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HomeMy WebLinkAbout2801 VISTA MARIANA; MP; CB111504; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-07-2011 Electrical Permit Permit No: CB111504 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2801 VISTA MARIANA CBAD St: MP ELEC 0000000000 Lot #: REPLACE EXIST 100 AMP METERED PEDISTAL FOR IRRIGATION 0 Applicant: Owner: NEW-WAY LANDSCAPE MAINTENANCE, 7966 ARJONS DRIVE SAN DIEGO, CA 92126 619-566-1400 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 0 100 Total Fees: $35.00 Total Payments To Date: Inspector: Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/07/2011 RMA 07/07/2011 07/07/2011 $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $35.00 Balance Due: AL Clearance: $0.00 NOTICE: Please take NOTICE th pproval of your project includes the "lmpo tion' of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' Y 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 «~~ '¥ CITY OF CARLSBAD EXISTING USE CONTACT NAME (If Different Fom Applicant) ADDRESS CITY PHONE EMAIL PHONE '?~ EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 PROPOSED USE STATE FAX Fax: 760-602-8558 www.carlsbadca.gov GARAGE !SF) ZIP SUITE#/SPACE PATIOS (SF) ADDRESS ' DECKS !SF) CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE UC.# Workers' Compensation Declaration: I hereby affinn under penalty of pe,jury one of the lo/lowing declara6ons: Plan Check No. Est. Value STATE FAX /!!Sc SWPP AIR CONDITIONING YES □ NO □ ZIP FIRE SPRINKLERS YES □ NO □ ZI ZIP D I have and will maintain a certificate of consent to self-insure for worke,s' compensation as provided by Section 3700 of the Labor Code, for the perfo,mance of the work for which this permit is issued. D I have and will maintain wo~ers' co"lpensatio!J.,as required by Sect~n 3700 of the Labor Code, for the performance of the wor for which this permit is issued. My workeis' compensation insurance carrier and policy numberare lnsuranceCo. IPttim/e,,IS Y._~()~4i'( L'i46tt11Hy (Q PolicyNo. 1 'JO Expiration Date /a -f-/1 This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workeis' Compensation Laws of California. WARNING: Failure to secure work 'compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da s provid in S cti 3706 of the Labor code, Interest and attorney's fees. ,1$ CONTRACTOR SIGNATURE ~ .r-,, A••~ □AGENT DATE -7 -// I hereby afflnn that I am exempt /ro,n 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 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 himsett 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). □ I, as owner of the property, am exclusively contracting with licensed contractois to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 pu,suant to the Contractor's License Law). □ I am exempt under Section _____ Business and Professions Code for this reason: 1. I peisonally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following pe,son (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide por1ions of the work, but I have hired the following pe,son to coordinate, supervise and provide the major work (include name I address I phone I contractois' 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 I address I phone I type of work): ,1$ PROPERTY OWNER SIGNATURE □AGENT 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? □ 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. of the work this penmit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and stlte that the above information is correct and that the information on the plans is accwate. I agree to comply with all City ordinances and State laws relating to building cons1ruction. I hereby authorize reJX85Bl1tative of the Qty of Cansbad to enter upon the above mentoned property 1or inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY a= CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE a= THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required lor excavations over 5'0' deep and demolition or ccnstructon of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shaU expire by lmitaton and become nul and void tt the building or v.ork authorized by such permit is not oommenced v.ithin 180days from the date of such permit or if the ing orv.ork authorized by such permit is suspended or abandoned at anytime after the v.ork is commenced for a periJd of 180days (Seeton 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE '?J ~ DATE 7-. 7-// -~ ,,-.... ·,_-,~ C I T Y O F CARLSBAD DATE: 7/z/~I/ • ~ J PERMIT#:"{ /[ Sof UNSCHEDULED BUILDING - INSPECTION 8-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: ? y __ /_,__ __ --'- CONTACT: ------- --_gf=IONE #: ------- Jos ADDREss: _2--,---,--~_0_1_v._1_s r;_/i.;___/7/___..lp_1/l_l _lJ_M_;__1~--- DEscR1Pr10N: ___________________ _ CODE __ 32.. Bldg Inspection Form DESCRIPTION Co?,ff=5e'1v0 Page 1 of 1 ACT ff COMMENJS E::./lt1c Rev. 06/09