HomeMy WebLinkAbout2187 TIMBERLINE RD; ; CB100904; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-21-2010 Electrical Permit Permit No: CB100904
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2187 TIMBERLINE RD CBAD
ELEC Status:
Parcel No: 1563320900 Lot#: 0 Applied
Entered By:
Reference#·.
PC#:
Project Title:
Applicant
TOLLESON: UPGRADE SERVICE
FROM 100 TO 125 AMPS
CHAMBERS ELECTRIC INC
P O 2156 92079
760 598-5498
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
25
0
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
TOLLESON J GAIL TRUST 11-11-03
2187 TIMBERLINE RD
CARLSBAD CA 92008
ISSUED
05/21/2010
JMA
05/21/2010
05/21/2010
$10.00
$6.25
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$26.25
Total Fees: $26.25 Total Payments To Date: $0.00 Balance Due:
Inspector: V\::': ~<
FINAL APPRO AL
Date: iYS "Z-6 I'-' Clearance:
$26.25
NOTICE: Please take NOTICE that approval of your project includes the "lmposifion" 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 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 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. NOR DOES IT APPLY to any
is r as t whi h the d.
«~ Building Permit Application Plan Check No. CB t ooq r:4-
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
WWW .~a rlSbi;!QCa.la!ov Date ,(-zd 1D lurw,-
:JOB ADDRESS SUITE#/SPACE#/UNIT# !APN --:. 2/S/' Tl M 8 ... ~ '-//V C flP ---
CT/PROJECT# rOT# rHASE# I# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYi'€ I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Aff&ct&d Area(•)
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C:
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS
YES □# --NO □ YES □ NOD YES □ NO □
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CIT)' STATE ZIP CIT!' STATE ZIP
PHONE \FAX PHONE I FAX
EMAIL EMAIL
fROPERTY OWNER NAME
(.,-/<JL-7CL',:'_;<-· 5 -c-., ~7V''
f.ONTRACTOR BUS. NAME
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ADDRESS ADDRESS
2/LZ 7 7 //0,;'<''.;>f.~_/..-Ve' /1.,V, i? ,::,_ faJL,:>( 3/ ,;c:;
CITY STATE ZIP CITY STATE ZIP
,,,n_h ,; ./-ir">!} ,c:-,-1 "',/}JU /-'"/ /Ut, ~ ,:' ,_:-._, c /! ;_:;;2c ;,<7
PHONE I FAX PHONE I FAX
I-----_7✓,.,:-. -SY~ ~-1/~'/ .7.o,..-· -s--;,~.7-y-,;-]-2 --EMAIL EMAIL
,J-{C/-;A'.f .-,/),-,177 /J .::'/ c,· cl c;e,~T, -,-C: / j7c_-. C~J/j;/
ARCH/DESIGNER NAME & ADDRESS !STATE UC.# rATE UC.# _ .-ICL4SS J(TY BUS. UC.#
_,7 &-1·2: c_'<:!;,> ~ -/--; 1225-;2;:,: <---<.,,
(Sec. 7031.5 Business and Professioos Code: Any City or County which requires a permit to coostruct. alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires the
applicant for such permit to file a sil(ned statement that he Is licensed pursuant to the provis·,ons of the Contractor's License Law (O!apter 9, commending with Section 7000 of Division 3 of the
Business and Professions Code) or that he Is exempt therefrom, and the basis for the allegea 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)).
Workers' Compensation Declaration: I heraby afflnn under /J6nlllty of perjury one of fhe fa/Jawing daclarll/ions:
D I have and will maintain a certificate of consent to sell-Insure for workm' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the work lor which this permi! is issued.
181 I han and wlll maintain worker1' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued, My worl<m' cornpeosa!on insurance earner and policy
numberare·.lnsurance Co. ..; [/JT,I.-ru,V /J Policy No. c>, '/.Z :l-;./ $ --''cc·? Expiraboo Daill c, 7 -cc·,, -.:{,c-c/ C,
This section need not be completed ff the permit is for one hundred dollars ($100) or lass. D Certificate of Exemption: I certify that io the paiormanre <J the v.<>rl< for whkh this pem,il is ·issued, I shall not employ any pe,,,on in any manner so as to becooie subject to the W(lfi(m' Compensation Laws of
California. WARNING: Failure to secure workel'll' compem;adon coverage is unlawful, and shall subject an employer to criminal penalties and civil fine& up to one hundred thousand doMars {&100,000), In
addttlon to the cost of compensation, damages as provided for In Section 3706 of the Labor code, lntBfest and attor11ey'1 fess.
At$ CONTRACTOR SIGNATURE
I h&111by affl/llJ that I am exempt from Contractor's Ucense Law for the following raason:
□ I, as owner of the property or my employees IWth wages as their sole compensation, will do Ille work and the s1ruclura ls nol inlended or offered for sale (8«:. 7044, Business and ProfessiOIIS Code: The Conlractor's
license law does not apply lo an owner of property 'Mio builds or improves thereon, and who does such work himself or through his own employees, provided thal such improveme11ts are nol intandad or offered far
sale, If, however, the building or improvemenl is sold within one year of completion, the ownllf--0uilder will have lheburden cf proving that he did nol build or improve farlhe pull)OSe of sale).
□ I, as owr,8( of lhe property, am exclusively conlracling wilh licensed oonlractors to oonslruct the project (Sec. 7044, Business and Professions Code: The Canlraclor's Ucanse law does not apply 10 an owner of
property who builds or improves lhereon, and contracts for such projects wilh conlraclor{s) licensed pursuant lo the Conlraclor's Lanse law).
□ I am exempt under Secdon _____ ,Business and Professions Code for this reason:
1, I peraonally plan to pro'iide !tie major labor and materials for construction of the proposed property impro\lllment. □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed worl(_
3.1 have conlracted wilh the following person (firm) lo prDVide the proposed construction (include name address I phone I oonlractors' license number):
4. I plan lo provide portions of the work, but l have hired lhe following pe,son lo coordinate, supB1Vise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provlcle some of the wori<, but I have conlracled (hiredf lhe following persons to provide the work indicated (inciucle name I address I phone I type of wt):
At$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOil NON-R£SIP£NTIAI-BUILDING PERMITS ONLY
Is 1he appJicanl or Mure building occuJlBlll required to submil a busine&s plan, acutely hazardous materials regislration form or risk management and pre'lelltion pnv1111 under Sdons 25505, 25533 or 25534 ol fie
Presley-Tanner Hazardous Substance Account Adi □ Yes □ No
Is 1he appll!:anl or future buUding OOCUpant required to obtain a permit from lhe air pollution conlrol dislricl or air qualify' management dislrict? □ Yes □ No
Is lhe facililyto be conslrueled within 1,000 feel of lhellUler boundafyol a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TIE REQUIREMENTS OF TIE OFFICE Of
EMERGENCY SERVICES AND THE AIR POLLUTICN CONTROL DISTRICT.
I hereby affinn that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 O) Civil Code).
Lende(s Name Lender's Address
I c:et1fythal I haw! IV8d !he appJICallan and slate that the above lntonnatioll IS c:onectand lbattlle lnfonnatlon ontlle plans lsilGCUlllle.. llllfRlelD c:om""...tlll al Qt&i Oldl._ aid Smt8 • lllaCirQIID bulidlngQlllllndon.
I hereby autaize ~we of Ile City of Cartsbad benler upon Ile above rneruined PfOl)el\y lor i1Sp8Cli:Jn pwpoees. I ALSO AGREE TO SAVE, N>EMNlfY #¥J KEEP HARt.t..ESS 1llE CITY OF CARSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ',H />NYWAY ACCRUE AGAINST SAD crrv IN CONSECllENCE OFT!£ GRANTNG OF THIS PERMIT.
OSHA: An OSHA penn~ is 111quied bucavalions over 5'0' deep and demolition or oonslructioo ofslrucluR!sover 3 sbies ii heiglt
EXPIRATION: Every perm~ issued by lhe Building Ofoal under lhe pmvisms of llis Code shall expire by linHalion and beoome null and 'l0id f Iha blikli'lg or'Mllk auhxad by SIDI pemt is nol ml'l1'l!l'O!d..,
180 days him Vie date of such penrita'iftle buidiig or'MJl1(aultorired by such perrniis suspendedorabandonedatanylire allerhtlRIC!klSo:immenoed ba pelild cl 180days(Sedbl 1116.4.4 Ulihm EluicilgCode).
~ ~/~"----DATE _,; /? //.?c·/~
City of Carlsbad Bldg Inspection Request
For: 05/25/2010
Permit# CB100904
Title: TOLLESON: UPGRADE SERVICE
Description: FROM 100 TO 125 AMPS
Type:ELEC Sub Type:
Job Address: 2187 TIMBERLINE RD
Suite: Lot: 0
Location:
OWNER TOLLESON J GAIL TRUST 11M11-03
Owner: TOLLESON J GAIL TRUST 11 M11-03
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7605985498
Inspector: Mt:
Requested By: CHAD
Entered By: JANEAN
33 Service Change/Upgrade ~ Op~a_ :to L--Z.~ A:+i'f!S. flO-,-.l~ ~
up it L...asst..~ to.v1,p~. '39 i;_t:.,,____ ------.-::;-------ll.e~c ~ • ----------______ y -~----------------------_£t ~--~----------------------------------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments