HomeMy WebLinkAbout1301 CHINQUAPIN AVE; ; CB040329; Permit01-30-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB040329
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1301 CHINQUAPIN AV CBAD
ELEC
2061403700 Lot#
HOVIS RES-RUN ELEC TO PATIO
AND SHED
Status ISSUED
Applied 01/30/2004
KMT
01/30/2004
01/30/2004
Entered By
Plan Approved
Issued
Inspect Area
Applicant
HOVIS JOHN H&WILLIAMS BARBARA J
1301 CHINQUAPIN AVE
CARLSBAD CA 92008
760-930 4080
Owner
HOVIS JOHN H&WILLIAMS BARBARA J
1301 CHINQUAPIN 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
TOTAL PERMIT FEES
0
0
0
0
$1000
$000
$000
$000
$000
$000
$000
$000
$1000
$000
$2000
Total Fees $20 00 Total Payments To Date $000 Balance Due $2000
Inspector
FINAL APPROVAL
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 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
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
fees/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
PERMIT APPLICATION
'CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated Byji r
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description
Assessor s Parcel tt
I
Lot No
Existing
Description of Work p. SQ
^ Jfs^-t. f^ tdJEtX^-AC, -^0 T/vT^ss ClSJ}"^
& CONTAG16HWSQN «f dHtewnt from applicant}! ,
Name
3 APPLICANT^ O Contractor
Address
O Agent for Contractor
Subdivision Name/Number
Use
FT #of Stores
¥ *>
City
*" Q Owner f O Agent for Owner
Unit No Phase No
Proposed Use
tt of Bedrooms t,
~ ^
State/Zip Telephone
ā¢«<s ^t
Total # of units
' of Bathrooms
tt Fax tt
Name
4 PROPERTYiOWNBir
Address City State/Zip Telephone tt
Ay/t
Name Address City State/Zip Telephone tt
% CONTRACTOR COMPANY NAME ā ^
(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
[Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom and the basis for the alleged
exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
Name
State License #
Address
License Class
City State/Zip
City Business License tt
Telephone #
Designer Name
State License tt
Address City State/Zip Telephone
6 WORKERS' COMPENSATION
Workers Compensation Declaration I 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
|~| 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 earner and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
0 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
/ SIGNATURE DATE
7 OWNER BUILDER DECLARATION - - <*r * ~ _. ~ ā
\l 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
(SW 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 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)
l~l 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 of property who builds or improves thereon and contracts for such projects with contractor(s) licensed
pursuant to the Contractor s License Law)
C] I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement J2^YES l~lNO
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 number / 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 / address / phone
number / 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 / phone number / type
of work)r
'ROPERTY OWNER SIGNATURE DATE
iMPLETE THIS SECTION FOR/VO/V-/?£S«^SVr//4i BUILDING PERMITS ONLY , ( '
Is the applicant or future building occupant Vequired to submit a business plan acutely hazardous materials registration form or risk management and prevention
program under Sections 25505 25533vjr_2S534 of the Presley Tanner Hazardous Substance Account Act? [U YES C] NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d YES d NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O 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
S CONSTRUCTION IENDING AGENCY ,,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER S NAME LENDER S ADDRESS
9 APPUCANT CERTIFICATION
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 CitV 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 requiredfof-excavations over 5 0 deep and demolition or construction of structures over 3 stones in height
EXPIRATION Every permit issjigb 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 Sat commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
any time after the work is oqwnenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
PPLICANT S SIGNATURE \dā DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 02/04/2004
Permit* CB040329
Title HOVIS RES-RUN ELEC TO PATIO
Description AND SHED
Inspector Assignment
Type ELEC Sub Type
Job Address 1301 CHINQUAPIN AV
Suite Lot 0
Location
APPLICANT HOVIS JOHN H&WILLIAMS BARBARA J
Owner HOVIS JOHN H&WILLIAMS BARBARA J
Remarks ELEC AT WALLS, CEILING, AND PATIO
Phone 7609304086
Inspector
Total Time
CD Description
34 Rough Electric
~Vi
Act Comment
0*.
Requested By JOHN
Entered By CHRISTINE
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments