HomeMy WebLinkAbout1808 VALENCIA AVE; MP; CB072130; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-15-2007 Electrical Permit Permit No: CB072130
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1808 VALENCIA AV CBAD St: MP
ELEC
Parcel No: 0000000000 Lot #: 0
Reference #:
Project Title: AT&T 100 AMP MET PED
Applicant:
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
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/15/2007
LSM
08/15/2007
08/15/2007
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
FINAL APPROVAL
Date: ( ~ 2. f r fJ7 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 n a NOTICE simil
City of Carlsbad Plan Check No. M07 d"l ~o
1635 Faraday Ave., Carlsbad, CA 92008
760,602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
CT/PROJECT# LOT#
DESCRIPTION OF WORK: {Please describe present use and proposed use)
00 DYv\
Est. Value
Plan Ck. Deposit
Date ~/ •~/07
SUITE#/SPACE#/UNIT#
TENANT BUSINESS NAME TYPE OF CONST. OCC. GROUP
BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □ # NO □
AIR CONDITIONING
YES □ NO □
FIRE SPRINKLERS
YES O NO 0
CONTACT NAME /If Different Fom App/leant) APPLICANT NAME <:.
vkv"-~
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
flee. 703 I.S Bu1ine11 and Profmion1 Code: Any City or Counr, which requim a p,rmit to con1trucL aher1 improve. demoli1h or reP,air any uructure1 prior to i11 i11uance, al10 requirei the applicant for 1uch permit to file a 1igne mtement that he i1 r.cenied Jluniant 10 the provi1ion1 of the Contractor', Licenie law (Chapter 9, commending witlt Section 000 of 0ivi1ion 3 of the Bu1inm and Proie11ioni Code} or that he i1 exempt therefrom, and the bam for the alleged mmption. Any ,iolation of lection 7031.S by any appli<ant for a permit 1ubjecu the applicant to a civil penalty of not more than five hundred dollars (SS00}).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declara/ions:
0 I have and will maintain a certifrcale of consent to sell-insure for workers' compensation as provided by Section 3700 of the Labor Code, for !he 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 workers' compensation insurance carrier and policy
number are: A\ \llt_, b.) ;tt l Tu C Insurance Co. • C\0t\; OY)~S IACllOlf/ ~ • Policy No. (}7 C. VVD 4-o l ?.-C:; Expiration Oate __ 3~_\_:t~-· ~D~B~-
This section need not be compleled if the permit is for one hundred dollars ($100) or less.
□ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe Workers' Compensation Laws of
California. WARNING: Failure to secure wo kers' compensatior;!.. coverage Is unlawful, and shall subject an employer to criminal penalties and civil f;nes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da a s as P. for In Section 37 o# the Labor code, interest and attorney's fees.
_g CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do lhe 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 sue~ work himself or through his own employees, provided that such improvements are not intended or offered for sale.
If, however, lhe 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).
□ I, as owner of the property, am exclusively contracting with licensed contractors lo 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 lo the Conlraclor'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 lhe proposed property improvement. □ 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 conslruction (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 the major work (include name/ address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) !he following persons lo provide the work indicated (include name / address f phone I type of work):
_g 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 Hazardoua Subs!ancP. Account Act? □ Ye~ O 1/o
Is the applicant or future building occupant required to oblain a permit from the air pollution control district or air quality management districl? □ Yes D No
Is the facility to be conslructed within 1,000 feet of the outer boundary of a school site? □ 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 certify that I have read the application and state that !he above information is correct and !hat lhe informa1ion on the plans is accurate. I agree to comply with all City ordinances and State laws relaUng to building
construction.
I hereby authorize representative of the City 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 construclion of structures over 3 slories 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 within
180 days from the date of such permit or if th building or work authorized by such permil is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building
Code). '
_g APPLICANT'S SIGNATUR DATE
City of Carlsbad Bldg Inspection Request
For: 08/21/2007
Permit# CB072130
Title: AT&T 100 AMP MET PED
Description:
Type: ELEC Sub Type:
Job Address: 1808 VALENCIA AV
Suite: MP Lot: 0
Location:
APPLICANT JOHN GRIFFIN CONSTRUCTION
Owner:
Remarks:
Total Time:
CD Description Act
33 Service Change/Upgrade fI_ 39 Final Electrical
---
Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone:~~
lnspeci£//4-.. ----
Requested By: JESSEE
Entered By: CHRISTINE
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