HomeMy WebLinkAbout1929 DOVE LN; ; CB090810; Permit05-13-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB090810
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1929 DOVE LN CBAD
ELEC
2150521500 Lot#:
LA COSTA PALOMA APTS-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:
FINAL APPROVAL
Date: ^ ^^'Of Clearance:
NOTICE: Please take NOTICE that approval of your project includes tiie "Imposition" of fees, dedications, reseivatlons, or other exactions hereafter collectively
refeired to as 'fees/exactions." You have 90 days from the date this pemiit was issued to protest Imposition of these fees/exactions. 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 l»/lanager 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 vou have oreviouslv been given a NQTICE similar to this, or as to which the statute of limitations has previously otheiwise expired.
Gty'of Carlsbad
, 1635 Fafeday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
Plan Check
Est. Value
Plan Ck. Deposit
JOB ADDI
CVPf-UJ*.! PHASE* « OF UNITS # BEDROOMS
SUITE#/SPACE#/UNIT((
n BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE
ICRIPTION OF WORK: Indude Square Fevt of Affected Area(s) / \ ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NOD
AIR CONDITIONING
YES • NO D
FIRE SPRINKLERS
YES D NOD
CONTACT NAME (If OUfsmit Fom Applicant) APPUCANTNAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME
ADDRESS
CONTRACTOR BUS. NAME ,
iC /JUfJ uJo>he- ^|p«i:VY-t^
ADDRESS \ f- /O f
//O C^sx^?rtA>f)ecX cS
Cl]K~ TJ STATE J JIP ^
CITY STATE ZIP
PHONE FAX
EMAIL EMAIL - J
CTATC I ir M . I n Afic '' I rrrv RIIS i \c. u ARCH/OESIGNER NAME & AODRESS :LASS
2:^
crrY BUS. uc.«
(Sec 70}I.S Btiiimu and Profeiiiom Codt: Any G» or Craniy wkicli requins i pennit to comtnKt. aher, Impron, dcimlitli oi repair any stracture, prior to iu issoance, alto requires the applicant lor loch penni to file a signed slalenient ,lai he is hcensed oonuant to the pronsions oi the Contracior's license law {Chaflcf 9, conrnendini wilt Stoion lOM of Kvisioo 3 ol the Ihisinen and Proienions Code} or that he is eunpt there Irom, and the buit for the atefcd enmplno. Aof nolatioo ol Section 70)I.S by any applicanl far a pemit sobfecu the applicanl to a dnl penalty of Ml more thin live handnd dollart {{SM}).
WORKERS COMPENSATION
Workers' CompenMtion Deelwetion: / heraby affiim uncter penally of peijuiy one olthe loOomng declarations:
• I have and will maintain a certificate of consent to selt-lnaure for workers' compensation as provkied by Sectkxi 3700 of the Labor Code, for the performance of the work for whk:h this pennit Is issued.
P^ave and will maintain workers' compensatian, as reqtwed by Sectnn 3700 of the Labor Oxle, for the performance of the woik hx whwh this pennit is issued. My vrarkers' compensatkm insurance carrle> and polk^
number are: Insurance m D> If^ filS rflfUi^*^ Pofcy No. <^/Z?/<,^/X /ACOhS'?^ Expiratkxi Oate S^/- Of
This sectkxi need not be completed if the pennit is for one hundred doHars ($100) or less.
Certificate of Exemptkm: I certify that ki the perionnance of the work for wliKh this permit Is issued, I shall not empkiy any person in any manner so as to become subject to the Workers' Compensation Law.- oi
Calitornia. WARNING: Failure to secuie workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,CU0), in
addition to the cost of compensation, damages as pra^jMor in Section 37U o< the^bor code, interest and attorney's fees.
^CONTRACTORSIGNATURE ^^Al ^jj^jA A^^^t^Ca 0*TE
O W NER-BUItDER DECLARATION
I hereby alfirm that I am exempt from Contracior's License Law for the toOowing reason:
a I, as owner ol the propeny or my emptoyees with wages as their soie compensatkin, will do the work and the structure Is not intended or oifered for saie (Sec. 7044, Business and Proiesskxis Code: The Cor t ac or
Lk»nse Law does not apply to an owner ot property who buiMs or Improves thereon, and who does such work hknself or through Ns own empkiyees, provkied that such improvements are not inlended or olhred lor
sale, li, however, the buikiing or improvement is sokl withkt one year of completkxi, the owner-buikler wiH have the burden oi provkig that he dkl not buikl or improve tor the purpose oi sale).
• I, as owner of the proparty, am exclusively contracting with Inensed contractors to constmct the project (Sec. 7044, Business and Proiesskms Code: The Contractor's License Law does not apply to an own>r oi
propeity who bulkls or improves thereon, and contracts ior such projects with contractor(s) lk»nsed pursuant to the Contractor's Leense Law).
I am exempt under Sectkxi Business and Prolessions Code ior this reason:
1.1 pe^onally plan to provkie Ihe major labor and materials lor constnx:tkxi of the proposed property improvement. cTves • No
2.1 (have / have not) signed an appik:ation ior a buikling permit for the proposed work.
3.1 have contracted with the following person (iirm) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portkms oi the worit, but I have hired the iolkiwing person to coordinate, supervise and provide the major worii (include name / address / phone / contractors' license number):
5.1 will provide some ot the wortt, but I have contracted (hired) the iolkwing persons to provide the worti indicated (include name / address / phone I type ol wortc):
^PROPERTY OWNER SIGNATURE DATE
COIVIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERIMIT5 ONLV \
Is the appinant or tuture buHdkig occupant required to submit a business plan, acutely hazardous materials registratkin fomi or risk management and preventnn program under Sectnns 2S50S, 2SS33 or 25534 o( the
Presiey-Tanner Hazardous Substance Accaunt Act? • Yes • No .
Is the applicant or iuture buiklkig occupant required to obtain a permit irom the air pollution control district or air quality management dlstrk:t? • Yes • No
Is the facility to be construcied within 1,000 feet otthe outer boundary oi a school site? (DYes ONo
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 POUUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTrFICATION
1 certif that 1 have lead the applhartkNi and state that the above infonnatkm Is collect and that the infbn^
i hereby authorize representative of the Cfty of Carisbad to enter upon the above mentkxied properly ter Inspectkxi purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSSi AD
AGAiNST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAiNST SAID CITV IN COhSEQUENCE OF THE GRANTING OF THiS PERMIT.
OSiU: An C)Si1A pemiit is required kx excavatkxis ow S'O'deep and denwiitkxi or consinxitk^
EXPIRATION: Every pennit issued by the Bulking
180 days Irom the date oi such pemiit or ii the
-gf APPUCANT'S SIGNATURE
Shall expire by Imitatnn and beconw null and vokl If Ihe bulking or woric authorized by such pemiil is not com^^
is suspended or abandoned at any time after the woric Is commenced for a period of 180 days (SectkX) 106.4.4 Uniform BuiU'i Code).
DATE
City ofCarlsbad BIdg Inspection Request
For: 05/26/2009
Permit* CB090810 Inspector Assigninent: _f_^s>^A-A
Title: LA COSTA PALOMA APTS-REPLACE
Description: UFER GROUNDING WIRE&COPPER COLDWATER BOND
Type: ELEC Sub Type:
Job Address: 1929 DOVE LN
Suite: Lot: 0
Location:
APPLICANT NEW WAVE ELECTRIC
Owner:
Remarks: THIS ONE WAS LEFT OUT FINAL?
Ptione: 0000000000
Inspector:
Total Time:
CD Description
39 Final Electrical
Act Comments
0f-
Requested By: NA
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection Historv
Date Description Act Insp Confiments
0 0 0 0 •
r g= § ? s c Parking Mail Bo dry Faci w z ^ e-
1 i
p33^ ounireo la