HomeMy WebLinkAbout1937 DOVE LN; ; CB090811; Permit05-13-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB090811
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1937 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: 3- X Clearance:
NOTICE: Please take NOTICE ttiat approval of your project Includes the "Imposition" of fees, dedications, resen/ations, 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 infomiation 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 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 sewice 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.
Gly^of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax:760-602-8558
www.carlsbadca.gov
Building Permit Application
Plan Check No!
Est. Value
Plan Cl<. Deposit
Date(g>(:2,^
JOBADDR^^^ fi)V>^ L^Il>^ sun^E#/sPACE#/uNn# APN X ;
CT/PROJUCTII"*^ y LOT# PHASE* # OF UNITS » BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP
La /^5/« Hilaua M)h.
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) / \ ^ ' '
c>A^>p^j Ot^r-fk*^., ><^oA)4^ ^xi<>i;Ac\,
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES O # NO • YES • NO • YES • NO •
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME ,
ADDRESS ADDRESS \ ^ JO t
CiTY STATE ZIP CIBSh STATE J ZIP ^
PHONE FAX PHONE
7k>-75^-Ol8^ EMAIL EMAIL . . ^
ARCH/DESIGNER NAME & AODRESS STATE LIC. # STATE LIC.» CLASS CITY BUS. LIC.«
(SK. 7II3I.S Ihiiiiicu ind Pnife»ioM Codt: Aaii Qt|i or Coooty mliidi rtquirci a penrii lo OMSlroa aher iiii|iflm, demolisli or rt|iair wf ilniciiiR. prior to itt iiiiuncc alsf reqoini ilit anlicaiit for luch pcnnt to Cle i signed iniemeM ,l.»i lie is Hcensed jNinoani to die prwisiom ol die Comncior's Ikcuse law {dupier 9, commondiiif wiili Scaioa TIMO of Division 3 of llie Business wd PniKssio« Code} or thu lit » eienfi diere from, and tlic basis lor riic aHeged exemption, kni wjiainn of Stcmn 70il.S b)f in; ip^feint w i ptnnt ubiias dn ipplkiM u > ml ptuky ill Nt mon tk» fiN kmdrtd dolus {tSW}).
WORKERS C O IM P E N S A T I O IM
Woricers' Compensation Decliration: I hereby affiim under penalty rUpa/juryone ol the foUoming declarations:
n I have and will maintain a certiflcate oi conaant to leH^naure for wortiers' compensation as piovided by Sectkxi 3700 of the Labor Code, for the peiformance of the wortt for whnh this permil is issued.
P'Thave and will malntaiawgrtwrt' compensation, as required by Sectkxi 3700 of the Labor Code, for the perionnance of the worii lor which this permil is issued. My wortiers' compensatkxi insurance carrier gni policy
number are: Insurance Cn D» lfi5 fjJS , Cfiktp*Jfy^ Polk^ No. d/b/e^/t/K fSCt>i>S'?SL~ Expiration Date S'-/'-
an ($100) or less. This sectkm need not be completed U the pennit is for one hundred doHara ($100) c
O Certificate of Exemption: I oeitay that in Ihe perionnance ol the worit for which this permit is issued, I shall not employ any peison in any manner so as to become subiect to the Vl/oriters' Compensation Law.- of
Califomia. WARNING: Failure to secura workers' compensallon coverage Is unlawful, and sliall subject an empioyer to criminal penalties and civil fines up to one hundred thousand dollars (&100,CU0), in
addition to the cost of compansatkMi, damages as pram|Mor in Section 37K ol the/.abor code, interest and attomey's lees.
^CONTRACTORSIGNATURE ^,Aj ^if^/A ^^^^^f DATE SY/T/C^^
OWNER-BUILOER DECLARATION
I hereby atfirn) that I am exempt from Contractor's Ucense Law for the toOowing reason:
• I, as owner of ttie properiy or my employees with wages as their sole compensalion, will do the worii and the structure is not inlended or ottered lor sale (Sec. 7044, Business and Prolessions Code: The Cor l ac or
License law does not apply to an owner of property who buiids or improves thereon, and who does such worii himsell or through Ns own empioyees, provided that such improvements are not inlended or oll*;red lor
sale. If, however, the building or improvement is sold within one year of completkin, the owner-buikler wiH have the burden ol proving that he dki not build or improve tor the purpose of sale).
• I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Proiesskxis Code: The Contractor's License Law does not apply to an own;-r of
property who buikis or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
1 am exempt under Sectkxi Business and Professkxis Code for this reason:
1.1 personally plan to provide the major labor and materials for construction ol the proposed property improvement, fl^es • No
2.1 (have / have not) signed an applteation lor a building pemik for the proposed worii.
3.1 have contracted with the following person (Iirm) to provide the proposed oonstmction (include name address / phone / contractors' license number):
4.1 plan to provkle portkxis of the worii, but I have hired the folkiwing person to coordinate, supenrise and provkle the major worii (include name / address / phone / contractors' Ucense number):
5.1 will provide some oi the work, but I have contracted (hired) the following persons to provide the worti indk^ted (include name / address / phone / type ol work):
^PROPERTY OWNER SIGNATURE J^/4i^ DATE ^//J~^
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERIMITS ONLV >!
Is the applicant or future buikjing occupant requked to submit a buskiess plan, acutely hazardous malerials reg^
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future buikling occupant required to obtain a permit from the ak pollution control distrk:! or ak quality management d^ DYes DNo
Is the facility to be construcied within 1,000 feet of the outer boundary of a school site? I!lYes (DNo
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 POLLUTION CONTROL DISTRiCT.
CONSTRUCTION LENDING AGENCY
I hereby affimi that there is a construction lending agency for the perfonnance of the worii this pemiit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certi^i thm I liave lead the appikadon and state that the above infonnation is conect and that the infonnatton on ttw
I hereby authorize lepiesenlative of the City of Carisbad to enter upon the above mentoned property for kispectkxi puiposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HAFUMLESS THE CTTY OF CARLSi:V<D
AGAINST ALL UAHLrriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfr.
OSHA: An OSHA permit is lequued kx excavatkxis ow S'O'deep and demolilian or conslnjctkm
EXPII^TION: Eveiy pemnit issued by the Bulking urxier tte
180 days fiom Ihe date of such pemiit or if Ihe b(^(]|^oy%k authorized by^^
APPLICANT'S SIGNATURE DATE
City ofCarlsbad BIdg Inspection Request
For: 05/21/2009
Permit* CB090811 Inspector Assignment:
Title: LA COSTA PALOIWA APTS-REPLACE ^
Description: UFER GROUNDING WIRE&COPPER COLDWATER BOND
Type: ELEC Sub Type:
Job Address: 1937 DOVE LN
Suite: Lot: 0
Location:
APPLICANT NEW WAVE ELECTRIC
Owner:
Remarks: 9-12
Phone: 7607570187
Inspector:
Total Time:
CD Description
39 Final Electrical
Act Comments
Requested By: N/A
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection Historv
Date Description Act Insp Comments
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