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Home My WebLink About2712 TIBURON AVE; ; CB071394; PermitCity of Carlsbad ' . 1635 Faraday Av Carlsbad, CA 92008 05-21-2007 Electrical Permit Permit No: CB071394 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type· Parcel No: 2712 TIBURON AV CBAD ELEC 1675122300 Lot#: Status: 0 Applied: Entered By: Reference #: Plan Approved·. Project Title: KOCH RES-REPLACE 100 AMP PANEL W/ NEW 200 AMP PANEL Applicant: KOCH STEVEN 2712 TIBURON AVE CARLSBAD CA 92010 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 100 0 0 0 Owner: KOCH STEVEN 2712 TIBURON AVE CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 05/21/2007 RMA 05/21/2007 05/21/2007 $10.00 $25.00 $0.00 $0.00 $0.00 $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 approval of your project includes the "lmpos'ilion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pem1il 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 as·1de, void, or annul the'ir impos·1tion. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY lo 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 fee ex i ns f which o h v r vi u I b TICE imil r thi or st wh· h h ta t of limi a i ns h r vio I othe i x ir d City of Carlsbad 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717; 2718; 2719 Fax: 760-602-8558 Building Permit Application JOB ADDR~ / / L LOT# PHASE# # OF UNITS DESCRIPTION OF WORK: (Please describe present use and pro /Ac.e... loo fh'VJP Plan Ck. Deposit SUITE#/SPACE TYPE oFCONST. OCC. GROUP BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □# __ NO □ AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NO □ CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX FAX EMAIL EMAIL PROPERTY OWNER NAME 5 7EUE.l'i CONTRACTOR BUS. NAME ADDRESS ADDRESS '-c-1TY_C_AR._J_56_,4_D ___ s~C:_A-~_ -~W/0 CITY STATE ZIP PHONE () t,/?}1-0050 F~X-tl/~flr--------l---PH-ON-E------~-FA_x ______ ~ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS S /:oc/.._@ /VI TG-L.DJC. Cow'\ -'-------------------l--------------------------STATE UC.# STATE UC.# CLASS CITY BUS. LIC.# {Sec. 7031.5 Business and Professions Code: Any City or Count,: which requim a permit to con1truct, alter/ improve, demolish or reP,air any mucture1 prior to its imance, also requires the a_pplicant for such permit to file a signed statement that he is ricensed JJUrsuant to the provisions of tile Contractor's Licen1e Law {Chapter 9, commending with Section 000 of Division 3 of the Busineu aiid Pro,ession1 Code} or that he is mmp1 therefrom, and tile bam for the alleged exemption. Any violation or Section 703U by any applicant for a permit subjects tile applicant to a civil penalty of not more than five hundred dollars {$500}). WOltKIRS' COMl'!ENSi'!.l'JON Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following dec/arafions: □ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sec1ion 3700 of the Lat>or Code, for the performance of the work for which this permit is issued □ 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 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. □ Certificate of Exemption: I certify that in the performance 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 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. _,g CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: , 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 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}. 0 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 O 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/ 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/ address/ phone I contractors' license number}: 5 I wm p,o,ide some or lhe wock, but I ha,e coc ac d (hiced the f owiog persocs lo pm,ide the wock iodicate<l (ioclude oame / ad:::: pr lyp;; ;; / • 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? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? O Yes D 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 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 purposes, 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced wit~in 180 days from the dale of such permit or if the buildi g or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building ".:'.APPLICANT'SSIGNATUR ~· DATE lf Iv /c? City of Carlsbad Bldg Inspection Request For: 05/24/2007 Permit# CB071394 Title: KOCH RES-REPLACE 100 AMP PANEL Description: W/ NEW 200 AMP PANEL Type:ELEC Sub Type: Job Address: 2712 TIBURON AV Lot: Suite: Location: OWNER KOCH STEVEN Owner: KOCH STEVEN Remarks: Total Time: CD Description 33 Service Change/Upgrade 0 Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ,especioc Assigomeot 4Y Phone: Inspector: ---- Requested By STEVEN? Entered By: JANEAN