HomeMy WebLinkAbout1302 PINE AVE; ; CB100909; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-24-2010 Electrical Permit Permit No: CB100909
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1302 PINE AV CBAD
ELEC
2050204100
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Project Title: DANNA: 100 AMP TEMP POWER POLE Inspect Area:
Applicant:
DANNA ARMANDO&DORA E
1302 PINE 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
Owner:
DANNA ARMANDO&DORA E
1302 PINE AVE
CARLSBAD CA 92008
ISSUED
05/24/2010
JMA
05/24/2010
05/24/2010
PD
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
Fl NAL?PPROVAL
Date: · .2 .. / () 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.
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 wh·ch 1ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF
EXISTING USE
CONTACT NAME (If Different Fom App/leant)
ADDRESS
CITY
PHONE
EMAIL
ROPERTY OWNER NAME
/<... /1. (/
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME
ADDRESS
STATE ZIP CITY
FAX PHONE
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
EMAIL
STATE UC.# STATE UC.#
Plan Check No. CB\ 00
Est. Value
Plan Ck. Deposit
Date 5 V{ { rD
APN
CONSTR. TYPE OCC. GROUP
FIREPLACE
YESD #_ NOD
STATE
FAX
STATE
FAX
CLASS
AIR CONDITIONING
YES D NOD
ZIP
ZIP
CITY BUS. UC.#
FIRE SPRINKLERS
YES D NOD
(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)).
Workers' Compensation Declaration: I hereby affirm under penalty of peryury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers1 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 do ''rs ($100) or less. D Certificate of Exemption: I certify that in the performance f th ark 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 worker 'comp s • rage 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, damage pro ed lo ction 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License 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 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
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).
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).
• D 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. 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 propose onstruction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following P, 'on to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have cont led (hire th wing persons to provide the work indicated (include name I address I phone I type of work): I /
PROPERTY OWNER SIGNATURE 0AGENT 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 the
Presley-Tanner Hazardous Substance Account Acl? D Yes D No
Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districl? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize represen1ative of the City of Carlsbad to enter upon the ove mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS f;;, EXPENSES H)GH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavation~ve 'O' deep and d oliti or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Buildin;rut 1al unde e io f this Code shall expire by limi1alion and become null and void W the building or work authorized by such pennit is not commenoed within
180 days from the date of such pennitor if the jtoild' or work orize uch pennit is suspended or abandoned at anytime after the work is commenoed for a pe~od of 180 days (Section 106.4.4 Unifonn Building Code).
~ APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 06/01/2010
Permit# CB100909
Title: DANNA: 100 AMP TEMP POWER POLE
Description:
Type: ELEC Sub Type:
Job Address: 1302 PINE AV
Suite: Lot: 0
Location:
OWNER DANNA ARMANDO&DORA E
Owner: DANNA ARMANDO&DORA E
Remarks:
Total Time:
Inspector Assignment: PD ---
Phone:~
Inspect~ ----
Requested By: DIRADONNA
Entered By: CHRISTINE
CD
32
Description Act Comments
Const. Service/Agricultur:~ If '{f f -::_~
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments