HomeMy WebLinkAbout1095 BUENA VISTA WAY; ; CB051381; Permit04- -2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Electrical Permit Permit No: CB051381
Job Address:
Permit Type: ELEC Status: ISSUED Parcel No: 155251 01 00 Lot #: 0 Applied: 04/18/2005
Reference #: Plan Approved: 04/18/2005
Issued: 04/18/2005 Project Title: VANONI RES- UPGRADE 75AMP TO inspect Area:
1095 BUENA VISTA WY CBAD
Entered By: LSM
200 AMP PANEL
Applicant:
VANONI JESSICA M
1095 BUENA VISTA WAY CARLSBAD CA 92008
Owner:
VANONI JESSICA M
1095 BUENA VISTA WAY CARLSBAD CA 92008
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
125
0
0
0
$1 0.00
$0.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00
$31.25
$41.25
Total Fees: $41.25 Total Payments To Date: $0.00 Balance Due: $41.25
6242 04/18/05 0002 01 02
CGF 4L.Z
FINAL APPROVAL,
InsDector: 2Lf2 Date: 52 'OS Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 acti to attack,
review, set aside, void, or annul their imposition.
I FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
PLAN CHECK NO. a 0 sL 38 1
EST. VAL.
Plan Ck. Deposit
Validated By
Date
I
1,
ISbAb, CfL . q2m
Business Hama (at this address) -I P" " .
Unit No. Phase PO. Total # of units 1QsrbCPn~w
2
# of Bedrooms # of Bathrooms
/
#ofstories I wi
ab requires the applicant for such perrnn to file a signed statemeni that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Dlvision 3 of the Business and Professions Code] of that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031.5 by
any applicant for a permn subjects the applicant to a civil penalty of not more than five hundred dollars [SSOO]).
Name AddmSS ci Statenip Telephone #
state License # License Class Ci Business License #
Designer Name Address city Statelzip Telephone #
state License X
1
Workers' Compensation Decbration: I hereby affirm under penalty of perjury one of the following declarations
0
for which this permit is issued.
0
worker's compensation insurance canier and polii number are:
Insurance company Policy No. Expiralbn Date
("IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS Rloo] OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this pannit is issued, I shall not employ any person in any manner so as to
become subjed to the Workers' Compensation Laws of California.
WARNING: Fdlum to secure workers' conrpenutton cowrego Is unlawful, and shall subject an employer to criminal penallies and cMI %os up to OM hundred thousand
dollars(S1 Oa,OOO), In addltlon to the cost of cocnpw~~~Uon, danuees are pmvlded for In SeetlMI 5706 of the labor Codo,
SIG
t.
I hereby aflirm that I am exempt from the contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will d 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 himsetf 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
aunpletmn. the owner-builder Wal have the burden of proving that he did not build or improve for the purpose of sale). 6 I, as owner of the property. am exclusively contracting with liinsed contractors to construct the project (Sec 7044, Business and Professions Code The Contrador's
License Law does not apply to an owner of property who builds or improves thereon, and contrads for such projects with contractor(s) licensed pursuant to the Contrador's
License Law).
0 lamexemptunder Section Buslnass and Pmfesions Code forthiis reason:
I.
2.
3.
4. Iplantoprovideportionsofthe
6.
I have and will maintain a certificate of msent to self-insure far workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work
I have and will maintain worker's compensation, as mqulred by Section 3700 of the labor Code, for the petfonnance of the work for which this permit is issued. Wy
and attorney's fees.
I personalty plan to provide the map tabor and materiatsforconstruction ofthe proposed property improvement YES NO
I (ha- signed gn apphicationfora building permit forthe propwed-
I havs cmtracted with the following 31 firm)toprovide pmposed sbuction(includen ress I phone nu ber I contractors license num I): g<mlKE Yy7 Cam mb &Of ~ODCl.~Sb:C y??%%-()Mq rb/q -a2 m,qmb
,[but t have hied the following person to coo(Tli te, sopmise and provide the ma& wurk (include name I address; phone number I Iontractors llcense number): m.\ce Fs;\QcA-r\C Zbbb3)
I will provide some of the work, but I have conbacted (hired) the following persons to provide the work indicated (indude name I address I phone number I tvpe of work):
-------. -.....-- ^,.-,...-.. ,..- I.-
PERMIT APPLICATION
CITY OFCARISBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
Is the applicant or future building
Sections 25505,25533 or 25534 ofMe Preslay-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control disb'ict or air quality management district?
Is the fauli to be constructed within 1,000 feet of the outer boumlary of a school sRe? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT W MET OR IS MEETING THE
REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVlCES AND THE AIR POLLUTION CONTROL
i hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code)
LENDERS NAME LENDERS ADDRESS
I certify that I hav
ordinances and State laws dating to building construdion. I hereby authorize representatves of the City of Carlsbad to enter upon the above mentioned proparty for inspecbon
purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAFtLSBAD AOAMST ALL LIABIUTIES, JUDGEMENTS, COSTS AND
EXPENSES WHICH IWY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations of 5'Q deep and demolition or consbudion of stnrdures over 3 storks in height
MPfRATION: Every pennit issued by the building ofiicial under the provisiOns ofthis Code shall expire by limitation and become null and void if the building or work euthorizad
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after
the work is commenced for a period of 180 days (saction 106.4.4 Uniform Building Code).
0 YES 0 NO
nb ~~LzTr9DHBkpewcy
pplication and state that the above i
APPLICANT'S SIGNATU Q, DATE v//F/or
City of Carlsbad Bldg Inspection Request
For: 04/29/2005
Permit# CB051381
Title: VANONI RES- UPGRADE 75AMP TO
Description: 200 AMP PANEL
Type: ELEC Sub Type:
Job Address: 1095 BUENA VISTA WY
Suite: Lot 0
Location:
OWNER VANONI JESSICA M
Owner: VANONI JESSICA M
Remarks: KNOCK OUT SEAL INSPECTION
Total Time:
Inspector Assignment: RB
Phone: 0000000000
Inspector:
Requested By: NA
Entered By: CHRISTINE
CD Description p(3Comment
33 Service ChangeNpgrade fl** -5
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
04/26/2005 33 Service ChangeJUpgrade CO RB INSTALL KNOCK OUT SEAL IN METER. METER ALREADY SET