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Home My WebLink About2715 TIBURON AVE; ; CB111127; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-26-2011 Electrical Permit Permit No: CB111127 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2715 TIBURON AV CBAD ELEC Status: Parcel No: 1675124800 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: GABRIEL TODD TODD RES-UPGRADE ELEC PANEL FROM 100 TO 200 AMP 2715 TIBURON AVE CARLSBAD CA 92010 760 889 9076 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 Entered By: Plan Approved: Owner: GABRIEL TODD 2715 TIBURON AVE CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 05/26/2011 LSM 05/26/2011 05/26/2011 $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: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval o' your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively relerred 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 torth in Government Code Section 66020(a), and file the protest and any other required informat1on with the City Manager for processing in accordance with Ca1·i;,bad Municipal Code Secb·on 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul the.ir imposition. You are hereby FURTHER NOTIFI_ED 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 I es/ x tin !which hav r vi usl iv n N TICE i ilart hi orast whi h h at te flimiai n h I l~i! Building Permit Application Plan Check No.Cle:> 11 ll~/ 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY Of 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date S,' c?-<t f i 1 jswPP I JOB ADDRESS 2715 T✓lvrv (\ Av(. SUITE#/SPACE#/ UNIT# APN --- CT/PROJECT# !LOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include +are 1 :J of ~ected Area(s) v=-I ec \-! -"Jf'L I v,n ,,r.J r ,erJ --17") ..Jnr') ~" V I I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □# __ NOD YES O NO □ YES □ NOD CONTACT NAME (If Different Fom App/Jc ant) APPLICANT NAME -)C>.dc (4--/,,., A, ( ADDRESS ADDRESS 2~?rs 11 A✓e ?J'J2::,l'l ' /CITY STATE ZIP CITY C &v'/ s-/7_,,/ STATE.(+ ZIP PHONE I FAX PHONE /Go _26,1 -railaFAX EMAIL EMAIL PROPERTY OWNER NAME CL ht' CONTRACTOR BUS. NAME ADDRESS -ADDRESS CITY STATE ZIP CITY STATE ZIP IPHDNE IFAX PHONE IFAX I I EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# ICL<SS \ CITY BUS. LIC.# (Sec, 7031.5 Business and P_rofess1ons Code. Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such per_mtt to file a signed statement that he Is licensed pursuant to the provIsmns of the Contractor's License Law JChapter 9, commending with Section 7000 of D1vIsIon 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following dec/araHons: D 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 wor1( for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ol the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. _______________________ Policy No. _______________ _ Expiration Date __________ _ 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 performance of the woit for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Warters' Compensation Laws of 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE !lll!r!IZ □AGENT DATE as owner of the property or my employees w;th 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 bJilds or improves thereon, and who does such wort himself or through his own employees, provided 111at 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 w;th 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 □Yes D No 2. I (have I have not) signed an application for a building permit for the proposed wort. 11 have contracted with the folloWlng person (firm) to provide the proposed construction (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/ phone/ contractors' license number) 5. I will provide some of the war\\, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work)· . ,,?' ~ PROPERTY OWNER SIGNATURE □AGENT DATE i I I \ I I i I II I I 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 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or iuture building occupant required to obtain a permit 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. at there is a c t certify that I have read the application and state that the above info1TI1ation is correct and that the information on the plans is acc1..11ate. I agree to comply with all Cify ordinances and State laws relating to bullding construction. I hereby authorize representative of the City of Carlsbad to enter up::in the above mentioned property br ins~on purp:>Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is required fa' exc.avations over 5'0' deep and demolition or construction of strucltJres over 3 stories in height. EXPIRATION: Every permit issued by the Buik:ling Official under the provisions of this Code shall expire by limitation and become null and void IT the building or v.ur1<. authorized by such permit is not commenced Y,ithin 180 days from the date of such peon~ or if the ~or oor1<. auttiorized by such pem,i~ suspended or abandoned at anytime after the 0011<. is commenced for a perod of 180days (Section 106.4 4 Unilom, Building Cooe) ,t6 APPLICANT'S SIGNATURE------~~-C'. DATE cS' -2-C -20 J J City of Carlsbad Bldg Inspection Request For 06/14/2011 Permit# CB111127 Title: TODD RES-UPGRADE ELEC Description: PANEL FROM 100 TO 200 AMP Type: ELEC Sub Type: Job Address: 2715 TIBURON AV Suite: Lot: Location: APPLICANT GABRIEL TODD Owner: GABRIEL TODD Remarks: 1 pm please Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical 0 Act _L,\,&_ ( -- ~ Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7608899076 Inspector:~ Requested By: TODD Entered By: CHRISTINE