The URL can be used to link to this page

Home My WebLink About1860 VALENCIA AVE; ; CB051623; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01 -1 1-2007 Electrical Permit Permit No: CB051623 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1860 VALENCIA AV CBAD ELEC Status: Parcel No: 2072721100 Lot#: 0 Applied: Reference#: Project Title: Applicant: A M P ELECTRIC DOHERTY RES 100 TO 200 AMP ELEC UPGRADE 169 EL VALLE OPULENTO 92083 715-7137 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 Entered By: Plan Approved: Owner: DOHERTY ROBERT M 1860 VALEN CIA AV CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 05/09/2005 SB 05/09/2005 05/09/2005 RB $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.50 $0.00 $52.50 Total Fees: $52.50 Total Payments To Date: $52.50 Balance Due: FINAL APPR VAL Inspector: Date: I J (., Clearance: $0.00 t 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 PERMIT APPLICATION ' ' ' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1 . PROJECT INEOf\MATION FOR OFFICE USE ONLY PLAN CHECK No.CC;3,o57h 2J EST. VAL. __________ _ Plan Ck. Deposit -::::;:;;;::==s.------- Validated By, __ __,::.._..:.a;;:;..,::::._ ___ _ Date, __ ..,::;;;)....,,-..:.:.1,..../-a....~------ /B60 y'tt f-ef/ c: tt 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 # Elu,fc: t:A I Secv: ,e Description of Work Existing Use ,,,.,f1~t0 de.. SO. FT. Proposed Use ~4> O Pr""'-L> # of Bedrooms # of Bathrooms ~i-U_cU!c~o~u,J_A_CJT-P~ERus_o+~N~(l~~~dl-ffa_,a_n_t_fro_m_·_•P~'~lb~•n~1)~£...!..----::!::..=.LL.J...::...----=..-+:-~(,,._-=....c/~-t~h~it>-=---1...-e.:..-=:,,._ _ ___,,_..cr. ____ ?.~~-0~8=-3 __ ~7,~~~o..../Jll)~8663/ City 0 Agent for Owner State/Zip Telephone # Fax # Name Address 3. , APPLICANT .IZJ Contraptor • D Agent for Contractor O Owner 7/,0 ?I,-?15 2 Name Address ... :. City State/Zip Telephone# R x 7fo -r;.;q -1 sq 1 Name Address City State/Zip Telephone# 'g. CQNTRACITOR'• CO!\IIPANYNAME (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 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exe p I y v·o1a1ion of action 7031.5 by any applicant for a emit subjects the applic nt to a civil penalty ot not more than five hundred dollars ($5001) • ..L..J...LJ.L../._..J.......~e:..x:...!..L....l,l...l.::::........._.!..../!,LJ.._J,-,:..L-¥.~4..LL..lo::....___:::O'..L..!;u..~e::::...n:.:...L..::::.O:.___--l'...l.1~r-~___,..,....i.-:=---,L<l-.liaLL-~7-=-6 0=-...:7...:..l.=£.....:.7 I 3 7 Name Address City State/Zip Tele~qi:ui # State License # _._(;,.__,i./c..,.7_3=-.c.5_7...______ License Class ...,,.C .. -ecl.....::O:.._______ City Business License # Aw 1 • 1 t J r-0 IL- Designer Name Address City State/Zip Telephone State License # _________ _ 8. WQlllC~S' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will 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 permit is issued. 0 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 worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) liZ] CERTIFICATE OF EXEMPTION: I certify ~hat In the perfo_rma~ce of the work for which this permit is issued, I shall not employ any person in any manner so as G become subject to the Workers' Compensation Laws of Caltforn,a. WARNING: Failure to aecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thou■and dollars ($ dltion to the cost of compen■atlon, damage■ as provided for in Section 3706 of the Labozr code, lnzt est and attorney's fees. SIGNATURE:_£,4,&A~~~==---------------DATE (( _? _t) </._ _ ~'2 ':I, • ILDER.J>E¢LARA:TION // I hereby affir that I am exempt from the 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 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). 0 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. 0 YES ONO 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 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 / address / phone number/ contractors license 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 number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE __________ _ COMl1LETE.THIS SECTION FOR NON.RESIDENnAL BUILDING PERMITS ONLY 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 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? 0 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. 18. .,CONSTRVCTlbN 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(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _ ,9., •APl!I.JJ;;AJ,l;T C!:RTlflCATION 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 representatives of the Citt 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 with! 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc rap od o days (Section 106.4.4 Uniform Building Code). /4 /4 APPLICANT'S s1GNATURE ___;':f./...~~~/;_·-...:·;.·~--===---------------DATE o5 a9 cJS I J YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/12/2007 Permit# CB051623 Title: DOHERTY RES 100 TO 200 AMP Description: ELEC UPGRADE Type: ELEC Sub Type: Job Address: Suite: 1860 VALENCIA AV Lot OWNER DOHERTY ROBERT M Owner: DOHERTY ROBERT M Remarks: Total Time: 0 CD Description Act Comment 39 Final Electrical f¥f Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments Inspector Assignment: RB --- Phone: 7606134349 Requested By: BOB Entered By: JANEAN 12/07/2005 39 Final Electrical co RB EXPIRE PERMIT 09/16/2005 13 Shear Panels/HD's NS TP ROLLED 06/07/2005 33 Service Change/Upgrade PA RB ND #4CU OR #2 AL FOR H20 -OK TO SET METER (11 06-H7)