HomeMy WebLinkAbout2817 WHIPTAIL LP; MP; CB111486; Permit'City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-05-2011 Electrical Permit Permit No: CB111486
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2817 WHIPTAIL LP CBAD St: MP
ELEC
Parcel No: 0000000000 Lot#: 0
Reference #:
PC#:
Project Title: 100 AMP METERED PEDISTAL
FOR IRRIGATION -NOT IN THE PUBLIC RIGHT OF WAY
Applicant:
BLACK HAWK ELECTRIC CO. INC.
6256 CAMINO CORTO
SAN DIEGO, CA 92120
619-286-0360
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
07/05/2011
RMA
07/05/2011
07/05/2011
$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:
Inspector: ~ FINAL A!J«RPVAL
Date: 7, II/;! 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
«~ ~ C I TY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 271812719
Plan Check No.
Est. Value
CARLSBAD Fax 760-602-8558
www.carlsbadca.gov SWPPP
JOB ADDRESS
CT/PROJECT#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
/ ;1F::t, ,4 ;_,, L-WI. GT£ a_ /J IS. Oc St A (.__
&f
APPLICANT NAME (Primary Contact)
--
ARCH/DESIGNER NAME & ADDRESS
./
ZIP
STATE LIC. #
GARAGE (SF)
0V
# BATHROOMS
DECKS (SF) FIREPLACE
YESO
AIR CONDITIONING
NcCJ YES □No □
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
CITY STATE ZIP
PHONE FAX
EMAIL
FIRE SPRINKLERS
YES□No□
(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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
j ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificale 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.
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 i7;ance carrier and policy
number are: Insurance Co . .EV£12,£'E"" Ah,-,>tw,B.... J,./5 Policy No. 4 (. 0,9,9l;) 4 3 5:t/ 11 Expiration Date / JJ,P ( 2,., ~ section need not be completed if the permit is for one hundred dollars ($100) or less. / /
LJ Certificate of Exemption: I ce~ify that In the performance of the work for which this permit is issued, I shall not empioy any person in any manner so as to become subject to the Workers' Compensation Laws of
Cal~omia. 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, damagd provided f r in Section 3706 of the Labor code, interest and attorney's fees.
2ScoNTRACTORSIGNATURE i3u LNi'I G~'t1,A.,,c.-~-r_c...-□AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for file following reason: D 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 Contracto(s
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 complelion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors 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 pursuant 10 the Contracto(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. 0 Yes
2. I (have I 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 I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hire<I the following person to coordinate, supervise and provide the major work (include name I address / phone I contractors' license number):
5. I will provide some of the work, but I have contracled (hired) the following persons 10 provide the work indicated (include name I address I phone I type of work):
25 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business~. acutely hazardous malerials registratk>n fonm or risk management and preventk>n program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes 1,&1No
Is the applicant or future building occupant required to obtain a penmit from the air pollutk>n control district or ai~ualily management district? 0 Yes 00No
Is the facility to be constructed witllln 1,000 feet of the outer boundary of a school site? 0 Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
e of the work this permit is issued (Sec. 3097 (i} Civil Code}.
Lender's Address
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is aocurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Car1sbad 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 requiroo for excavaoons rM!I 5'0' deep and demoition or oonstruction of structures over 3 stories in height.
EXPIRATION: Every penmlt issued by the Buicfng Official under the ~sions of this Code shall expire by limitation and become null and -.oo ff the oolding or work authorized by soch penmlt is not commenced within
180days from the date of such permit or ff the bui~ing orworkjlUthOrized bysoch permit is susr,ended or abandoned at anytime after the work is commenced for a period of 180days (Section 100.4.4 Unfform Building Code).
/JLPoJ<..,I-IA.../l-(z,,1.,£u,JL,1e.-{_,p ;.,,.Jr.---:-i ..@S' APPLICANT'S SIGNATURE , DATE 7 · , 6-~
City of Carlsbad Bldg Inspection Request
For: 07/06/2011
Permit# CB111486 Inspector Assignment:
Title: 100 AMP METERED PEDISTAL
Description: FOR IRRIGATION -NOT IN THE PUBLIC RIGHT OF WAY
Type: ELEC Sub Type:
Job Address: 2817 WHIPTAIL LP
Su ite: MP Lot: 0
Location:
APPLICANT BLACK HAWK ELECTRIC CO. INC.
Owner:
Remarks: see note.
Total Time:
Act Comments
Phone: 6193188505
Inspector: L
Requested By: FRAN
Entered By: CHRISTINE
CD Description
32 Const. Service/Agricultural d_ ________ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments