HomeMy WebLinkAbout1590 TRITON ST; MP; CB06140; Permits
07-26-200$
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB062140
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1590 TRITON STCBAD
ELEC
2150751200
CT030013
Lot#12
BLACK RAIL RIDGE 100 AMP METER
PEDISTAL FOR IRRIGATION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
07/26/2006
RMA
07/26/2006
07/26/2006
Applicant
MAYFAIR HOMES INC
SUITE 312
3443 CAMINO DEL RIO SOUTH 92108
619-280-5777
Owner
BLACK RAIL RIDGE LLC
3443 CAMINO DEL RIO S #312
SAN DIEGO CA 92108
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
100
0
0
0
$1000
$2500
$000
$000
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $3500
Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000
Inspector
FINAL APPROVAL
Date 8/1 /*> L Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively
referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must
follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack
review set aside void or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations hasjreviouslv otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
'l^lf PROJECT INFORMATION :&&&UW*
FOR OFFICE USE ONLY
PLAN CHECK NO 0$ PL 0^1]L{1>
EST VAL
Plan Ck Deposit
Validated By
Date
-
Address (include Bldg/Suite #)Lor <k ^ Cr - V5 vtBusiress Name (at this address)(Hoic
Lot No Name/Number Unit No Phase No Total # of units
iVSsessor s Parcel #
v
Existing Usa Proposed Use
Description of Work SQ FT » #of Stories /
2 CONTACT PERSON (if different from applicant) ' -;5ii lip !• if!.,.
# of Bedrooms # of Bathrooms
Name Address City
3 ^EiiAPPLICANT u'O Contractor O Agenfjfor Contractor ,d Owner ""CI Agent for "Owner
State/Zip Telephone #Fax #
CONTRACTOR COMPANY NAME
(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 toa civil penalty of not
City State/Zip
City Business License
6 vWORKERS "CJOMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Q 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
TOS 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 carrier and policy^umber are niiKjQirJ5 rVsThT.,Insurance Company Policy No in -03-Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS)
|~| CERTIFICATE OXtXEMPTION /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 Jo tHe Workers Compensation Laws of California
WARNING Failure tb/seeuiu vAiikula compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars /? 1OO 000) ir/addijiorV, to jhe cost of compensation damages as provided for in Section 3706 of the L£bor Jf^de, interest and attorney s fees
SIGNATURE \ " / I VK " DATE
|7 OWNER BUlb>£B^ECLARAT
I hereby affirm that I am exempt frdm/fhe 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
(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)
|~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)
0 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 l~l YES [~]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 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)
PROPERTY OWNER SIGNATURE DATE
COMPLETE^THIS SECTION FOR NON RESIDENTIAL BUllD\NG PERMITSkONLY . . ,.H;; W|t. Z iJT
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' Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES Q NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' l~l YES l~l 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
1"; cbl$TRyCT6NtE^SNG*AGpcY''jpp::S! T"T ™<S*. " ''"-Cf'KiF ;^*S. ".""r"N "'r?^::"s^;?TSi»";sr" ™ij~ ,. ;•?="" ••••:' s""T^
I hereby affirm that there is a constructio/i lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER S NAME//£7fl&4ti$/ VJ\-1 /A-LENDER S ADDRESS
[9
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 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 forjaxcavations ovet*7 0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued/By thlTDUildinB 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 cammMced within ISjKlays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is coijlfneryeckfor a^periqjfof 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 07/31/2006
Permit* CB062140
Title BLACK RAIL RIDGE-100 AMP METER
Description PEDISTAL FOR IRRIGATION
Inspector Assignment TP
1590 TRITON ST
Lot 12
Type ELEC Sub Type
Job Address
Suite
Location
OWNER BLACK RAIL RIDGE LLC
Owner
Remarks EMR
Phone 6192003425
Inspector
Total Time
CD Description
39 Final Electrical
Act Comment
Comments/Notices/Hold
Requested By JUAN
Entered By CHRISTINE
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments