HomeMy WebLinkAbout1987 LA COSTA AVE; TP; CB061156; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-01-2006 Electrical Permit Permit No: CB061156
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1987 LA COSTA AV CBAD St: TP
ELEC
Parcel No: 0000000000 Lot#: 0
Reference #:
Project Title: LA COSTA RESORT -TEMP POWER
TO CONSTRUCTION TRAILERS
Applicant:
SORRENTO ELECTRIC
10855 SORRENTO VALLEY RD 92121
858-453-6560
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/01/2006
JMA
05/01/2006
05/01/2006
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: S--f' r O ft Clearance: $-1$:C(p
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government 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
N Tl imil hi i h h flimi in h vi I h iwi
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN cHEcK No. QBo, , 1 s-:b
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit--,---,------
Validated By /u~
Date $7 t .b.~
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
Name
Name Telephone#
Name City S.tate/Zip Telephone#
\l,_Dta1Mi!mtl!'~wam~¥J£i~'.%c'Yri!8#0"l¾R,'tf>:;; tt;;~>i<-k!:Jf;~:,.,:{:~t1:im:'i? ,:+::. ,-·· ,r~,:~;o>
(Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged
exempt~ A~y J.!pl~tiol).-Q.f pecti? 7031.6 by any ap!l)licant ~ a permi4ubjects the ap~licant to a livil penalty of not more than five hundred dollars ($600]).
=,()µt<-(.-,.JJ o ~le t-1ll1 L 'L*2-3YluUL--J./-fS fl,v1 cJJ"rcG :,,:;, L4'12J 2..f
Name ".'.l q 1 f f-i Address City State/Zip Tel!fbone J..
State License # i :I I \ b License Class l-\ (/ City Business License # \ 1... C, h J.;, 3 '1
Designer Name Address City State/Zip Telephone
State License II _________ _
8}~'WalftKl ..... (IA~~~·dL{y0';:;;-,;(:;:·.; 1,,e-+"'.'' '''"
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No. ____________ _ Expiration Date _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS!
(ir'"'"CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
•ecura workera' companaatlon coverage I• unlawful, and shall •ubject an amployar to criminal panaltlea and clvH fines up to ona hundred
0,0 ), add of mpen•atlon, damagea u provided for in Sactlon 3708 of tha Lez:e, lntereat and attorney'• fees. thou•and dollars (
SIGNATURE DATE ':5° _!_LC,{.
,~~~,.~~V};~/47-t~:1.#:;,j~'i,,l~tjit'i{tt','lf .,$1:i>!!fu;f ~r ';~s~,, ·tL4fil~,t(;~;,1t.f1~:Llt~it1f~t~i?l41*;{¥'\t~f-~,,;j.,.~:.:<::;:,
I hafeby affirm that I am axempt from the Contractor's License Law for the following reason:
D \, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of complation, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licen,eed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builbs or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this rea11on:
1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / addrass / phone number / contractors license number):
4. I plan to provida portions of the work, but I hava hired the following person to coordinate, supervise and provide the major work (include name I address / phone
number/ contractors license number): ________________________________________________ _
5, I will provida some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work).:_-------------------------------------------------------
PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _
mte·
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26606, 26533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO
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.
~., .• .,.,,.necrttYWW~~i!fd~19£Ji!J~:§;1~"t'.;;~1l~Ji¾!,~0 !\,c.;,:~·:.;:/~)!:f;,i1¥o!J.L->aL~~,,,,k'1;;.~·i\t,,~;,,;\h};r'~;#kki;.;~,;,~~:.:~,.;~:',:i-
t hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS ________________________ _
llidtcWOn· j . t I ;;·;e.,._&,_~~~\+~/~4,~ir:~~1::t~4i1~:;i!;:.-~~~~1.iail'W~~,~M:,~ilt~:>t'li1,~~:H~"':+t-1sr .. ;
I cenify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinancas and Stata laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: An OSHA permit Is required for axcavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennlt Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void If the buildtng or work
authorized by such permit is not com111)1H(s;'dx,lthln 180 ys from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned
at any time after the work is comfn ays I 106.4.4 Uniform Bullding Code). £4·!1ft
APPLICANT'S SJGNATURE -i~-"'-ce::b-#, ~lf,i~~===------------DATE --<7.LtL,<---,;{'~=(9::.z. _____ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/15/2006
Permit# CB061156
Title: LA COSTA RESORT -TEMP POWER
Description: TO CONSTRUCTION TRAILERS
Type: ELEC Sub Type:
Job Address: 1987 LACOSTAAV
Suite: TP Lot
Location:
APPLICANT SORRENTO ELECTRIC
Owner:
Remarks:
Total Time:
0
Inspector Assignment:
Phone: ~ 59918
Inspect~
Requested By: JEFF
Entered By: JANEAN
CD Description Act Comment
33 _s_e_rv_ic_e_c_h_a_ng_e_,u_p_g_r_ad_e __ t f f J fn__
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments