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HomeMy WebLinkAbout1925 DOVE LN; ; CB090808; Permit05-13-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB090808 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1925 DOVE LN CBAD ELEC 0000000000 Lot#: LA COSTA PALOMA APIS-REPLACE UFER GROUNDING WIRE&COPPER COLDWATER BOND Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: NEW WAVE ELECTRIC Owner: ISSUED 05/13/2009 KG 05/13/2009 05/13/2009 2142 WINCHESTER ST OCEANSIDE CA 92054 760 757-0187 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 Inspector: KS FINAL APPROVAL Date: ^^^^-^^ Clearance: NOTICE: Please talte NOTICE that approval of your project Includes the "Imposition* of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit was Issued to protest imposition of these fees/exactlons, If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City (Manager for processing in accordance with Carisbad 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/exactlons 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/exactlons of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. City of Carlsbad 1635 Faraday Ave., Carisbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Ctiecl< N Est. Value Plan Cl<. Deposit Date5'-^2^--0^ SUITE#/SPACE»/UNIT# APN ^jl^^^^ CT/PROJECT # ~ LOT# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP Cd'sfa r<.l0Mci. Aoh. DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) / \ ' ' EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) ( )ECKS(SF) FIREPUCE AIR CONDITIONING FIRE SPRINKLERS YES D # NO • YES • NO • YES • NO • CONTACT NAME (If Different Fom Applicant) APPLICANT NAME AOORESS ADORESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NANVE , ADDRESS ADDRESS ^ \ f /0 t CITY STATE ZIP STATE J ZIP ^ PHONE FAX PHONE ^no 751-0/8'^ riO'ifS:/-17^.2 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE UC.# ^ (Sec. 703I.S Business and Professnm Code: An|r Qqr or Couot)f which requires i pennil lo conslruct, alte^ improve, demolish or repair an/ structure, prior to its issuance, also requires the applKant lor such permit to file a signed statement ,ljii he n licensed punuant to the provisions of the tontractor's License law {Chapter f, commending with SKlion 7000 ol Invision ) ol Ihe Business and Frolessions Code} or that he is exempt there from, and the basis tor the aUeged eiemptbn. Aitji viilation ol Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than Ttve hundred dollars {$S00}). WORKERS COMPENSATiON Workers' Compensation Declaration: / /lereby affinn i^ncTer pena/ly 0/ pe/jury one 0/ fne following declarations: a i have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ol the Latxir Code, for the performance ol the work tor which this permit is issued. 'P^ave and will maintain workers' compensatkm, as required by Section 3700 ol the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensatkm Insurance carrie' and policy number are: Insurance Co Ii» tf;^ JjOS , <r^A<gfai»y Policy No. €>/t>/C.,R/i>< /6/6D(7S'?5L Expiration Date S""/^ Of ^ This sectkin need not be completed if the permit Is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the performance of the work for which this permit is Issued, I shall not empkiy any person in any manner so as to become subject to the Workers' Compensation Law: 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,CUO), in ftflriittnn In thp met n§ ^n/nnnneatif.^ i—o— . . . ^ City ofCarlsbad BIdg Inspection Request For: 05/21/2009 Permit# CB090808 Title: LA COSTA PALOIUIA APIS-REPLACE Description: UFER GROUNDING WIRE&COPPER COLDWATER BOND Inspector Assignment: Type: ELEC Sub Type: Job Atidress: 1925 DOVE LN Suite: Lot: C Location: APPLICANT NEW WAVE ELECTRIC Owner: Remarks: WANTS TIM 9-12 PLEASE Total Time: Phone: TeOTSTtTTBT- Inspector: Requested By: N/A Entered By: JANEAN CD Description 39 Final Electrical Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection Historv Date Description Act Insp Comments