Loading...
HomeMy WebLinkAbout1194 MARIPOSA RD; ; CB061979; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-t2.t2006 Electrical Permit Permit No: CB061979 . Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1194 MARIPOSA RD CBAD ELEC Status: Parcel No: 2122211000 Lot#: 0 Applied: ISSUED 07/12/2006 LSM 07/12/2006 07/12/2006 Reference #: Project Title: SHOREPOINTE HOA-4 20 AMP GFCI ELECT CIRCUITS Applicant E-TECH ELECTRICAL TECHNOLOGIES P O BOX230448 ENCINITAS 92023 760 944 4484 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 80 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: CARLSBAD SHOREPOINTE HOMEOWNERS ASSN C/O GRG MANAGEMENT PO BOX 1186 CARLSBAD CA 92018 $10.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.00 Total Fees: $30.00 Total Payments To Date: $30.00 Balance Due; Inspector: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of yoor project includes !he 'lmposnion' of fees, dedications, reservations, or olher exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permil was issued to protest imposition of these fees/exactions. If you protest them, yoo must follow the protest procedures set forth in Government Code Section 66020(a), and fHe the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right lo protest the specified fees/exactions DOES NOT APPLY lo water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connectiOn with this project. NOR DOES IT APPLY to any ! f whi h h v r v· I Tl imil r h' I wh' /kni . . I h rw· e ,c ir; . FOR OFFICE USE Ot,ll Y PERMIT APPLICATION PLAN CHECK NO. ·e.15 0019 )9 , CITY 'oF CARLSBAD BUILDING DEPARTMENT • 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Plan Ck. Deposit ~·. . Validated By ___ ~~.,...::--"-+:iiti~--- Date I f Addreaa !include Bldg/Sl.ite #J \I q '{ IA&Lc : e oS t\. Business Name lat this addr11ssl /AS5a.~,•_p~• P-...r 1--< Legal Description Lot No. Sub-division Name/Number Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use SQ. FT. llof Stories # of Bedrooms # of Bathrooms t> .. L.. C.. f Cr: C:./.a..c-. CJ .-c .. ~, . . . ... . . . . . . .. . . . .. .. . . . . ... .. .. . . .... . .. · •.. ~~iiffl.iMr.~·;;,!fi\t\,Jr,t;0i,~si~ti~~;,::~~t+l'il1:i~~:~~~--• Name City State/Zip Telephone# t!lw~j[i,"!liWi~-~11htii\~jf~~,tfl:,i!'lf~~!lfll:fi~~-~~~$!~ City S.tste/Zlp Telephone# --/i';';~'fSli'ti~~,tfj~l.lJtll!lflR'ilttslff!~~ (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 tor such permit to file a signed stat<1ment that he Is. licensed pursuant to the provisions of the Contractor's Liceiuie Law !Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged ex<1mp on. Any violation of Section 7031.5 by any applicant for a permit subjects the appficant to a clvi~enalty of not more than five hundred dollara [$50011. ; I... Sk~l\e.O;v..c, Pt. ~-'L.e.c:.v,. c;;l~fr:LJ l<.LL..11'-t.li ~ <..o- Stete Lic:ensa # __ /_h_/_4_f_q __ AddrBSll CitY State/Zip Telephone ti Licansa Class -~L..=..::;:;....i.l .. 'C:::;_ __ _ City Business License # ______ _ Address CitY State/Zip Telephone · ... •·'· ~i,.J,.W~i~i:t~~~g~~f'~~"~~·'l)J rkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaratioiui: I have and wlll maintain a certificate of consant 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 1, /ssu<1d. 0 I have and will maintain workers' compensation, as required by Section 3700 of the labor Coda, for the performance of th11 work for which this permit is issued. My worker' a comp<1naation Insurance carrier and policy number are: Insurance Company___________________ PoUcy No.____________ Expiration Data. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (UOOJ OR LESSI 0 CERTIFICATE OF EXEMPTION: I cenlfy that In the performance of the work for which this permit la lasuad, I 8111111 not employ any person In any mannar so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure to ucure WOflun' compenaadon coverage la unlawful, -,id llhd •LibJitat an .inploy• to cthnlnlll Pfflllihlu and cfvll flrNI■ up to one hundred thoua1111d dollara ($100,000), In &ddlUon to the c:oat of c:omp•nsatlon, damsgu u provided for In Sec:tlon 3708 of th• Labat c:oda, lnta,Qt 1111d attomlly'• faaa. SIGNATURE DATE :•";,,:.'!Jr~ '.rr,· : I hereby affirm that I am exempt from the Contractor'• License Law for tha following reason: 0 I, ea owner of th• propany or my employees with wag•• Bl their sole compenHtion, wUI do th• wo,k and the ttructura ii not intended or offered for 1ala ISec; 7044, Bualn11■ and Profualona Coda: The Contrect11r's Ucen1• law doH not apply to an owner of property w"° builda or Improve■ ther1on, and who doe• such work hlm111f or through his own amployaa1, provided that auch Improvement■ are not Intended o, offered for ••I•, If, however, the bulldfng or Improvement la sold within one year of compt.ilon, the ownar-bullder will have the burden of proving that ha did not build or Improve for the purpoaa of sale), 0 I, u owner of the property, am elCCluaivaly contracting with llc•naed contractor■ to con■truct me project (Sac. 7044, Buain•• and Profeulon■ Code: Tha ·contractor'a Llcwa law doe• nO'C apply to an own■r of property who bullda or Improves thereon, and contracta · for such projects with contractor(■) licenaed pur■u■nt to the Contra.ctor'a Ucanila Lawl, · 0 I am exempt under Section ______ Bu■ine■1 and Profanlona Code for this raa1on: ,. 2. I peraonaUy plan to provide the major leber Ind materiala for construction of the propoaed property Improvement. D YES ONO I lhava I hava not! llgnad an appllciltfon for a building permit for the propo■ed work. . . . 3. I have contracted .with tha following parson lflrml to provide the proposed construction (include name/ addraq / phone number/ contractora license number!: 4, I plan to provide portions of tha work, but I have hired tha following parson to coordinate, supervlaa and provide the major work Cinclude name / addrNs / phone number/ contractors lican■a numbari:. _____________________________________________ _ 5, I will provide soma of the work, but I have contrlctad lhiredJ tha following parsone to provlda tha wo,lc Indicated Clncluda name/ addreu I phone number/ type of work]:. ___________ ...,.. ___________________________________________ _ PROPERTY OWNER SIGNATURE DATE IIPWll'll■■FIIBIRlll-■1111------ ,. th• applicant or future buUding occupant required to submit• businesa plen, •cutely hazerdoua materlsl1 ,agiatretion form o, risk management and prevention progr•m under Sections 25505, 25533 or 25634 of the Presley. Tanne~ Hazardai.t1 Sub:,tance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit tram the air pollution control district or air quality management district? O YES O NO Is the facility to be conetructed within 1,000 feat of the outer boundary of a school site? 0 YES O 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. ~-•--.mt~-=}~tll~t~•1tti\~~;~1l{fti1@iii1i~i~[l1/lli![{i!i~tll.~~!l:irillllilfi!"iil I hereby affirm that there is a construction landing agency for the performance of the worlc for which this permit ls issued (Sac. 3097{il Civil Code), LENDER'S NAME LENDER'S ADDRESS ~~-,,m.. . '. I certify that I have reed tha 1pplicetion and state that the above information Is correc:t 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 authorize reprNentetlvaa of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES JUDGMENTS, COSTS AND .EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQU.ENCE OF THE GRANTING OF THIS PERMIT. • OSHA: An OSHA permit 111 required for excavations over 5•0• deep and demolition or construction of structures over 3 storiaa In height. EXPIRATION: Every pe~II Issued by lhe bul(dl~g Official under the provisions of this Code shall expire by limitation and beooma null and void If the building or work authori~Eld by such perrmt 1s not commenced w1th1n 1 BO days from the date of such permit or If tha building or work authorked by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~Pl.IC.ANT'S SIGNATURE . . . DATE ___________ _ UNSCHEDULED BUILDING INSPECTION DATE ') ... ,.~-INSPECTOR -+-~_;;.._-- PERMIT # t:Jt.> \ Q;t <t -PLAN CHECK # ----- ' JOB ADDRESS ,1 .. 9.\l.. fl\A..c, ~ c.,0,,,.1:c,.c.l - DESCRIPTION ~ t ck -°F-~~ ~ -59.'-'-d..~~ CODE DESCRIPTION ACT COMMENTS -. &#-etfl~ ~'-\ ~ ,d .. ;l (,: c:4,,, t:C, 4 ,\-:-\.<, .. ~1 fl~ -&e