HomeMy WebLinkAbout2705 MEDFORD CT; ; CB132407; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-02-2013 Permit No: CB132407
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
2705 MEDFORD CT CBAD
PME
1674332800
LASHO RES= UPGRADE ELECT
PANEL FROM 100 TO 200 AMP
LAWRENCE ELECTRIC
2936 JACKS COVE
ESCONDIDO CA 92027
760-822-7903
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
LASHO FAMILY TRUST 08-08-03
2705 MEDFORD CT
CARLSBAD CA 92010
ISSUED
10/02/2013
LSM
10/02/2013
10/02/2013
$0.00
$158.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: /P-7-t] Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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
f fwh· I I hi r h f Ii i i I
" THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO
'
/4'~. "-'·•::•,·· ~ CITY Of
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@ca~sbadca.gov
www.carlsbadca.gov
Plan Check No. {!_& \ 3 -:;J.J.._/ 07
Est. Value
CARLSBAD Plan Ck. Deposit
SWPPP
JOB ADDRESS SU TEI/SPACEt/UNITt -r
CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENA CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Squal9 Feet ot Affected Area(s)
!ifr3/ /,//J1 rodt cfJ-6tJA CeO
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
veso
AIR CONDITIONING
NcQ ves0No0
FIRE SPRINKLERS
vESONoO
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
FAA
CITY ZIP STATE ZIP
PHONE FAA
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS
(Sec. 7031.5 Business and Professions Gode: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any_ structure, prior to its issuance, also r~uires 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 exemP.t 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 cIvII penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
WOri<ers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations:
B I have and wlll 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 pemiit is issued.
I have and will maintain wo~ compensation, as re<1uired by Section 3700 of the labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation ii,rance~nier and policy
a,mbera,e,lns,ranceCo. l Ou::JQ.r ~.!> Policy No. W C.C.,70\~02' ( ex,;rationoate~~~-~l-~+----
~section need not be completed ii the permit is for one hundred dollars ($100) or less. / LJ Certificate of Exemption: 1 certify that in the perfo1TTiance of the work for which this pelTTI~ is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Failure to secure work.en;' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damagu as provided i ,in Section 3706 of the Labor code, I rest and attomey's fen,
,.6$ CONTRACTOR SIGNATURE
I hereby afflrm that I am exempt from Contntctor's License 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).
\, 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).
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. 0Yes Oo
2, I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (fimi) to provide lhe proposed construcHon (Include name address / pOOne /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 I phone I contractors' lk:ense number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work):
,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
Inspection List
Permit#: CB132407 Type: PME
Date I nspectio_ll_ltem
10/03/2013 33 Service Change/Upgrade
10/03/2013 33 Service Change/Upgrade
Friday, October 04, 2013
Inspector Act
RI
PB AP
LASHO RES= UPGRADE ELECT
PANEL FROM 100 TO 200 AMP
Comments
PM PLS
Page 1 of 1
....... -.----------