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HomeMy WebLinkAbout1912 ASTON AVE; ; CB002709; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08/07/2000 Electrical Permit Permit No:CB002709 Job Address: 191 2 ASTON AV CBAD Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 07/25/2000 Reference #: Plan Approved: 08/07/2000 Issued: 08/07/2000 Project Title: TEMP POWER POLE Inspect Area: Entered By: JM Applicant: LUSARDI CONSTRUCTION COMPANY 1570 LINDA VISTA DRIVE SAN MARCOS, CA 92069 61 9-744-31 33 Owner: 5157 08/07/00 0001 01 O? C-PRKT 20.33 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 FINALA PR VAL Inspector: ‘/*L Date: .;s?“- / Clearance: NOTICE: Piease take NOTICE that approval of your projed includes the ‘imposition’ 6f fees, dedications. reservations, or other exadions hereafter mlleC6VelY referred to as ‘feeslexadions.” You have 90 days from the date this permk was issued to protest imposition of these feeslexadions. if you protest them. you must follow the protest procedures set forth in Government Code Sedion 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 adion to anack. review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the spectied feeslexatiins DOES NOT APPLY to water and sewer mnnection fees and CaPaCtiY changes, nor planning, zoning, grading or other similar application pracessing Or Service fees in mnn&tim with this pro@& NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION IPCHE;. zg CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. Plan Ck. Deposit Validated By L Address [include BldgISuite XI Business Name IN this address) AWE Lot No. Subdivision NamslNumber Unit No. Phase NO. Total X of units /9/% As- Legal Description Assess0r's Pard X Existing Use Proposed Use Oesciintion of Work SO. FT. #of Stories X of Bedrooms X of Bathrooms 212-/20 - IA ,, , ,,. ,. .. .. , Name Address City Statelzip Telephone 11 [Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to COnRrUCt, alte~. improve. demolish or repair any StrUCtUrs, prior to it0 issuance, ais0 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 Codel or that he is exempt therefrom. and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to B civil penalty of not mors than five hundred dollars 195001l. Name Address City Statelzip state License ~~7257 License class 6 City Business License &rYoa Designer Name Address City StatdZip Telephone State License X Workers' compensation Odaration: I 0 of the work for Which this permit io issued. IS usd. My worker's compensation insurance carrier and policy number are: insurance Companv&M~~,r%Wmf & [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 DR LESSI 0 CERTiFlCATE OF EXEMPTION: I Certify that in the performance Of the work for which this permit io issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure 10 secura workers' compensation cove rag^^ is unlawtui, and shall subject an employer 10 criminal penalties and civil finas up lo me hundred Lc/I*&O/ rau5z ,457d LiNiff VIS 7%' s2fW/KA/zC@ 5 ci ' 74D- f025733 Telephone# ~~~~~~~~~~~~~~~~~~ i have and will maintain a certificate of consent to self-insure for workers' compensation 8s 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 tor which this permit io Policy No.\NL?O 83630 Expiration Date / ef-zool F at1Omey.I fee*. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 i, as owner of the property 01 my employees with wages as their sole compensation, will do the work and the structure is not intendad or offered for sale (Ssc. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property Who builds 01 improves thereon, and who does such work himself or through his own empioyees. provided that such improvements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion. tha owner-builder will have the burden of proving that he did not build or improve for the purpose of ralel. 0 I. as owner Of the property, am excIu~iveIy Contracting with licensed contractors to construct the project ISec. 7044. Business and Professions Code: The Contractor's License Law doer not apply to an owner of property who builds or improves thereon, and Eontracts for such projects with contractorlsl licensed pursuant to the C~ntra~l~r's License Law). 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the PIoposed work. i have contracted WiIh the following person [firm) to provide the proposed Construction [include name I address I phone number I contractors license number): Business and Professions Coda for this reason: 4. number I contractors license number): 5. of woikl: 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 lhiredl the following persons to provide the work indicated linclude name I address I phone number I type ,. ,. PROPERTY OWNER SIGNATURE DATE 11 the aonlicant or future building occupant required to submit B business plan, acutely hazardous materials registration form or risk management and prevention rnI~sy~ij~F~~LK~~~ .. program under Sections 25505, 25533 or 25534 Of the Prerley-Tanner Hazardous Substance Account Act? Is the applicant 0, future building occupant required to obtain B permit from the air pollution Control district or air quality management district7 1s the facility to be COnStrUCted within 1,000 feet of the outer boundary of a school site7 YES 0 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 REOUIREMENTS DF THE DFFiCE OF EMERGENCY SERViCES AND THE AIR POLLUTION CONTROL DISTRICT. YES NO YES NO I hereby affirm that there is a construction lending agency for the performance of ths work for which this permit is issued ISec. 3097111 Civil Codal. LEhOER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION' . .. 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 aIi 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 purpos~s. I ALSO AGREE TO SAVE. INDEMNiFY AND KEEP HARMLESS THE CiTY OF CARLSBAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTiNG OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0. deep and demolition or construction of stwctures over 3 stories in height. EXPIRATION: Every permit issued by the building OWiciai 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 dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the Work is APPLICANT'S SIGNATURE DATE 7-2900 (Section 106.4.4 Uniform Building Code). / WHITE Fila YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request m For 8/14/2000 Permit# CB002709 Title: TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1912 ASTON AV Suite: Lot 0 Location: APPLICANT LUSARDI CONSTRUCTION COMPANY Owner: TEMP.POWER POLE Remarks: I- Inspector Assignment: Phone: 7608025133 Inspector: z Total Time: Requested By: NA CD Description Act Comments Entered By: CHRISTINE Associated PCRs InsDection HiStON Date Description Act lnsp Cornrnenb (858)642-0010 (858)642-0888 .A. Pearson and Asrociares ince Brokers Inc. License eOA91092 .usk Blvd. "B" ,an Diego. CA 92121 C COMPANIES AFFORDING COVERAGE i eapw American International Specialty Lines Ins. .................................................................................................................................................... iA ~ -w National Union Fire 1ns.Co. of Pittsburg. iB PA m ........................... ............................................ ...................................................... ittn: Vicki Larron ~U~..... LUSARDI CONSTRUCTION CO. 1570 LINDA VISTA DRIVE SAW UARCOS. CA 92069 1 : eapw National Union Fire 1ns.Co. of Pittsburg, c PA ...... I : -MY :D INDICATED. NOWSTANDING ANY REQUIREMENT. TERM OR coNornoN OF ANY COWTRACT OR om= WCIJMENT~ REspEcTm WICH mis CERTIFICATE MAY BE ISSUE0 OR MAY PERTAIN. ME INSURANCE AFFOROED By THE POLICIES DESCRIBED MERElN IS SUBJECTTO AU THE TERMS. O(CLUSI0NS AND CONDITIONS OF SUCH POLICIES LMlTS SHOWN MAY HAM BEpl REDUCED BY PAID CLAMS. I .......................................... i ............. ................ ............................................................... .......... - :... ........................................ .................................................... . ~~ ...... ............................................................ ......................................... 1 000 ! 000 s .................................... 1.000.000 .................................. ........... ; 01/01/2000 01/01/2001 j.- ........................ ....... 5,000 WUN ....................... s 'I ...................... I I ........................................................... s ....... wm .................................... of Premium ..... .- .. I city Of Carlsbad is additional insured per form CG 20 10 11 85 attached. CITY OF CARLSBAD 2075 Las Palmas Drive . 1635 Faraday, Carlsbad Carlsbad, CA '92009-1576