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Home My WebLink About1040 SEAHORSE CT; ; CB112349; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-02-2011 Permit No: CB112349 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1040 SEAHORSE CT CBAD PME Status: Parcel No: 2145303500 Lot#: 0 Applied: Reference #: PC#: Project Title: AMES: UPGRADE PANEL TO 200AMP Applicant: A RAYMAN ELECTRIC, INC 306 N. WEST EL NORTE PKWY #106 ESCONDIDO 92026 760-480-2702 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: AMES RUSSELL F JR 1040 SEAHORSE CT CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 11/02/2011 JMA 11/02/2011 11/02/2011 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $1 50. 00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Impost ion" 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 informatlon with the City Manager tor 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 to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seN1ce fees in connection with this project. NOR DOES IT APPLY to any whi h v I I im'I r f Ii h «1~" ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www .ca rlsbadca .gov SUITE#/SPACE#/UNIT# Plan Check No.CB Est. Value Plan Ck. Deposit # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NO □ APPLICANT NAME (Prlm•ry Contact) APPLICANT NAME {Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL CITY STATE ZIP PHONE FAX Al ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, JJ:rior to its issua e, Isa 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 /Chapter 9, commending with Section 7000 of DIvIsIon 3 of the Business and Professions Code) or that he Is exemJ;lt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WOll'kl\'.RI' COMPl\'.NIA'l'ION C Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: D l 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. JSi1 I have and will maintain worpU.,Qra. satlon, as required ction ~00 of .ttw..Labor Co~_r tti~rformance of ~~~or.ib.wjl,th~~M ~y worke~· compenS*i"J insu7n:! cr·~oo policy number are: Insurance Co. :, I m ,.. '---" /197 I ~ A.fJtricy No. -:J)'lf:). V U[l ~ ~ _Lk Exp1rat1on Date L_ -_ _/_ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perfo r.ce of the work for which this 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 work pensatlon 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, dama vided fo 3 the Labor code, interest and attorney's fees. _,g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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 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 noi 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. □ Yes □ 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 construc~on (include name address/ phone I 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 I phone/ 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/ addrass I phone/ type of work): _65 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 application and sta1e that the above infom,ation is oonectand that the infunnation on the plans Is accurate. I agree to comply Win all City ordinances and State lav.s relating to building oonstructlon. I hereby authorize reJ:19sentative of the City of Carlsbad to enter UJXITT the at:ove mentbned property br inspection purp:,ses. I ALSO AGREE TO SA.VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGIIINST ALL LIABILITIES, JUIX,MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGI\INST SAID CITY IN CONSEQUENCE Cl' THE GRANTING OF THIS PERMIT OSHA Ml OSHA pennit is required br exc:avations over 5'0' deep and demolition or a:,nstructDn of structures over 3 stories in he'ijht. EXPIRATION: Every permit issued by the Buikling · nder!he provisions of tllis Qxle shall expire by limitatDn and OOC:Ome null and void tt tile buikling orw::irk autllorized by sudl permit is notcximmenced 'Mthin 180days from the date of such permit or if the ing w::irk auth sudl permit is suspended or abaOOJned at anytime after tile w::irk is oommenced for a perioo of 180 days (Section 106.4.4 Unifonn Building Oxle). _,1$ APPLICANT'S SIGNATURE DATE / /r-2-1/ City of Carlsbad Bldg Inspection Request For 11/09/2011 Permit# CB112349 Title: AMES: UPGRADE PANEL TO 200AMP Description: Type:PME Sub Type: Job Address: Suite: 1040 SEAHORSE CT Lot: 0 Inspector Assignment: ~ Phone: Location: Inspector: OWNER AMES RUSSELL F JR Owner: CHRISTIANSEN LAURA M Remarks: Total Time: CD Description 33 Service Change/Upgrade Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: RAY Entered By: JANEAN