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HomeMy WebLinkAbout1933 DOVE LN; ; CB090809; Permit05-13-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB090809 Building Inspection Request Line (760) 602-2725 Job Address: Pernfiit Type: Parcel No: Reference #: PC #: Project Title: 1933 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 Renfiodel/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: $ ^ ^'^'^^^ Clearance: NOTICE: Please take 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 pemilt 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 Infonnation with the City Manager for processing in accoidance 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/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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired. CitsTof Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-27171 211% I 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Perinit Application Plan Check N(CP(^^n^>^ Est. Value Plan Ck. Deposit Date (S--/^—0^ JOB ADDI CT/PROJECT* SUIT£#/SPACE#/UNn'# PHASE « « OF UNITS » BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ;CRIPTION OF WORK: Incfuife Square Feet of Affected Araafs; / \ >^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES • NOQ FIRE SPRINKLERS YES • NOQ CONTACT NAME (HDUfenntFomAfiiUcant) APPLICANT NAME ADDRESS AODRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NA^ . ADDRESS ADDRESS CITY STATE ZIP T STATE J PHONE FAX PHONE 7k>-7Sl-Oi67 EMAIL EMAIL . 1 ARCH/OESIGNER NAME & ADORESS STATE UC. # STATE UC.# CITY BUS. LIC.d I ind FroitsiiMi Code Hoy D» or touiity wkkh rnuires i pennil lo consinKt, illtn mnnm, d;moliik or repair any sinKiiirc. pfior to its 'nsmncc, akf reou'nt the ippliam lor luch penni to file i iigoed uatement ,1» be « the proriiioiis of the CoMraaor'i Ucenie law {Ckapler comneMlliw wik Siaim 7000 of Oniiion ) ef ihe hiiineii and Profeiiioni Code} or that he is cicmpt there from, and thc basis lor thc allcpd nemptHM. Anr 'iM'ion ol ly apptcani for a penn subjects die applicam lo a dnl peMtti of nM nore than tn hundred dolan {(SU}). (Sec 703I.S Business licensed jwrsuam to L. ^ . _.. , Section 703I.S b|r any appttaoi for a penn subjects die appwam WORKERS COMPENSATION Workers'CoinpentaHon DedaraUon: I Aerafy aAirm wKlsr penally or pei^ O I have and will maintain a certtficate of consent to ssH^nsure tor workers' camfiensatkin as provkled by Section 3700 of the Labor Code, for the perionnance of the woric tor whteh this pennil Is issued. P^ave and wUI maintain wgriwri' compensation, as required by Sectkxi 37(X) oi the Labor tor the perionnance of the woik for whnh this pennH is issued. My workers' compensaton insurance carrie> and poiicy niinnl»rarBln.u.B.nB.nnD>tf5 "f*^, Apju0*^ Polfcy No <^/A<.^/X /6/6C>(yS'? SL. Expifatfon Dale S^/^^f This sectkxi need not be completed if the permit is for one hundred dollara ($t(X)) or less. n Certificate of Exemptkm: I certify that In the perionnance of the woric for whteh this permit Is issued, I shall not empkiy any peison in any manner so as to become subject to the Woriters' Compensation Law.- of California. WARNING: Failjire to secure workers' compensation coverage Is unlawful, and shall subject an emptoyer to criminal penalties and civil fines up to one hundred thousand dollars (ilOO.CUO), In addition to the cost of compensation, damages as pra^eMor In Section 37W oi th^bor code, interest and attomey's fees. CONTRACTOR SIGNATURE ^A^JT^^ /^3^^^r~ ''*^^ ^/fT'/^^ OWNER-BUILOER DECLARATION / Jwreby affirm that f am axampf Aom Contrador's License Law for the foHowing reason: • I, as owner oi the property or my employees wHh wages as their sole compensatkxi, will do the worii and the stnicture Is not intended or offered for sale (Sec. 7044, Business and Professkxis Code: The Coi t ac or:; Ucense Law does nol apply to an owner of property who buiMs or improves thereon, and who does such worii hknseH or through Ns own empkiyees, provkled that such improvements are not kitended or olf<:red for sale. If, however, the buHdkig or knprovement Is sokl within one year of completkin, the owner-buikler wHI have the buiden of provkig thai he dkl not buikl or improve tor the purpose of sale). • I, as owner oi the property, am exclusively contracting with Iteensed contractors to constmct the project (Sec. 7044, Business and Proiesskxis Code: The Contractor's Ucense Law does not apply to an own ir of property who bulkls or improvss thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Conlractor's Lteense Law). IP^ I am exempt under Sectton Business and Proiesskxis Code for Ihis reason: 1.1 personally plan to provkle the major labor and materials foiconstnictkxi olthe pioposed pioperty impio^^ ff^es OUa 2.1 (have / have not) signed an application for a building permit for the proposed worit. 3.1 have contracted with the following person (firm) to provide the proposed constmctkxi (include name address / phone / contractors' license numtier): 4.1 plan to provide portions oi the work, but I have hired the folkiwing person to coordkiate, supervise and provkle the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the worit, txit I have contracted (hired) Ihe Iolkiwing persons lo provide the worit indtealed (include name / address / phone / type oi worit): ySTPROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERIMITS ONLV |! Is the applteant or future buiklkig occupant required to submit a business plan, acutely hazardous malerials registratton iomi or risk management and preventkin program under Sectkxis 25505,25533 or 25534 ol the Presley-Tanner Hazardous Substance Account Act? • Yes • No Is the applteant or future buikling occupant required lo obtain a pennil from the ak pollution control district or ak quality management d^ OYes DNo Is the facility to tie constructed within l ,000 teet of the outer boundary of a school site? • Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY ktAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTROCTION 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 CERTIFICATION I certl^r that I have lead the applkxrtfcm and state that the above inibnnatlon Is conect and that the infbnmifim I hereby authorize lepresentative of the Oty of Carisbad to enter upon the above menttoned property for AGAINST Aa LIABIUTIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITy IN CONSEQUENCE OF THE GRANTING OF THS PERMIT. OSHA: An C)SHA pemiit is requked kx excavatkxis ow S'Cy deep and demoMkxi or constactkxi oi stn^ EXHRATIC>N: Eveiy permit issued by the Bulking QfeEd under the p^^ 180 days fiom the date ot such pemiit or if the buadjp^oy^ author!^ .gS" APPLICANTS SIGNATURE DATE City ofCarlsbad BIdg Inspection Request For: 05/21/2009 ^ Permit* CB090809 Inspector Assignment: / A Title: LA COSTA PALOMA APTS-REPLACE Description: UFER GROUNDING WIRE&COPPER COLDWATER BOND Type: ELEC Sub Type: Job Address: 1933 DOVE LN Suite: Lot: I Location: APPLICANT NEW WAVE ELECTRIC Owner: Remarks: 9-12 Phone: 7607570187 Inspector: Total Time: CD Description 39 Final Electrical Act Comments /l-F Requested By: N/A Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection Historv Date Description Act Insp Comments i ; f. I I (I g. 0 0 0 0 ^ c S S g 0 I- I I t P 0^ p C ^ b tt