35.00 Balance Due:
FINAi., 4 nrt,f"'\\ W\ 1
Inspector: Date: : Clearance
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reseJVations, 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 111ust
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 332.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside. void, or annul their i111position.
You are hereby FURTHER NOTIFIED that your 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 witr this project. NOR DOES IT APPLY to any
fees/exactions ot which ou have r vi usl e n iven a NOTICE simil r to this r which the sta ute of limitations h s r viousl otherwise ex ired.
· City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760602-2717 / 2718/ 2719
Pl•n Chec_l<_No. __(:Jvq_u zr_
•" Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
Est. Value
Plan Ck. Deposit
Date 1 -e
EXISTING USE PROPOSED USE GARAGE (SF PATIOS (SFJ DECKS (SFJ FIREPLACE
YES □ #
AIR CONDITIONING FIRE SPRINKLERS
NO □ YES □ NO □ YES □ NO □
APJWCANTNAME ;::::;_
{0. fl c., t. I ............... _/"..L1'/L r....... ~--·-----
ADDRESS
_L5 '--[_ ~. -L'ttl½aL ~ ____A v ~ -
CITY 7 STATE ZIP
C4fl> lUt<<2 7t--12c£J~ -PHONE AX
?tc>_ffzv-sCJ/7 ________ _
EMAIL EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
EMAIL
STATE ZIP
ARCH/DESIGNER NAME & ADDRESS STATE LIC.# -CLASS ~ CITY BUS. UC#
11,c. J0J I.I Bu,inesi and Profemon1 Code: Any City or (ountY. wh1th require, a permil IO rnnmu<I, alterf improve, demolish or re?.air any ,trunure1 prior lo it, i11uante, also require, the ap_phcant for IUlA ptrmil to file a signed mtemenl 1hat he 11 lcemd JJUnuant to the provi110•1 of the Connactor\ License Law {Chapter .9. commending with Section 000 ol Division l of the Bu11nm and Pro,emons (ode} or that h, 11 exempt there from, aod the ba111 for the alleged e<em~lloo. Any Y1olation cl lemon 703 I.I by any applicant for a permit rnbj,m the app\1m1 to a <ivil penalty of not mm tean fi,, aundred dollar, {SIOO}).
Workers' Compensallon Declaration: I hereby alfirm under penalty of perjury one of the following declarations:
D I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ol the labor Code, for the pe~ormance of the work tor which this permit Is issued
D I have and will maintain workers' compensation. as required by Section 3700 ol the Labor Code. for the perlormance ol the work for which this permit is issued. My workers' compensation insurance carr1er and policy
number are Insurance Co.~~----------~--~-· --~--Policy No. _______ --~--Expiration Date--~ _______ _
This section need not be completed if the permit is for one hundred dollars($ \00) or less.
D Certificate o1 Exemption: I certify that In the perlormance of the work lor which this permit is issued. I sMI not employ any person in any manner so as to become sub1ecl to the Workers' Compensation Laws of
California WARNING; Failure lo secure workers' compensation coverage is unlaw1ul, and shall subiect an employer to criminal penallies and civil tines up lo one hundred thousand dollars (& 100,000), in
addition to the cost of compensation, damages as provided 1or In Section 3706 of the Labor code, interest and attorney's fees .
.f!5 CONTRACTOR SIGNATURE DATE
I hereby affirm lhat I am exempt from Contractors License Law for the following reason:
1i I, as owner ol the property or my employees with wages as their sole compensation. will do the work and lhe structure is nol intended or offered for sale (Sec. 7044. Business and Prolessions Code: The Contractors
License law does nol apply to an owner ol property who builds or improves thereon, and who does such work himsel1 or !hrough his own employees, provided that such improvements are not intended or ollered for
sale. If, however, the building or improvement is sold within one year of completion, lhe owner-builder will have 1he burden of proving that he did not build or improve for the purpose ol sale).
□ I. as owner of the property, am exclusively contracting with licensed contractors to construe! the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply 10 an owner of
property who builds or improves !hereon, and contracts for such pro1ects with contrac1or(s) licensed purs~anl lo the Contractor's license law).
n I am exempt under Section _ .... Business and Professions Code for this reason:
1, I personally plan to provide the major labor and materials for conslruclion of the proposed property improvement. iil_ Yes Cl No
2. I (have I have not) signed an application for a building permit tor the proposed work
3 I have contracted with lhe following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors· license number):
I will provide s~e o~tracl~d [hired) lhe following persons to provide the work indicate-d (include na~e_,j.. ~dd'f:~I ~~~'._work): ----------------
..€5 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 oi the
Presley-Tanner Hazardous Substance Account Act? n Yes D No
Is 1he applicant or future building occupant required to obtain a permit from the air pollution control district or air quaily management district? □ Yes □ No
Is lhe lacil1ty lo be constructed within t,000 leet ol the outer boundary ot a school site? 0 Yes □ 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.
I certify that I have read the app Ii cation and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pul])oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Gin' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem1it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in heght.
EXPIRATION: Eve,y permit issued by the Building Official under the provisions of !his Code shall expire by limitation and become null and void if the building or work authorized by such pennn is not commenced within
100 00,S •~ fh, "" • '"'"'"''"'•I•• oo,.,,,, • ""_,~by~"~""'""'•"'""""" a~,~•,. N "-ro, a-• 10000,S (S<cim 106 4.4 Ucmm """ eo,,1
_.f!5~~LICANT"~ ~'=---------~------D~ ~ 2-C)?_J__ -----------
City of Carlsbad Bldg Inspection Request
For: 08/12/2009
Permit# CB090738 Inspector Assignment: PC
Title: FRENCH RES-REPLACE 100 AMP
Description: PANEL W/ NEW 200 AMP PANEL-SAME LOCATION
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
154 SYCAMORE AV
Lot: 0
OWNER FRENCH CLARENCE L JR&JEAN R TRS
Owner: FRENCH CLARENCE L JR&JEAN R TRS
Remarks: NOON TIME INSPECTION
Total Time:
CD Description
33 Service Change/Upgrade
~ f_J__N~--____ _
~omments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
08/06/2009 33 Service Change/Upgrade
Act lnsp Comments
AP PC EMR
Phone: 7608454661
Inspector:
Requested By: BRIAN
Entered By: CHRISTINE