HomeMy WebLinkAbout2125 TWAIN AVE; ; CB051224; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-04-2005 Electrical Permit Permit No: CB051224
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2125 TWAIN AV CBAD
ELEC Status:
Parcel No: 2081810900 Lot #: 0 Applied:
Reference #:
Project Title: CRUZ RES-GAS TO BBQ&FIRE PIT
ELECT TO BBQ & FOUNTAIN
Applicant:
SAVANAHLANDSCAPE
4399 SERENA AV
OCEANSIDE CA 92054
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
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
CRUZ TIMOTHY G&KATHERINE E
2125 TWAIN AVE
CARLSBAD CA 92008
ISSUED
04/04/2005
AMA
04/04/2005
04/04/2005
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$27.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00
5201 04/04/05 0002 01
CGP
Inspector: (<-/3 FINAL APPROVAL
Date: o/.,.. ;z...9 --ef Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "lees/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
02
47 -00
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY QF,CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. {ho 2 ) d-,,2_~
EST. VAL. _________ _
Plan Ck. Deposit------....---.--
Validated BY---.--+---,,..----,,fLf,.£.1.t--
Date. ____ --==::;i...-1-....c:j.+-'-'"-I-----
Address (Include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use ______________ _ Proposed Use
of Bedrooms _ / . # of Bathrooms ,' -• Jei ¥PIP ~
Name Address City State/Zip Telephone # Fax#
•~ -•• • "';it. I <f•.· J,r~• .,·, ~-.. •,•• .. , .. ,.. ., ~
--5....~...&...&..c:£L..!U.L~.!:::::l..::ll.!!.5..:~~~....:......J..;;::q_~LJ...L~· L. ::::i.,,,:!:.!::,~· ~;.:=::..· ~~~...!..__E,~~.l.1=1::!:,.~
1
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Name Address
1~.b.or.i.-ctl((,$,1:f;if,t P..Mi!Kl9Wtt«Mti'.~~iH:lr.:~•rnfof.'~ :. ~-~ <';,';,·. ,: . .-, .:.' -~::··'S's·':/;_ .•• ;; ' \ :: .. ;,'.' ,:.•. <i~:i':;,/ti'~Y,'-~•:,l. ·i'Jt\';,i''-':t::!'.11,;,\,.;}fr~~:'!i~ f.!f~'t}~:-;:iit:1;'1': J\li)f,1,,-",:: J;.~~~a;\
(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, Improve, demolish or repair any structure, prior to Its
Issuance, also requires the applicant for such permit to flle a signed statement that ha Is licensed pursuant to the provisions of the Contractor'a License Law
(Chapter 9, commending with Section 7000 of Division 3 .of the Business and Professions Code) or that ha Is exempt 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 1•500)).
Address
License Class _________ _
City StatafZt-Telephone I
City Business License 1~ //(R
Designer Name Address City StatefZip Telephone
State License I _________ _
(et~'i~Q'iiRijlt~tclfMF.'VJ$:1it,Jij~.~Jjt,J.\i\:'>jtt;,,_:("l1[;,~\f:. "· :f/i\\ ,·tr\1;,;1;1,.;ii.\-:i:'.'0• d::M,:~.iJ101t:;z; \'':(/:r:::,i, ,:., .;,: ,;.,:., . -.:,::.,., .:.::;\~~ :~-,;.,. · 1.;i,i,\~;,,i, ·1
Workers' Compensation 0eclaratlon: I hereby affirm under penalty of perjury one of the following declarations: liJ I have and will maintain a certificate of consent to sell-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance Jc; the work for which this permit Is Issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Lab~-:;>for t e p rmance of the work for whic thl permit is
Issued. My worker's pensation In urance carrier d po cy nu •rGtr'fl ,._,.vr,-,-;;
Insurance Compa,~i:~::!::ff::ij:~~~~!Q,,,..t'.JLl:;~~--=----Polley N ··...1£.::::!:~--+_.:..uLµ..£-l-~:::.::::_-1 Expiration 0at.~='-1-,H===-
ONE HUNDRED DOLLARS ($100) OR LESS)
to become
WARNING:
e of the work for which this permit Is isaued, I shall not employ any person In any manner so as
lawful, and ahaH aubject en employer to c
, damagea •• provided for In Section 3706
OAT1 ~-,,'-J'-'-s::-:-:f--fi_,L::::....t.__ . ~ijililt~~ll"'ffi'~~~J.~~!~£ it~ri;;~~ria~~*·~%1~~[~1Ff :1[:~~;;;~~(:~~;r\1:fl~dr~~ j~;;~~ ~:::~;_;~~'\'.:·"::::~; ~i,,:~{~r~·ij. ;~·t
I am exempt from the Contractor's License Law for the following reason:
0 owner f the property or my employees with wages as their sole compensation, wlll do the work and the structure Is not intended or offered for sale
(Sec. 704 , B ,ness and Professions Coda: 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. II, 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 salel.
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project '(Sec, 7044, Business and Professions Code: Tha
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'• 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 ONO
2. I (have / have notl signed an application for a building p·ermit for the proposed work.
3. I have contracted _with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / eddress / phone
number/ contractors license number): ______________________________________________ _
5. I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): _________________________________________________________ _
PROPERTY OWNER SiGNATURE _____________________ _
fc~MP,t~"{.tl}.TtHJ$/$'Eti(g0NJt!Ott!'Q.dtv~l,!/;S//i_EN.tl,.AL;_Bl,/ltDIN_GIP.EilMITS.;ONl:Y:,,: ;,: · .
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? ·O YES O NO
Is the facility to be constructed within· 1,000 feet of the outer boundary of a school site? 0 YES O 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) Civil Codel.
LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _
. ~~1~A"f.Jltu:'l'NttffC.E~iilffi(~A'Jljij'f.:~~l"~M;,'.~J;!'?ti;~,;,..:1:1:r;f /:,,,: ,,;;::..';,;;,},,ti i'.,/: ., : I1 ;,;;(;,:,;,, ;;ci;~.:::,,.:, :,· :\;,,<"":, t·· .. , ''.;:+• '.·:\ii;.,: • 'e.:f,•;-;;••i_;,, .. :;,J' • .:f··, :,•:;:;:\i':,,:c::z:::1-.
I certify that I have read the appllcatlon 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 representatives of the Citt of Carlsbad to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 permll issued by the building Olflclal under the provisions of lhls Code shall expire by limitation and become null and void If the building or work
authorized by such permit ls not commenced within 180 days from the date of such permit or If the building or work authorized by such permll Is suspended or abandoned
at any time after lhe work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE __________________________ _ DATE _____________ _
WHITE: File .YELLOW: Applicant PINK: Finance
~ '1:1
City of Carlsbad Bldg Inspection Request
For: 09/28/2005
Permit# CB051224
Title: CRUZ RES-GAS TO BBQ&FIRE PIT
Description: ELECT TO BBQ & FOUNTAIN
Type: ELEC Sub Type:
Job Address: 2125 TWAIN AV
Suite: Lot 0
Location:
APPLICANT SAVANAH LANDSCAPE
Owner: CRUZ TIMOTHY G&KATHERINE E
Remarks:
Total Time:
Inspector Assignment: RB ---
Phone: 7604584587
Inspector: ----
Requested By: CRUZ RES.
Entered By: CHRISTINE
CD Description Act Comment
39 Final Electrical !Jl_ ____________________ _
~-----L---------
Associated PCRs/CVs
lns~ection Histo[Y
Date Description Act lnsp Comments
04/06/2005 23 GasffesVRepairs AP RB
04/06/2005 31 Underground/Conduit-Wiring AP RB
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