HomeMy WebLinkAbout1905 CALLE BARCELONA; ; CB044182; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
1 1-1 9-2004 Electrical Permit Permit No: CB044182
Building Inspection Request Line (760) 602-2725
Job Address: Permit Type: ELEC Status: ISSUED
Parcel No: 2550120400 Lot #: 0 Applied: 1111 712004
Reference #: Plan Approved: 1111 7J2004
Issued: 1 111 912004
Project Title: THE FOURM, ELEC FOR PARKING Inspect Area:
1905 CALLE BARCELONA CBAD
Entered By: SB
SIGNAGE
Applicant:
NADEL ARCHITECTS
SUITE 1025
625 BROADWAY 92121
619-232-8424
Owner:
BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L
C/ BORDERS INC
300 VILLAGE GREEN CIR SE #200
SMYRNA GA 30080
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP RemodellAlteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
$10.00 $0.00 $0.00
$0.00 $0.00
$1 0.00
$0.00
$0.00
$0.00 $0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00
..
PERMIT APPLICATION PLAN CHECK NO.
EST. VAL.
Plan Ck. Depos\t CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
7031.5 by any applicant fpr a permit subjects 3 ut -he 54~ A
penalty of not more than five hundr
City
aQr/
Address
License Class City Business License #
Designer Name Address City StatelZip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perpry one of the following declarations
0
of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company d T&&,, r.,f (,, Policy No &f 3q 3.20 Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERdT IS FOR ONE HUNDRED DOLLARS [$IO01 OR LESS)
0 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 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
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
Pr/ P
SIGNATURE DATE
I hereby affirm that I am exempt from the 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 sale1
0 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 contractorM licensed
pursuant to the Contractor's License Law)
0
1.
2.
3.
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES
I (have I have not) signed an applicatron for a building permit for the proposed work.
I nave contracted with the following person (firm) to provide the proposed constructton (include name I address I phone number I contractors license number):
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 I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indlcated (include name I address I phone number I type
Business and Professions Code for this reason:
ON0
program under Sections 25505. 25533 or 25534 Of the Presley-Tanner Hazardous Substance Account Act7 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quallty management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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 OFFLCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
0 YES 0 NO
0 YES 0 NO
I hereby affirm that there is a construction lending agency for the performance of the work for whlch this permit is issued (Sec 3097(11 Civd Codel
LENDER'S NAME LENDER'S ADDRESS 9Y-+w%eu
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 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 building or work
authorized by such permit is not building or work authorized by such permit is suspended or abandoned at any time afw the work is co
APPLICANT'S '.>NATURE DATE /(,/!7flp4
City of Carlsbad Bldg Inspection Request
For: 03/02/2005
Permit# CBO44182
Title: THE FOURM, ELEC FOR PARKING
Description: SIGNAGE
Type: ELEC Sub Type:
Job Address: 1905 CALLE BARCELONA
Suite: Lot 0
Location:
Inspector Assignment: PS
Phone: 8588643603
Inspector: 5
OWNER BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L
Owner:
Remarks: ELECTRIC FOR PARKING SIGNAGE
Total Time: Requested By: JERRY
CD Description Act Comment
Entered By: CHRISTINE
31 UndergroundlConduit-Wiring - wv
39 Final Electrical
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
02/25/2005 39 Final Electrical CA PY
02/03/2005 31 UndergroundConduit-Wiring AP PS
02/03/2005 39 Final Electrical wc PS
02/02/2005 31 UndergroundConduit-Wiring CO BN not to proper depth
02/02/2005 39 Final Electrical CO BN