HomeMy WebLinkAbout1675 CORTE ORCHIDIA; ; CB013186; Permit10-04-2Q01
City of Carlsbad
1 635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB0 131 86
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1675 CORTE ORCHIDIA CBAD
ELEC
Lot#
ENTCANTADA - 100 AMP METER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/04/2001
JM
10/04/2001
10/04/2001
1509 10/OVOI
Applicant
RYLAND HOMES OF CALIFORNIA
STE 200
5740 FLEET ST
CARLSBAD CA 92008
760 603-8001
Owner
0002 01
CGP
02
35.00
Total Fees $3500 Total Payments To Date $000 Balance Due $3500
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
100
$1000
$000
$000
$000
$2500
$000
$000
$000
$000
$000
$3500
Inspector
FINAL APPROVAL
Date 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 lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you nu-st
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 capactiy
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 qiven 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
.;, _ JECT? JNFORMAt ION .."•'
-- iLl-A*"! H^
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit.
Validated By_
Date
Address (include Bldg/Suite ft)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units
Assessor s Parcel #Existing Use Proposed Use
Description of Work v SQ FT
\QiD a—*\/"V_AO « r*~
2 CONTACT PERSON" (if different from applicant) '"'"•'"
#of Stories # of Bedrooms tt of Bathrooms
Name
:3'W APPLICANT C];Contract6r,
Name
4"jPROPERTYiOWNER
Address
PI Agent forn Contractor -.^Fl Owner ?"f~1 A
Address
1 * .^"... :™ ^;^;:- :
City
gem foTOwner
City
•'• ¥ ¥^.v:^
State/Zip
State/Zip
Telephone tt
• V? '
Telephone tt
Fax #
^ .::
" !:•*•
Name Address City State/Zip Telephone
ec 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 > License Law
[Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or that he PS exempt therefrom and the basis lor the alleged
exemptipji 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 I $500])
i ^ *™\. 0 lloLnd H£?msa S~MO MM ^f-zoD G&sfefod t Cd "110%~
i^\
C"/6
V-AJW,
Name
State License # * SHk?
' Address
^(8 License Class P}
City State/Zip
City Business License tt *5M
Telephone ttbur
Designer Name
State License tt
Address City State/Zip Telephone
r ^ WORKERS COMPENSATION i: ::V."' , ' «
orkers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
fj] 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
f~l 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 number are
Insurance Company 1-^Ty") (L.-'t Q|^ *^u£AA S~l^J>jC^ Policy No H/&T2'QD?j''2^f^p ^D g~ Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
f~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in an\ manner so as
to become subject to the Workers Compensation Laws of California
WARNING Failure ta secure workers /compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($XQ0 OOOlttrsadximm to the cost of compensation damages as provided for in Section 3706 of the Labof_cjide/interest and attorney s fees
SIGNATURE / y^^ J7"V 0\^\/^ ^ " DATE
^ OWNER BUltnE^DEC
/St /Of
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
fj] 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)
fj 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)
l~l 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 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)
PROPERTY OWNER SIGNATURE DATE
COMRLETEiTHIS SECTION FOR NONRESIDENTIAL BUILDING PERMITS ONLY ^ f „ ....... »:: ^,4,J ^"V
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' d "i ES Q NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? fj 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 MEE TING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
.8'@lCbNSTRUCTi6N'lENDING*AGENCY F"° _"/ ' J," . "~3—, .. :~- "•'• ^ \ * ""'"" '-*'""'" ••' ^"f -^:''i- "TI ' ''; <
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER S NAME LENDER S ADDRESS
9'~'"'::APPllCANr:ClRtiEiCATiON; ''••''•'"" '" 3*:i:: " "—: -J5"'::: -~' ' ™T,"*:. """" •"""••"- --f '_ - »",.- -- ^ • ; .. •>
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 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 Officiaftjnder 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 comrnigfTJbedlvithin 180 days 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 commence/) for ipeTtod ofJfBO days (Section 106 4 4 Uniform Building Code)
As /> 1*^1 ^jfl ""
APPLICANT S SIGNATURE DATE tpfa/ol
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 03/06/2002
Permit# CB013186
Title ENTCANTADA-100 AMP METER
Description
Inspector Assignment PY
1675 CORTE ORCHIDIA
Lot 0
Type ELEC Sub Type
Job Address
Suite
Location
APPLICANT RYLAND HOMES OF CALIFORNIA
Owner
Remarks
Phone 7608027439
Inspector
Total Time Requested By DON
Entered By CHRISTINE
CD Description
32 Const Service/Agricultural
39 Final Electrical
Act Comments
-L
Associated PCRs
Inspection History
Date Description Act Insp Comments
02/20/2002 32 Const Service/Agricultural CO PY PULL WIRE TO BREAKERS
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