HomeMy WebLinkAbout1313 CHINQUAPIN AVE; ; CB071299; Permit05-09-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB071299
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1313 CHINQUAPIN AV CBAD
ELEC
2061403500 Lot#
RAGSDALE RES ELECT TO GATE
MOTORS LIGHTS
Status ISSUED
Applied 05/09/2007
Entered By LSM
Plan Approved 05/09/2007
Issued 05/09/2007
Inspect Area
Applicant
RAGSDALE JAEMIN&SAMANTHA
1313 CHINQUAPIN AVE
CARLSBAD CA 92008
Owner
RAGSDALE JAEMIN&SAMANTHA
1313 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
0
0
0
0
$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
Inspector
L
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
City of Carlsbad /&(
1S35 Faraday Ave Carlsbad CA 92008 CllS^f^
7606022717/2718/2719 «^fsfJ^
Fax 760 602 8558 X^^
Building Permit Application
^JOBADDI^S^ CHllO>&U^Plls\ 4M^
^ Plan Check No ^6<97 /^t^9CA
M Est Value
r Plan Ck Deposit
Date s-/9 /Q >
SUITE#/SPACE#/UNIT# APN
CT/PROJECT* LOT* PHASE # # OF UNITS # BEDROOMS ((BATHROOMS TENANT BUSINESS NAME TYPE OF CONST OCC GROUP
DESCRIPTION OF WORK (Please describe present use and proposed use)
^ Y\&6jd €^-\QjCA-Y~\ C-o~ { \-Df~ 2. qtl-r£%f< v^to-h^^s 4- \v\.\£jscbfl£~\ Y.&J £^?_c/L/ l^i
^ 3 J
BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF)
CONTACT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC #
DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES D NO n YES D NO D
APPLICANT NAMf: ^/_J C? > /
ADDRESS "^j
CITY/^ 1 / ST^f ZIP
PHONE FAX
l{£>&- ^2-9— *7 /7 <J>
^(^MA^v/bt^(/LK<^<5?5c/<it/<S ^<7 ]A,zd-tfA#.l /.CO(M
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC # CITY BUS LIC #
[Sec 70315 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 Contractors 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
WO R K E It S ', C O M I* E N SA Tl O N
Workers Compensation Declaration / hereby affirm under penalty of per/ury one of the following declarations
n 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
n 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
O 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
i JiS CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
0 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
>friowever 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)
01 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)
n I am exempt under Section __Busmess and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes n 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 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 / contractors license number)
5 I will provide some of the work but I have contracted (hirgdj the fojjjjwmg persrjps tryirovide the work indicated (include name / address / phone / type of work)
f PROPERTY OWNER SIGNATURE /K^lf ^ && DATE ~~ 7 ~ & '
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' n Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' n Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' n Yes D No
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's 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
I hereby authorize representative 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 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 authorized by such permit is not commenced within
180 days from the date of such permit or if the building or workauthonz^d by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building
.Code)
\^>PPLICANT S SIGNATURE
UNSCHEDULED BUILDING INSPECTION
DATE ?/t6J0& INSPECTOR
PERMIT # ^^7 ( 2^ ^ PLAN CHECK #
JOB ADDRESS
DESCRIPTION 13(3^ £ftlM6MVfM
CODE DESCRIPTION ACT COMMENTS