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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