HomeMy WebLinkAbout1251 BASSWOOD; ; CB073076; Permit12-12-2007'
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB073078
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1251 BASSWOOD AV CBAD
ELEC
2051122600 Lot#
ORTH ELECTRIC FOR SUMP PUMP
AT REAR OF PROPERTY
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
ORTH GREGORY FAMILY TRUST 04-26-05
1251 BASSWOOD AVE
CARLSBAD CA 92008
ISSUED
12/12/2007
JMA
12/12/2007
12/12/2007
Owner
ORTH GREGORY FAMILY TRUST 04-26-05
1251 BASSWOOD AVE
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
$1000
$000
$000
$000
$000
$1000
$000
$000
$000
$000
TOTAL PERMIT FEES $2000
Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000
CACHED
Inspector Clearance
NCHCE 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 'nfomnation with the City Manager lor
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 fees/exactions DOES NOT APPLY to 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
fscs/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fa\- 760-602-8558 *
Building Permit Applicotion
Plan Check No
Est. Value
Plan Ck. Deposit
Date
JOB ADDRESS Q *
CT/PROJECT 1 LOT * PHAJE # # OF UNITS * BEDROOMS
SUITE*»/SPACEf»/UNIT# APN
H BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK .,
/
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
'PROPERTY OWNER NAME t A / /*) <-/•/
ADDRESS . t-'
CITY ~ STATE ZIP
PHONE FAX
EMAIL .
ARCH/DESIGNER NAME/, ADDRESS w 1 STATE LIC #
PATIOS (SF) DECKS (SF) FIREPLACE
YES D #
APPLICANT NAME
AIR CONDITIONING FIRE SPRINKLERS
NOD YES D NOD YES D NO D
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE F
EMAIL
STATE LIC # C
AX
LASS CITY BUS LIC #
ec 703 1 5 Business1 and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure, prior to IB issuance also requires the applicant for such permit to file a signed statement that he iscensed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending vmh Section 7000 of Division 3 of the Business and Professions Code} or that he is eiempt therefrom, and the basis for the alleged exemption Any violation of
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
O 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
O 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 workers compensation insurance carrier and policy
number are Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less
n 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 penalties and civil fines up to one hundred thousand dollars (&100.000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
^CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor s License Law for the rollowmg reason
Cl I as owner of the property or my employees with wages as their c;ole 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 who 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
j »^!e 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)
Itr I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (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 proiects 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 mapr labor and materials for construction of the proposed property improvement Cl Yes G 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) to provide the proposed construction (include name address / phone / contractors license number)
4 1 plan to provide portions of the work but I have hired the fcllowing person to coordinate supervise and provide the major work (include name / address / phone / contractors license number)
5 I wilLefOV|f]\6 Sffipey fie work but I have contracted (hired) the following persons lo provide the work indicated (include name / address / phone ' type of work)
^PROPERTY OWNER SIGNATURE DATE
| Is the applicant or future building occupant required lo submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the
i Presley Tanner Hazardous Substance Account Act7 D Yes Cl No
| Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 d Yes O No
• Is the facility to be constructed wilhm 1 000 feet of the outer boundary of a school site7 D Yes n No
I IF ANY OF THE ANSWERS ARE YES
' EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I
1 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lenders Name Lenders 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
thereby auttronze representative of the City of Cadsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl IT OF CARLSBAD
AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones 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 authonzed by such petmit is not commenced within
10 days from the date of such permit or if the buijjing^ork ajithonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 1 80 days (Section 10644 Uniform Building Code)
/^^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 04/15/2008
Permit# CB073078
Title ORTH ELECTRIC FOR SUMP PUMP
Description AT REAR OF PROPERTY
Inspector Assignment PC
1251 BASSWOODAV
Lot 0
Type ELEC Sub Type
Job Address
Suite
Location
APPLICANT ORTH GREGORY FAMILY TRUST 04-26-05
Owner ORTH GREGORY A
Remarks a m please
Phone
Inspector
Total Time
CD Description
39 Final Electrical
Act ., Comment
Requested By N/A
Entered By KATHY
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
03/14/2008 31 Underground/Conduit-Wmng AP PC