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HomeMy WebLinkAbout1941 DOVE LN; ; CB090812; Permit05-13-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB090812 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1941 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 2142 WINCHESTER ST OCEANSIDE CA 92054 760 757-0187 Owner: ISSUED 05/13/2009 KG 05/13/2009 05/13/2009 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: T"^?-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/exactlons." You have 90 days from the date this pemilt 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 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/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/exactlons nf which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. City-of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax:760-602-8558 www.carlsbadca.gov Building Perniit Application Plan Check No Est. Value Plan Ck. Deposit Date JOB ADDR^S^ CT/PHOJECr« / •' ; |L0T# PHASE» « OF UNITS « BEDROOMS SUITE#/SPACE#/UNIT# « BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP iOUPTlON OF VIORK: Include Square Feet Ot Affected Areafs) / \ ^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # . NOD AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NOD CONTACT NAME (If OMterant Fom Applicant) APPLICANT NAME ADDRESS ADORESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAMIE , AODRESS ADDRESS /Ad) CITY STATE ZIP STATE PHONE FAX PHONE 7k>'7Sl-o\8^ EMAIL EMAIL . 1 ARCH/DESIGNER NAME & AODRESS STATE UC.« STATE LIC.# ^ ^-/^ CITY BUS. LIC.« KK. 703I.S BusiMii ml Pmltiiioiii Cmit: Any Gty of Comty wkidi rMiiins i permil to amstrucl, ikir, iimron, dfmoliili or repair iny sirucurt. prior to iti issnina. ibf rcqwrti the anlitini for tucli ptrnat to Nc i signed ilaleneni .lat h; is Rceoscd owsinni lo the provisioos of the Contnctor's lionse ^« {Chapter i. commmdini with Section 70H ol Onisnn } ol the hninest and ProknioM Code} or ihil be s eiempt there tm. md the bisu hv the iwied eiemption. Any njblioo o Section n3I.S by any apphcant ior a permit subjects the applicwi to a civil penalty of att more than fve hundred dohan {(SOO}). WORKERS COMPENSATION Workars' CompenMtion Dttlanlkm: I hereby alfirm wderpeni^ty of perjury one of the foBowing declarations: • I hava and will maintain a cartificate of consent to aelt'^naure tor workers' compensation as provided by Sectkin 3700 of the Labor Code, for the perfonnance ol the work tor whk:h this pemiit is Issued. ^lAtme and wili maintain wgrtiara' campanuUon, as required by Sectkxi 3700 ol the Labw Code, lor the perfonnance ot the work fcx whk:h this permit is Issued. My workers' compensatkm Insurance carrie' snd polH:y number are: Insuiance Co D> -^^03, Cfifup»/>y Pohcy No. Cj/b^jJ/t/H /6t£lC>^?S'?Sl~ Expiratton Date S""/^ This sectkxi need not be completed if the pennit is lor one hundred doHare ($100) or less. O Certificate oi Exemption: I certify that In the perforniance oi the work lor whteh this permit Is Issued, I shall not empkiy any person In any manner so as to become subject to the Workers' Compensation Law.- of Calitornia. WARNING: Failure to secure workers' compeneatlon coverage ia uniawfui, 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 aa promMMor In Section 37W ot the^abor code. Interest and attomey's fees. >eS'CONTRACTOR SIGNATURE /^3^^^f ''*™ O W N E R - B U I L O E f? DECLARATION I hereby affinn that I am exem/M from Contracta's Ucense Law for the following reason: O I, as owner ol the property or my empk]yees with wages as their sole compensatkxi, wiH do the work and the stnicture Is not intended or offered for sale (Sec. 7044, Business and Professkins Code: Tfie Cor t ac or; License Law does not apply to an owner of property who buikts or improves tiiereon, and who does such work himsell or ifirough Ns own empkiyees, provkied that such improvements are not kitended or oIK'ed for sale. If, however, the bulkting or improvement Is soM within one year of completkxi, the owner-buikler wUt have the burden of proving that he dkl not buUd or Improve tor the purpose of sale). • I, as owner of the propeity, am exclusively contracting wttli lk»nsed contractors lo constnjct the project (Sec. 7044, Business and Proiesskxis Code: The Contractor's Ucense Law does not apply to an own }r ol property who txiihis or knproves thereon, and contracts lor such projects with contractor(s) licensed pursuant to the Contractor's Lnense Law). I am exempt under Sectton Business and Proiesskxis Code for Ihis reason: 1.1 pensonally plan lo provide the major labor and materials lor construction ol the proposed propeity Improvement. B^es • No 2.1 (have / have not) signed an applk^atlon lor a building permit ior the proposed work. 3.1 have contracted with the lolkwring person (iirm) to provkie the proposed conslroctlon (include name address / phone / contractors' lk»nse number): 4.1 plan to prov'Kle portions ol the work, bul I have hired the iolkiwing person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' lkiense number): 5.1 will provide some ol the worit, liut I have contracted (hired) the loilowing persons to provide the wortt indtealed (include name / address / phone / type oi worit): .SS'PROPERTY OWNER SIGNATURE DATE COIMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILDING PERMITS ONLV Is the applteant or Iuture buikling occupant required to submit a business plan, acutely hazardous materials reglstratkxi lorm or risk management and preventkin program under Sectkxis 25S0S, 2SS33 or 2SS34 ol the Presley-Tanner Hazardous Substance Account Act? QYes ONo. Is the applicant or iuture buiklkig occupant required to obtain a pennit Irom the air pollutton control dlstrid or air quality inan DYes ONo Is the lacllily to tie constructed wilhin 1,000 ieet oi the outer boundary oi a school site? • Yes Q No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY hlAY 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 LENOINC AGENCY I hereby affirm that there is a construction lending agency for the peiformance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Iceiti^thatlliave lead the applhatkxi and state that the above Infbmiation Is coriect and that the In^ I heieby authorize representative oi the C% oi Carlsbad to enter upon the above menttoned property ior k>^^ AGAINST AU UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCfiUE ACJAINST SAID QTY IN CONSEQUENCE OF THE GRANHNG OF THIS PERMIT. OSHA: An C)SHA pemiit is required fcx excavalkxts ow 5'ff deep and demoflkxi or a EXni^11()N: Every peiinil issued by the Bulking QfuiEd 180 days from the date of such perrnit or if the buik]ip0Ofii^ autt^^ APPUCANT'S SIGNATURE OATE City ofCarlsbad BIdg Inspection Request For: 05/21/2009 Permit# CB090812 Title: LA COSTA PALOMA APTS-REPLACE Description: UFER GROUNDING WIRE&COPPER COLDWATER BOND Inspector Assignment: Type: ELEC Sub Type: Job Address: 1941 DOVELN Suite: Lot: C Location: APPLICANT NEW WAVE ELECTRIC Owner: Remarks: 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 Confiments 0 0 0 0 P Kj M- Kl 2 & a o c a c c S M »1 1-1 ^ I ? t P :i i OQ P ourareo la