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HomeMy WebLinkAbout1466 FARADAY AVE; ; CB002659; Permit07/18/2000 City of Carisbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB002659 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type; Parcel No: Reference #■. Project Title: 1466 FARADAY AV CBAD ELEC loo AMP FORPED XING Lot#: Status: ISSUED Applied: 07/18/2000 Entered By: MDP Plan Approved: 07/18/2000 Issued: 07/18/2000 Inspect Area: Applicant: SOUTHERN CONTRACTOR CO 559 N TWIN OAKS SAN MARCOS, CA 92069 619-744-0760 Owner: CITY OF CARLSBAD 3340 07/18/00 0001 01 02 C-PRMT 35.00 Total Fees:$35.00 Total Payments To Date:$0.00 Balarice Due: , $35.00 Electric Issue Fee / • - J ^ Single Phase per AMPThree Phase per i^P; ; ,Three Phase 480 Per AMF^^ Remodel/Alteration per AMP Remodel Fee i . . Temporary Service Fee Test Meter Fee Other Electrical Fees \ T0T41. PERMIT FEES> ■ 100 0 6 , 6 .$io.6o - , . $25.00 •; : $0.00 > $0.00; ■ $0700" ' f $0.00 $0.00 ■ ■ ■ $0.00- $0.00 $35.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE Please take NOTICE ttiat approval of your project Includes ttie "Imposifion" of fees, deScations, reservations, or ottwr exactions hereafter collectivelyreferred to as fees/exactions.' You have 90 da^fnornttie date tfils permit was Issued to protest irrposltlon of these fees/exactions. If you protest them, you mietfob* the pretest ptecedures set forth In Government Code .Section ^20(a), and tile the protest and any other required intormatlon with the City Manager forprocessing In accordance with Cartstrad Municipal Code Section 3.32.030. Faiure to timety foliow that procedure wffl tar any sutsequent 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 capactiyctanges, nor planning, zoning, grading or other simiiar application processteg or service fees In connection with thb project NOR DOES IT APf^Y to any fees/exactions of which you have prevlouslY been given a NOTICE simllar to this, or as to which tee statute of Smltatlons has prevlouslY otherwise expired. PERMBT APPLBCATBOW CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, . PROJECT IWFQBMATIPW FOR OFFICE USE OWLY PLAN CHECK NO. 6^' EST. VAL. Plan Ck. Deposit Validated By D ate Address (Include Bldg/Sulte 81 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Urrit No.Phase No. Total 9 of units Assessor's Parcel 9 Existing Use Proposed Use CONTACT PERSON Of dhfetent from EppOcaqt) , , _ Bathrooms Name ,3. APPUCANT Address City O Contraotof Fl Agent,for Contraotor'. 1~l Owner □ AoBfTtTor Owner State/zip Telephone 8 Fax 0 Name4. PROP^^J^Address Chy State/Zip Telephone 8 City State/Zip Telephone 9 ^5, CONTpApTQB - COMPANY NAMP . :..,1 'j. f'U .ir; .■ (Sec. 7031.5 Business and Professions Code; Any Dty or County which requires a permit to construct, after, improve, demolish or repair any structure, prior to its Issuance, also requires tire applicant for such permit to file a signed statement that he is iicertsed pursuant to the provisions of the Contractor's License Law IChapter 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!llpPo_AtWAlalqti0iZflLSacIi047)4a 1.51^ penaitMJI III 1104 HJll ly VTIUI ^O^vilWII ! uriviMWll ^ Lira ULMiiiooo oiiu I awiQ<»aiwira wwwwj wi uiwa iiw its ai avii i wtttf Ml rxj aiiu wuMits iwi utw wiiwg CiName State License 8 Address License Class ty State/Zip City Business License 8 eiephone 9 Designer Name .t}. Address City State/Zip Telephone State License 8 •6. ..WOBKERE'OPMPENSATION ^ , . ' _ Workers' Compensation Declaration: i hereby affirm under penalty of perjury one of the foliowing declarations; f~l I have and wiH maintain a certificate of consent to seifJnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of 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 ismmm-w y//>/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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; FaBure to oacura workers' oompeiisatlon coverage Is unlawful, and shall subject an employer to criminal penaitlea and civil fines up to one hundred thousand doDam ($100,000), (n adiStlon to the cost of compensation, damages as provided for bi Section 3706 of the Labor coda, Intorest and attorney's feoa. SIGNATURE DATE 7. ^OVVNER-BUILPER DEClARATiqN _ ... J _ . .. : _ ' . ■ . i hereby affirm that i am exempt from the Contractor's Ucense 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 (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). □ 1, as owner of the property, am exclusively contracting with Ucensed 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). □ 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. Q YES QNO 2. i (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foliowing 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 artd provide the major work (include name / address / phone number / contractors license number); 6. I wlli 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); PROPERTY OWNER SIGNATURE DATE COIWPLETE.THIS SECTION FOR AfQifl/JieWDSlfTMi building PPIMfTS ONkY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventionprogram under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES Hq NO Is the applicant or future building occirparrt required to obtain a permit from the air pollution control district or air quality management district? □ YES NO Is the facility to be constructed within 1 ,(X)0 feet of the outer boundary of a school she? □ YES 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. 8. . QONSTRUCTTON LENDING AGEfJCY .. . - I hereby affirm that there is a constnytipn lending agency for the performance of the work for which tUa permh is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS V ;9, , APPLICANT CERTIFK^TlbN x, .. , 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 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 UABIUTTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA; An OSHA permh is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories 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 buUdlng or work authorized by such permit Is not commenced within 180 days from the date of such permit or If ttie building or work authorized by such permit Is suspended or abandoned at any time aher the work Is commenced for a period of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITF- Fir« YFI I nw: AnoUrant PINK: Rnanca CITY OF CARLSBAD REQUEST FOR REFUND Account No. 0013610-4223 Vendor No. Fee Paid For- Building permits CB002659.CB002657.CBnn2fi58.CRnn^fi 56 Fee Paid By: SOUTHERN CONTRACTING CO Amount of Refund $1^0.00 Date Fee Paid: 07/18/00 Facts Supporting Request: These permits are duplicates of permits already pulled by the City 6f Carlsbad Engineering Department for a municipal project. Name of Applicant: ^ ^ r—^^ ^ n i - n -.-i i —== n j—^ Address: <^^^7 TU) 10 . ^3-06? • (^JOUrV-ACTl^O O) loc. Street City State Signature of Applicant: Zip Telephone Date ~ 0 ^ Dept. Justification: □ Approve □Disapprove Date Finance Investigation: Ron' □ Approve □Disapprove Dept. Head Signature Date City Manager's Action: □Disapprove□ Approve City Manager Signature Date ^4