HomeMy WebLinkAbout1270 YOURELL AVE; ; CB110711; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-05-2011 Electrical Permit Permit No: CB110711
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1270 YOURELL AV CBAD St: TP
ELEC Status:
Parcel No: 1560310200 Lot #: 0 Applied:
Reference #:
PC#:
Project Title: 100AMP TEMP POWER FOR CONSTR
Applicant:
PHILIP DOWELL
3502 SIMSBURY CT
CARLSBAD CA 92010
760 525-141 7
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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BYUN DAEWOO&CHRISTINE
1270 YOURELL AVE
CARLSBAD CA 92008
ISSUED
04/05/2011
JMA
04/05/2011
04/05/2011
$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: m. ~t
FINAL ~PROVAL
Date: 0 l3{ l l
$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 prolest procedures set forth in Government Code Section 66020(a), and file the protesl and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Seclion 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 olher similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f x i n f whi h h v r vi n iv n N T imil r hi r t f limi
I ' «,~
~ CITY OF
CARLSBAD
rel/
LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No. CB l ~ 01 /
Est. Value
Plan Ck. Deposit
Date SWPP
SUll E#/SPACE#/UNIT#
PHASE# # OF UNITS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE
DESCRIPTION OF WORK: Include Square Feet of Affected Are~
I~ n-t (/rl:'r
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
CONTACT NAME (If Different Fom App/leant) APPLICANT NAME
ADDRESS sl--
CITY STATE ZIP
77
PHONE FAX
EMAIL AL , J_ f •
\/OCC~ tc!rl J"la'f-r.~~/, Cl,ri
PROPERTY OWNER NAME CONTRACTOR BUS. NAME /
ADDRESS
~.;l.,
ZIP
7B7J3
ZIP
'7_).(!;J/ 0
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# CITY BUS. UC.#
OCC. GROUP
~ ;,;1,087.2..
(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 \hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section ?031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations:
0 I have and will maintain a certificate 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.
GJ"I have and will maintain wo~mpe'}sation, as required by Section 3700 of the Labor Code, for the perform~ of th~rk for which this permrt is issued. My workers' compensati~n ~uragce carrier and policy
number are: Insurance Co. / .tPvC.{_<_ !::'!. Policy No.· 1 C' J ✓ (./ 13 1/',2 :J'/tl!,$$,()l l) Expiration Date _)g=,~<--'«11c.,//I<...!</,'------~,
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify lhat 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, dama es a provided fo • Section 3706 of the Labor code, interest and attorney's fees.
_.KS CONTRACTOR SIGNATURE _,..,..7Z!l~~~-----DATE
•
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ I, as owner of the properly or my employees with wages as their sole compensalion, 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 lo 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 ottered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder win have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the projecl (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 for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed conslruction (include name address/ phone I conlractors· 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 conlractors· license number):
5. I will provide some of the work, but I have contracted (hired) lhe following persons to provide the work indicaled (include name/ address/ phone/ type of work):
_,KS PROPERTY OWNER SIGNATURE □AGENT DATE
1
Is the applicant or future building occupant required lo submit a business plan, aculely hazardous malerials regislralion form or risk managemenl and prevenlion piogram under Seclions 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Subslance Accounl Act? 0 Yes O No
Is lhe applicanl or future building occupant required lo oblain a permil tram lhe air pollution conlrol dislricl or air qual,ly managemenl districl? 0 Yes □ No
Is lhe faahly lo be conslrucled .,;thin 1,000 feel of lhe outer boundary of a school site? O Yes D 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 permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction,
I hereby aulhorize representative of the City of Car1sbad i> enter upon the above menti:lned property for i1spe<fun 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: AA OSHA pemjt is required for excavations over 5'0' deep and demolioon or constructi:Jn of structures over 3 stories i1 height
EXPIRATION: Every permtt issued by the But'k:ling Official under the provisions of this Code shall expire by Imitation and become null and void ~ the buildng or work authorized by such perrm is not corrrnenced 'Mthin
180 days from the dale of such perrrit or if i1g or work au • by such permil is suspended or abandoned al any time after the work is commenced for a period o 180 da (Section 106.4.4 Uniform Building Code).
_2S APPLICANT'S SIGNATURE DATE
.,
.. 1.-~ .. -~~ .. -~ ',
--~ CITY OF
CftiRLSBAD
DATE: t3 ~ :201\
PERMIT#: ~t3> ll o 1l (
UNSCHEDULED
BUILDING
INSPECTION
B-44
Devefooment Services
Building Division
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
INSPECTOR: _tv'U-___:: _____ _
CONTACT: --------
PHONE#: _______ _
JOB ADDRESS: l~~D YD--)tZEU.-.. A-V :rT
DESCRIPTION: ___________________ _
CODE
--:3-z.,
·Bldg Inspection Form
DESCRIPTION
Page 1 of 1
ACT
A?
COMMENTS
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4'-qq,eo0 NDI tJ.9 Dtc .
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Rev. 06/09