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HomeMy WebLinkAbout125 ISTHMUS DR; ; CB090074; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-14-2009 Electrical Permit Permit No: CB090074 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 125 ISTHMUS DR CBAD St: MP ELEC Parcel No: 0000000000 Lot#: 0 Reference #: PC#: Project Title: REPLACE MET. PED DUE TO AUTO ACCIDENT = 100AMP Applicant: NCES CITY WIDE PLUMBING 5710 KEARNY VILLA 92123 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 01/14/2009 JMA 01/14/2009 01/14/2009 $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: ' µ FINAL APPROVAL Date: /.-J-,f-,,, 0 l 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. City of·Carlsbad 1635 Faraday AVe., Carlsbad, CA 92008 -760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application LOT# PHASE# Plan Check No. Est. Value Plan Ck. Deposit Date ( 'f ( o APN TENANT BUSINESS NAME C0NSTR. TYPE OCC. GROUP a..cc 'd evi, EXISTING USE PROPOSED USE GARAGE [SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES □ NOD YES D NOD CONTACT NAME (ffD APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE EMAIL EMAIL PROPERTY OWNER NAME p O • ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CITY BUS. UC.# 75"137 Workers' Compensllllon Declaration: J hereby affirm under penalty of perjury one of the following declarations: D _!.!lave and will maintain a certlflcale ol consent to self-Insure for workers' compensation as provided by Seciion 3700 of the labor Code, far the performance of the worll for which this permit is issued. rtr'r have and will maintain workers' compen~ation1 ~s required by Section 3700 of the Labor Code, fer the performance of the work lor which this permit is issued. My workers' compensation insu7ce carrier and policy number are: Insurance Co. 2. e \"] \ t-n Policy No. l 3 J.. Co :\ Expiration Date () ) l 0 > This section need not be completed ii the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: 1 certify that in the periormance cf the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worllers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&100,000), in addition to the cost ol compensation, damages as provided f ·n S ction 3706 ol the Labor code, interest and attorney's fees, 25 CONTRACTOR SIGNATURE ... ! hereby affirm that ram exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the st,ucture is not intended or offered fer 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 himself or lhrough his own employees, provided that such improvements are not intended or oflered 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 cf 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 Contractor's License Law does not apply to an owner ol property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major lallcr and materials for conslruction of the proposed property improvement. D Yes D No 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/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the iollowing person to coordinate, supervise and provide the major worll (include name I address/ phone/ contractors' license number): 5. 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/ type of work): ~ PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials rngistration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Aci? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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. I certify that! have read the application and state that the abor;e infonnaUon Is correct and that the infonnation on the plans is accurate. I agree to comply l'filh all City ordl nances and State laws relating to build Ing consbUction. I hereby aulhonze representative of the City of CQrlsbad to enler upon the above menfioned 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 permil is required for excavations over 5'0' deep and demolition or construction of struciures over 3 stories in height. EXPIRATION: Eveiy perm~ issued by the Building Official under the provisions of lhis Code shall expire by limitation and become null and void tt the building or worll aulhorized by such permit is not commenced wilhin 180 days from the date of such permil or if the building or worll authonzed by such permil is suspended or abandoned at any lime after lhe worll is commenced for a period of 180 days (Section 106.4.4 Unrtorm Building Code). 25 APPLICANT'S SIGNATURE ~ r/1'..,,.V,VV-,a.,'A,I DATE [ -f J-f -o City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 -760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www .ca rlsbad ca.gov Building Permit Application JOB ADDRESS r;).. 5" r) t-lfm"'-s DA CT/PROJECT# rOT # l PHASE# I# OF UNITS I # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) R -e_ .11 >-t'1--'( ;; EXISTING USE I PROPOSED USE !GARAGE ISF) CONTACT NAME (Ir D'"erent Fom Appllcant) ADDRESS CITY STATE ZIP PHONE I FAX EMAIL ~-' ~ :_x,.ta 1 -~ ,.,. ln'L~\1..1,.hC Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# rPN --- # BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I occ. GROUP PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES D #_ NO D YES O NO O YES □ NO 0 APPLICANT NAME ADDRESS CITY STATE ZIP PHONE I FAX EMAIL PROPERTY OWNER NAME K:ONTRACTO/US. NAME l .... R rz._ fi_cUZ IC ktrll/;..c.C fi./~ r//l,rJl.r' ADDRESS ADDRESS f O '{3tl )(-/ 3 o 7 !:,---S- CITY STATE ZIP CITY C/l-ll.t-S Blt-0 STATE ZIP ~A-Cf J--o I ~ PHONE IFAX PHONE :,J;AX 7 & 0 -Lf-Cj (/-75Z-7&o~ l/Cl<i-7~~9 EMAIL EMAIL ARCH/DESIGN ER NAME & ADORES$ I STATE UC.# ~TATE LIC.# q ~ 50 915 I CLASS -rTz2 CtJ& f~ e;o -· f1ec. 7011.S Busmtn and P,ofemons Code: ~ny Coty or Count): which r>q•1m a p,rm1t to con,truc~ alt•~ 1mpro•e, demah1h or reea,t any mucture, pnor ta 11! 1s,uanc1, al,o requires the aetl,wit for such ~erm11 10 file a 11gn1d stat,ment rhat h, " ficrn,d Jl!lf!uant to the pro•isions or the Contn.ctor'1 Lic1n11 I.aw {Chapter 9, commending with l•(tion 1000 of DIYision l ol th• 8u,inm and Pro1e11ions Code} or that he i1 mmpt there from, and tM buis for the alleged exemptiOfl. Any ,io!ation of Section TOl U by any appliant for a pennil subjects the applicant to a ci,il penalty or not mort than ri .. hundrtd dollars {SIOO}). _: W a R K £ R S ' C O M P E ft! $ A T I O N .. _. _ · . . : . _ _ _ Workers' Compensation Oeclaratlon: I hereby att,rm under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to sell-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of !he work !or which this permit is issued. □ I have and will maintain workers' ~mpensallon, as re!il/ire~ by S ion 3700 of the Labor Code, 1or the performanc_e of the work for which this permi1 is issued. My workers' compensation insurance carrier and policy -I--number are: Insurance Co. 0 ! U. M: D .1-tf/i Policy No. KO b) ~ qa S-I 7 0 Expiration Dale / C -£ I -).£:7) 9 This section need no1 be completed if the permtt is for one hundred dollars ($100) or less. □ Certificate ol Exemption: I cenily that in the perlormance 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 subjecl an employer lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition lo the cost of compensallon, d g Pr_?Vlded 1or in 7:1,r 3706 of the Labar code, Interest and attorney's fees. -DATE (.-')...C,-0 7 ,i!S CONTRACTOR SIGNATURE _, (//,,1,t4'1-/ (AP <h._-, I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees wi1h wages as their sole compensa1ion, will do the work and 1he structure is not intended or offered for sale (Sec 7044, Business and Professions Code: The Conlraclor's License Law does not apply to an owner of property who builds or improves 1hereon, and who does such work himsell or through his own employees. provided that such improvements are not intended or of!ered 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 d~ not build or improve lor the purpose of sale)_ □ I, as owner of the property, am exclusively contracting w~h licensed contractors to cons1ruct the project (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 projec1s with contractor{s) licensed pursuant to the Contractor's License Law). □ I am exemp1 under Section _______ Business and Professions Code for this reason: 1 C I personally plan to provide the major labor and materials 1or construction o1 the proposed property improvemenl. □ Yes □ No 2. I (have I have not) signed an application for a building permit 1or 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 hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will p of 1he work, but I h contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ ty_l pe Q.f work) --~ -~-cJC~ ,i!S PROPERTY OWNER SIGNATURE DATE 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 lhe Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupan1 required lo ob1ain a permit 1rom the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAV NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnatlon Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordl na nces and State laws relating to building construction. I hereby authorize representative of 1he City of Carlsbad to enter upon 1he above mentioned proi:erty fOl' 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 excava1ions over 5'0' deep and demoli1ian or construction of structures over 3 s1ories in height EXPIRATION: Every permit issued by the Building Official under the provisioris of this Code shall expire by limitation arn:l become null and void if the build"1ng or work authorized by such permit is not commenced within 1BO days from the date of such permtt or it 1he building or work authorized by such perm~ is suspended or abandoned at any time after the worn: is commenced far a period ol 1B0 days (Section 106.4.4 Uniform Building Code). ,i!S APPLICANT'S SIGNATURE DATE - • • City of Carlsbad Bldg Inspection Request For: 01/27/2009 Permit# CB090074 Title: REPLACE MET. PED DUE TO AUTO Description: ACCIDENT= 100AMP Type: ELEC Sub Type: Job Address: 125 ISTHMUS DR Suite: MP Lot: 0 Location: APPLICANT NCES CITY WIDE PLUMBING Owner: Remarks: Total Time: Description Act Comments Inspector Assignment: Phone: 7604486683 Inspector: /(___ K -~ Requested By: NA ~,:$ . Entered By: CHRISTINE CD 32 39 Const. Service/Agricultural Final Electrical ll & /rl-IL -I- ------------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments