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HomeMy WebLinkAbout2439 UNICORNIO ST; ; CB061186; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-0,2-2006 Electrical Permit Permit No: CB061186 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2439 UNICORNIO ST CBAD ELEC 2152501900 Lot #: DOWELL RES-ELECT PANEL UPGRADE 100 AMP TO 125 AMP 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/02/2006 RMA 05/02/2006 05/02/2006 ANYTIME PLUMBING DOWELL SCOTT J&SHIRNIA TERESA C 638 TRULY TERRACE VISTA CA 92083 760-639-6200 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 TOT AL PERMIT FEES 25 0 0 0 2439 UNICORNIO ST CARLSBAD CA 92009 $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: $26.25 Balance Due: Inspector: FINAL Date: 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 Car1sbad 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 x i n f whi h h v r vi I T imil r h" hi h h f limi i n h I h rwi -~R~IT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION ~43q Uni Cp( ni O $\-. Carlsboci CA, 9aoo~ Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use FOR OFFICE USE~ PLAN CHECK NO. L.i;i{Jb EST. VAL. __________ _ Plan Ck. Deposit ____ --A----- Validated By -1---1--.....,.......fµ;..g~--- Date ---'+-d',r#--f-H,,,_ _____ _ Phase No. Total # of units Proposed Use Description ofWor1< SO. FT. # of Stories # of Bed rooms # of Bathrooms ~~L l,4) 6RPi>E. /OOA/"'fs -,-o { 25 -A N\,p.S 2. CONTACT PERSON (If dlffwent from applicant) Name Address City State/Zip Telephone# Fax# 3. Al"l"UCANT )( Conlnlctof CJ Agent for Contractor CJ Owner CJ Agent ror OWner Name Address Qty State/Zip Telephone# 4. PROPERTY OW,_R Sc.ort ~,t\ Name Addrese City State/Zip Telephone# 5. CONlRACTOR • COMPANY NAIii! (Sec. 7031.5 Business and Professions 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 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 or the Business and Professions Code] or that he 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 ($500D. Designer Name Address City State/Zip Telephone# State License# _______ _ I. WORKEfl'I COMl'ENIATION Wor1<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: CJ I have and will maintain a certificate or oonsent to self-insure ror workers· compensation as provided by Section 3700 of the Labor Code, for the performance or the wor1< for which this perm It is Issued. '& I have and will maintain wor1<er's oornpensation, as required by Section 3700 of the labor Code, for the performance of the wor1< for which this permit is issued. My wor1<er's compensation insurance carrier and policy number are: Insurance Company e, es, -A Ho Policy No. 3151 iY le, Expiration Date_\.:...i\1-1\-1-\_,,.C.,_n..__ ____ _ (ntlS SECTION NEED NOT BE COMPLETED IF ntE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) □ CERT1F1CA TI: OF EXEMPTION: I certify that In the performance of the wor1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of Galiromia. WARNING: Failure to secure wor1<ers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and ell/II fines up to one hundred thousand dollar.($100,000), In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney'• fffs. SIGNATURE·-------,------------------------DATE. _____ =====--~ 7. OWNl!R.aULDl!R DIICLMATION I hereby affirm that I am exempt from the Contractor's Lioense Law ror the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d the wor1< and the structure is not intended or olfered 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 wor1< 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 or complellon, the owner-builder will have the burden or proving that he did not build or improve for the purpose or sale). CJ I, as owner of the property, am exclusively oontracting 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 ror construction of the proposed property improvement. CJ YES □ NO 2. I (have/have not) signed an application ror a building permit for the proposed wor1<. 3. I have contracted with the following person (firm) to provide the proposed construction (include name/ addres6 / phone number I contractors license number): 4. I plan to provide portions or the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address / phone number I /ontractors license number): ------------------------------------------- 5. I will provide some or the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name / address/ phone number/ type or work): PROPERTY OWNER SIGNATURE ___________________________ DATI: __________ _ WHITE: File YELLOW : Applicant PINK: Finance PERIVIIT APPLICATION c;h"Y,OF CARLSBAD BUILDING DEPARTMENT ·1535 Faraday Ave., Carlsbad CA 92008 Page 2 of2 COMl'UT& nt• IECT10N FOR IIOII-MSIOl!NrlAL IULDINO l'ERMfTS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sectlons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri □ YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quallty management district? □ YES □ NO Is the facilltyto be constructed within 1,000 feet of the outer boundary of a school site? □ YES D NO IF ANY OF TliE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TliE APPLICANT HAS MET OR IS MEETING TliE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I. CONSTIWC110N LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME __________________ _ LENDER'S ADDRESS ___________________ _ I. APPUCANTCD11ACA110N 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 representative6 of the City of Carlsbad to enter upon the ab011e mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILmEs, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations of 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 wor1< authorized by such permit is not commenced within 180 days from the date of such permit or if the building or wor1< authorized by such permit is suspended or abandoned at any time after the wor1< is oommenced for a period of 180 days ection 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance ~· ~ City of Carlsbad Bldg Inspection Request For: 10/23/2006 Permit# CB061186 Title: DOWELL RES-ELECT PANEL UPGRADE Description: 100 AMP TO 125 AMP Type: ELEC Sub Type : Job Address: Suite: 2439 UNICORNIO ST Lot 0 Inspector Assignment: JM --- Phone: 7604318422 Location: Inspector: OWNER DOWELL SCOTT J&SHIRNIA TERESA C Owner: DOWELL SCOTT J&SHIRNIA TERESA C Remarks: Total Time: CD Description Act Comment 39 Final Electrical U-.. 'v rv Comments/Notices/Hold Associated PCRs/CVs Original PC# lns~ection Histo[Y Date Description Act lnsp Comments Requested By: Entered By: ft__t.vi 05/18/2006 33 Service Change/Upgrade AP JM DO NOT FINAL 05/15/2006 32 Const. Service/Agricultural NR JM 05/15/2006 34 Rough Electric NR JM ----- TERRY CHRISTINE uvl