HomeMy WebLinkAbout2060 JANIS WAY; ; CB102395; Permit' . City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-08-2010 Electrical Permit Permit No: CB102395
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2060 JANIS WY CBAD
ELEC
2051521200
ROSENTHAL RES-UPGRADE
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ELECTRIC PANEL FROM 100 TO 200 AMP
Applicant:
PAUL ROSENTHAL
2060 JANIS WY
CARLSBAD CA 92008
760 8031017
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
100
Owner:
RIPLEY DAVID B
2060 JANIS WAY
CARLSBAD CA 92008
ISSUED
12/08/2010
LSM
12/08/2010
12/08/2010
$10.00
$0.00
$0.00
$0,00
$25.00
$0,00
$0,00
$0.00
$0.00
$0,00
$35,00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
lnspecto
FINAL APPROVAL
Date: 11-· /(e -f D ' Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpos~ion" of tees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set to,th 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 wlll 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. NOA DOES IT APPLY to any
f x in fhih hv rvi Tl 'Ir hi r hi ri I hrwi
·~ «~~) Building Permit Application Plan Check No.CB t o.;i.3G 5"
~ CITY
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
0 F 760-602-2717 / 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date 1~/olS}tO lsWPPP
JOB ADDRESS
YAN lj, C',.,,. .-/s b,.J SUITE#/SPA1,E#/UNIT# IAPN 2 J {;, ., IJA 'I 'l 2Jc'i, ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I occ. GROUF
DESCRIPTION OF WORK: Include Squate Feet of Affected Area(t)
£lee. -1-,-, -~ .Serv/cc u f 5 ,,.,,J e 2.v{) ;q-r
~ /00//rl'V'('
EXlSTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YESO
1 IAIR CONDITIONING I FIRE SPRINKLERS
N<O YES □No□ YES□No[:
CONTACT NAME (ff Dlffetent Fom Appl/cant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
PROPERTY OWNER NAME /> l'tV I R.ese.-... -rl-.,._ ( CONTRACTOR BUS. NAME
ADDRESS :r ... ;v,5 ADDRESS
:;:, <) (, i) '-v A 'I
CITY e,.,:, r/sl..~ STATE ZIP CITY STATE ZIP ~ 12 = r
PHONE ' I() I-, IFAX PHONE IFAX ??c ~6
EMAIL () 1 I<... 9 2. </ @ 'jr1/,oo. C~,:,>""""'-
EMAIL t ,"'Iv 2.o
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I CLASS I CITY BUS. UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, i:inor 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, commend mg with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have end will maintain a certlfk:ate of consent to sett-Insure for 'Mll'kers' 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 end will maintain workers' compensation, as reQUired bv Section 3700 of the Labor Code, for the performance of the work for which this D0rmil is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _
1h!lsecbon need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for whicti this permit is issued, I shall not employ any person in any manner so as lo become subject lo the Workers' Compensation laws of
CBlifomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and cMI fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 ot the Labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
~ffirm that I am exempt from Contractor's License Law for the following reason:
U::f !· _as CM'fler 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 himseW or through his own employees, provided that such improvements are not intended or offered for
sale. lf, however, the building or improvement is sold within one year of completion, the owner-Qui Ider will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exdusively contracting with licensed 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 builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Ores Do
2. I (have/ have not) signed an application for a building permit for the proposed wor11:.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number):
4. I plan to provide portions of the work, but l have hired the following person lo coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persoflS to provide the work indicated (include name I addRISS I phone I type of work):
.If PROPERTY OWNER SIGNATURE □AGENT DATE
> '
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls the applicant or future building occupant required to submit a businessJ2!!!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building. occupant required to obtain a permit from lhe air pollution control district or ai~lity management distrid? []ves D No
Is the facility to be constructed within 1,000 feet of Iha ooter boundary of a school site? Oves LJNo
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 CONTROi. DJSTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have niad the application and state that the above infunnatlon Is coned: and that tile lnfonnatlon on the plans Is accurate. I agree to comply with all Clly ordinances and State laws l'Ntlngto building construction.
I l-...t,y ""1orize represenlatiw oflhe City ol Garisllad to enter upon lhe above rrontiorad property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS 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: ht OSHA permil is required foc excavations CNef S'O' deep and demolition or construction of stru::tures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official urder the provisions of !his Code shall expire by limitation clld become nul a"ld void if the bt.ilding or work aiJhorizecl by SLK:h permit is not commenced within
180 days rrom the date of sooh permit a-if the blikling orwak authorized suet, permit is susperded cubandoned at i:Wlytime after the work is c:cmmenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
,6$ APPLICANT'S SIGNATURE • DATE ;,?-0
City of Carlsbad Bldg Inspection Request
For: 12/15/2010
Permit# CB102395
Title: ROSENTHAL RES-UPGRADE
Description: ELECTRIC PANEL FROM 100 TO 200 AMP
Type:ELEC Sub Type:
Job Address: 2060 JANIS WY
Suite: Lot:
Location:
OWNER RIPLEY DAVID B
Owner: RIPLEY DAVID B
Remarks: noon time inspection
Total Time:
0
Inspector Assignment:
Phone: 6a3667
lnspectotJ~
Requested By: VITO
Entered By: CHRISTINE
CD
33
Description
Service Change/Upgrade
'2 Com~,• r:, ,J I/-L.,
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments