HomeMy WebLinkAbout2775 UNICORNIO ST; ; CB072821; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-08-2007 Electrical Permit Permit No: CB072821
Building Inspection Request Line (760) 602-2725
Job Address:
Perm it Type:
Parcel No:
Reference #:
Project Title:
2775 UNICORNIO ST CBAD St: MP
ELEC
0000000000 Lot #:
AT&T 100 AMP METER PEDESTAL
FOR CABINET
0
Applicant: Owner:
JOHN GRIFFIN CONSTRUCTION
244 JASON CT
CORONA 92879
760 801 9646
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
Total Fees: $35.00 Total Payments To Date:
Inspector: Date:
"' ~
~ ' ""I
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/08/2007
KG
11/08/2007
11/08/2007
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$35.00 Balance Due:
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
fe slex cti ns f whi d.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fa:A.: 760-602-8558
Building Permit Application
JOB ADDRESS
CT/PROJE T #
BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF)
CONTACT NAME (If Different Fom Appl/cant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF)
Est. Value
Plan Ck. Deposit
Date / -7
SUITE#/SPACE#/UNIT#
TENANT BUSINESS NAME
DECKS (SF) FIREPLACE
YES □#_ NOD
AIR CONDITIONING
YES □ NO □
APPLICANT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
CONTRACTOR B
ADDRESS
ZIP
FIRE SPRINKLERS
YES D NOD
ltc. 7031.5 Businrn and Profrnions Cod,: Any Cicy or Couniy which requim a permit to connruc~ aher1 improve, demolish or rtP.air any mucturt1 prior to iu issuance, aho requires the applicant for such permit to file a signe statement that ht i, c,n,ed JJUl"!uant 10 the provi,ion, of the Contractor', License Law {Chapter 9, commending with Section 000 of Division 3 of the Bu,inm and Pro1mion, Code} or that he i, mmpt therefrom, and tht bam for tht alleged exemption. Any violation of tction 7031.5 by any applicant for a permit ,ubj,cu tht applicant to a civil ptnalcy of not more than fivt hundred dollan {SSOO}~
Workers' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations:
0 I have and will maintain a certificate of consent lo self-insure for workers' compensation as provided by Section 3700 of the Labor Code,.for the petformance of the wall<. for which this permit is issued.
0 I have and will maintain wotl<.ers' compensation, as required by Section 3700 of the Labor Code, for the petformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are A\ \ltL, N ;tt \ •-rn (' Insurance Co. • C\0Ct OV\lL C,1.lCl\..OC-fJ ~D, Policy No. 0·1 C. wD l\:O t 'i-lo Expiration Dale __ 3=--·-'\'-1:-'-·-'D=->B-"--
This section need not be completed if the permit is for one hundred dollars ($100) or less.
0 Certificate of Exemption: I certify that in the petformance 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 Wotl<.ers' 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 (&1 00,000), in
addition to the cost of compensation, da ov1ijed f~r In Sectl n 3706 of the Labor code, interest and attorney's fees,
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slructure 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 lhrough 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 lhe burden of proving lhal he did not build or improve for lhe purpose of sale).
O I, as owner of the property, am exclusively contracting with licensed contraclors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property
who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Conlraclor's License Law).
0 I am exempl 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. D Yes □ 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 lhe major work (include name/ address /phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indk:ated (include name/ address / phone / type of work):
Ji6 PROPERTY OWNER SIGNATURE DATE
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? 0 Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control dislrict or air qualily management district? □ Yes D No
Is lhe facitily to be constructed within 1,000 feet of the ouler boundary of a school site? D 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 hereby affirm that there is a construction lending agency for the perform
I certify that I have read the application and stale 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 lo 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 lhis Code shall expire by limilation and become null and void if the building or war< aulhorized by such permit is nol commenced within
180 days from the date of such permit or if e build in otl<. authorized by such permit 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) .
.fLS APPLICANT'S SIGNATURE DATE