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HomeMy WebLinkAbout2839 VIA CONQUISTADOR; ; CB082111; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11 -18-2008 Electrical Permit Permit No : CB082111 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2839 VIA CONQUISTADOR CBAD ELEC Status: Parcel No: 2225920800 Lot #: 0 Applied: Entered By: Reference #: Plan Approved: PC #: Issued: Project Title: SHANAHAN RES-ADD 4 PLUGS IN Inspect Area: GARAGE, ADD 1 PLUG@ NOOK, ADD CEILING FAN 1ST Applicant: PRISM ELECTRIC 2006 SILVERADO ST SAN MARCOS 92078 760 420 9996 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 Owner: SHANAHAN FAMILY TRUST 01-25-01 2839 VIA CONQUISTADOR CARLSBAD CA 92009 ISSUED 11/18/2008 RMA 11/18/2008 11/18/2008 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: FINAL APPROVAL Date: /~cf:,,~ I 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 ·cit~ of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: '160-602-8558 www.carlsbadca.gov Building Permit Application fa.Jc;,-- PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I ti CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL ADDRESS PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP CITY STATE ZIP FAX STATE Cir FAX fp(/ EMAIL CLASS CITY BUS. LIC.# C-!D /Z.2. v/ 11.R (l,c, 703 I.I Bu1inm and Profmion1 Code: Any City or County which requires a ptrmi1 10 conmu<t. alttri improve, demolish or rtP.air any 11rucIuri, prior 10 iu iimnct, aho requim Ih1 aP.plicanl for such P,trmil 10 file a 1igned 11mmtnt IhaI h, ii fictnied J)unuanI 10 1he provi1ioni of 1h, ConIrac1or'1 liceni, law (Chapter 9, commending wirh Section 000 of 01Yi1ion J of Ih1 Bu1inm and Pro1mioni Code} or Ih,r he ii mmpl Ihm from, and Ih, baii1 for Ih, alleged mmption. Any violation of Section 70) I.S by any applicant for a permit 1ubjecu the applicant to a civil penalty of not more 1han five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of pequry one of the following declarations: 0 I have and will maintain a certificate of consent to sell-Insure for workers' compensaIion 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' compenJ.allon, as required by S;$1iori 3700 of the Labor Code, for the performance of the work lor which this permit is issued. My workers' compensatioo insurance carrier and policy number are: Insurance Co. 5/-aJk l..n trJ(JIM52'1<tn "'Jn.trar,cg. fvnd Policy No. -Z/ 3,,... 602<&2 :s 2---Expiration Date ,:k/1 /zoo'r 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 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 the Workers' 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 (&100,000), In addition to the cost of compensation, dam ges as provld for In Section 3706 of the Labor code, Interest and attorney's fees. £S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 wtthin one year of compietion, 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 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 for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application lor 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 I 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) the following persons to provide the work indicated (include name/ address / phone / type ol work): £S 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 preventioo program under Sectioos 25505, 25533 or 25534 ol the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to Obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. gency for the perform I certify that I have read the application and state that the above infom,ation Is correct and that the lnfon11ation on the plans is accurate. I agree to comply with all City ordinances and Slate laws relating 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 pem,it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pem,it issued by the Building Official under the provisions of this Code shall expire by limitation and become nun and void ff the building or wor1I authorized by such pem,it is not commenced within 180 days from the date of such pennit or if the building or work authoriz by such pe • • suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unffoon Building Code). £S APPLICANT'S SIGNATURE DATE •' City of Carlsbad Bldg Inspection Request . . Permit# CB082111 ~or: 12/15/2008 Title: SHANAHAN RES-ADD 4 PLUGS IN Inspector Assignment: RB --- Description: GARAGE, ADD 1 PLUG @NOOK, ADD CEILING FAN 1ST FLR BEDROOM, ADD FAN & CAN LIGHTS@2ND FLR Type: ELEC Sub Type: Job Address: 2839 VIA CONQUISTADOR Suite: Lot: 0 Location: APPLICANT PRISM ELECTRIC Owner: SHANAHAN FAMILY TRUST 01-25-01 Remarks: A M PLEASE Total Time: . .. CD Description Act Comments Phone: 7604209996 Inspector: .. ---- • Requested By: KYLE Entered By: CHRISTINE 39 Final Electrical _fr£ ______ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 12/10/2008 34 Rough Electric Act lnsp Comments AP RB