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Home My WebLink About1231 BASSWOOD AVE; ; CB004081; Permit- (L City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 I 1 /06/2000 Electrical Permit Permit No:CB004081 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 2051123400 Lot #: 0 Applied: 11/06/2000 Reference #: Plan Approved: 11/06/2000 Issued: 11/06/2000 Project Title: GERUM RESIDENCE Inspect Area: 1231 BASSWOOD AV CBAD Entered By: JM Applicant: BEACHTOWN ELECTRICAL 1245 BASSWOOD CARLSBAD CA 92008 760-434-7387 Owner: GERUM ELISABETH REVOCABLE TRUST 09-12-95 Total Fees: $45.00 Total Payments To Date: $0.00 Balance Due: $45.00 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 TOTAL PERMIT FEES 0 0 0 100 $10.00 $0.00 $0.00 $0.00 $25.00 $10.00 $0.00 $0.00 $0.00 $45.00 A Inspect&-. Date: C I ea ra nce : NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set fotih 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othewise expired. ' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 07 c/bqf EST. VAL. Validated By Date Legal Description Lot No. Subdivision NamdNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name Address City Statelzip Telephone # City StateEip Telephone # Name Address CONTR&CTOR - COMPANY NAME (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 IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged for a permit subjects the applicant to a civil penalty of not more than five CA . YW? filephoh k t245 8hSS"o@ O%'LWD Name Address City State License # License Class C #/o fl/ c City Business License # Designer Name Address City StateiZip Telephone State License # RKERS' COMPENSATION ers Compensation Declaration: 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. 0 I 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 worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date CTlON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) (7 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltias and civil fines up to om hundred n 3706 of the Labor code, interest and attorney's fees. DATE /,,-($-6O I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 Contractor's License Law does not apply to an owner of property wbo builds or improves thereon, and who does such work himself 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 completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not epply 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have t have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): Business and Professions Code for this reason: ~~ ~ ~ 4. number I contractors license number): 5. 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 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number / typa of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR IN0"TXAL IIUKDINQ PERMlES ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-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 district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sde? 0 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. 0 YES 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDERS ADDRESS PPUCANT CERTIFtCATION 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 authorize representatives of the City 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 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 required for excavations ovar 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized 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 APPLICANT'S SIGNATURE at any time after the work is (Section 106.4.4 Uniform Building Code). DATE %fl-/-oo WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1 1 /I 3/2000 Permit## CB004081 Title: GERUM RESIDENCE Description: PANEL CHANGOUT 100 AMPS Type: ELEC Sub Type: Job Address: 1231 BASSWOOD AV Suite: Lot 0 Location: APPLICANT BEACHTOWN ELECTRICAL Owner: GERUM ELISABETH REVOCABLE TRUST 09-12-95 Remarks: AM PLEASE Inspector Assignment: Total Time: Phone: 7604347387 a- Inspector Requested By: DENNIS Entered By: CHRISTINE CD Description Act Comments TC! Rough Electric Associated PCRs InsDection Historv Date Description Act lnsp Comments c - ELECTRIC METER & SERVICE LOCATION T.B. v - SDGF WANTEDDATE CLJ- MVERHEAD UNDERGROUNDSPECS AITACHED JT MEET REQ'D OCOMM'L RESIDENTIAL " NAME /F I 17~~171-14 T;t/wJ.rZ PROJECT NO.T)&j - .- 1-1 JOB NO. r) - r- ADDRESS 125 ] ArnWiy3D AV n MORATORIUM EFFECT - AGENCY NDC I irc DATE CRITICAL - PENDING STREET RESURFACING I MeterHeight-4'0" mh-6'3" max.fromflnishgrade tocenterlineof meterbase. Meters are required to be readliy accessible 24 hours per day. Meters must be located In a safe area free of any potentially hazardous or dangerous conditlon. Provide3ft. x 3ft. mlnlmumclearand levelworkingspacein frontof meter.Where meter room is proposed, contact the Planner at the nearest SDGBE office. RISER QUAD ___ N I Mater bases and meter service disconnects must be located at or immediately I adjacent to each other and be Identitied with address and unit number it serves. DE MINIMUM GROUND CLEARANCE OF: T8 Ft. at point of attachment of service wires Ft. over driveway or parking area - Ft. at outer ilmlt of vehicular traffic - Ft. I 1. Pay all monies due 0 APPLICABLE 0 NOT APPLiCABLE 2 PhoneSDG&E at 3 working days prior to trenching to arranOe with inspector and initiate trenching process. ING FOR LOCATION OF UNDERGROUND UTILITIES. 4. Excavate trench, install conduit and service entrance equipment at meter location. CALL ABOVE PHONE # FOR INSPECTION. Do not cover conduit without inspector's written approval to backfill. 5. Cellinspectorwhen trenchis backfilledandcompactedforinspection.1f servlce entrance equipment Is Installed after backfill, CALL ABOVE PHONE # FOR INSPECTION OF THE EQUIPMENT. 6. Meter will be set after Inspector has approved installatlon, including service equipment, and receipt of cltylcountylstate' inspection clearance. 3. PHONE DlQ ALERT 1-800422-4133 AT LEAST TWO DAYS PRIOR TO TRENCH- JTTRENCH OGAS OTELCO OCATV I SECHEIGHT I CABLE POLE CONDUIT BY OCUSTOMER OSDGaE SIZE I CABLE POLE BEND BY 0 CUST 0 SDG&E 90' - RADIUS SCH 80 SIZE - HANDHOLE BY 0 CUSTOMER 0 SDGaE OSTD. PAGE I CONDUIT BY 0 CUSTOMER 0 SDGaE SIZE I TRENCH INSPECTED a APPROVED BY DATE I 1 ~~ I PAYMENT BY CUST CBL PL S EXCESS S MlSC S I I ADD'L INFORMATION: (Detach before completing thls section.) TEST BY PASS FACiLlTlE If SDGaE encounters hazardous or toxic material while performing construction of your project, SDGaE will halt work Immediately and it will be your responsibility to remove andlor clean up all hazardous or toxic material prior lo SDGaE continuing constructlon. SDGaE shall have no liability or obligation whatsoever to clean up, remova or remediate any hazardous or toxlc materials discovered during the course of Construction unless il Is through negll-nce 01 SDGLLE. Customer-owned facllltles to receive electrical service are subject loall applicablelocal and state of Californiainspection authority requirements. Building addressandlor meterbasemust be posted prior lo meter set. Information on this sheet is void after 6 months from date. Keep this notice with building permit. ~ DISTRIBUTION: WHITE ORIGINAL - Customer WHITE COPY - District Operatlons YELLOW - Planner GOLD - C.T. Order 107-09212 (7/98) ~~~