HomeMy WebLinkAbout2071 JANIS WAY; ; CB020842; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-21-2002 Electrical Permit Permit No: CB020842
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
PAUL'S ELECTRIC
PO BOX2557
VISTA CA 92085
760 941-9737
Building Inspection Request Line (760) 602-2725
2071 JANIS WY CBAD
ELEC
2051531200 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
ROSS RES-200 AMP PANEL REPLACE
EXISTING 100 AMP PANEL
2071 JANIS WAY
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
03/21/2002
RMA
03/21/2002
03/21/2002
C'.:l[JiF-"
Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00
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
Inspector:
100
0
0
0
FINAL APPROVAL
Date: C,. ;,.._ I-e1 ~learance:
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 Ccxle 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.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. {ZO,{O 8i
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ----✓,o:r-;--
Validated By,_----;,---c-.P..~1----
Date, ___ +-f-"¢"H'-t~,._ __ _
Address (include Bldg/Suite #I
1, PROJECT INFORMATION , /
2.071 3"A:,t,s wr-
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Proposed Use · 1Z'oV'
# of Bedrooms
2.i; CONTACT'PERSON:Ut-differant from,~cant).
Name 3.f:t:.U ,;,T
Name
State/Zip Telephone# Fax#
~ 0-90~
State/Zip Telephone#
City State/Zip Telephone#
!it.---~ '"
6, CONTRACTOR·· COMPANY NAME
(Sec. 7031.5 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 flte 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 CodeJ or that he is exempt therefrom, and the basis for the alleged
ption. ny violation pf Sectipn 7031.6 by any pplic.ant for a permit subjects the a plicant to a · ·1 penalty of not more ~an five hundred dollars lj600)). , ,, ~,-c. ' . c~.,,,.,,,.,,,,,,_ . . 76?-rt /3
Address C St8te/Zf ., Telephone #
State License # --'-4-..::C.-.!e:C.,"-'--License Class ----~-----City Business License # ·1 (){J J._ 7 q J
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WOR~ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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.
~ 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
~d. My worker's co'."pensatlon In urance carrier and policy number are, / -,,L
Insurance Company _~~-'--'!:'.J<'..._______________ Policy No. Expiration Date ~~ --i{'3
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LEssl
D CERTIFICATE OF EXEMPTION: ertify 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' ompensation Laws of California.
WARNING: Failure to aec naation coverage la unlawful, and ahaU subject an employer to crlmJnal penalties and civil fines up to one hundred
thousand dollars ($100 ~~~)f~he cost of compensation, damages as provided for In Section 3706 of the Labor ode, I erest and attorney's fees.
SIGNATURE, __ .L_c._..!..._...;,,c;_ ____________________ DATE "7 2'. 63
7. OWNER,BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, 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 completion, 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 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(sJ licensed
pursuant to the Contractor's License Law).
D 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. 0 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 / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address / phone
number/ contractors license number).,.------------------------------------------------
5. I will provide 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 ______________________ _
COMPLETE THIS SECTION. FOR NON-RESitiEN11AJ. BUII.OINCI PERMITS ONLY
DATE _________ _
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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO
Is the facilitv to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO
IF ANV OF THE ANSWERS ARE VES, 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 POUUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097fi) Civil Code).
LENDER'S NAME _____________ _
,9. APPLICANT CERTIFICATION
LENDER'S ADDRESS. ________________________ _
I certify 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 ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 excavation over 5'0"' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the buil Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commen d hin 180 d s 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 commen f a eriod 80 days (Section 106.4.4 Uniform Building Code). /2 /
APPLICANT'S SIGNATURE ....,,L.~~-,,,~~~====::::::::"""-----------DATE Vi5l p 3 ·
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/17/2002
Permit# CB020842 Inspector Assignment: RB ---Title: ROSS RES-200 AMP PANEL REPLACE
Description: EXISTING 100 AMP PANEL
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
2071 JANIS WY
Lot
APPLICANT PAUL'S ELECTRIC
0
Owner: CIRRINCIONE ROSS J lll&LISA M
Remarks:
Total Time: -----
Phone: 7609419737
Inspector: -----
Requested By: KATHY
Entered By: CHRISTINE
CD Description Act Comments
39 Final Electrical
Associated PCRs
lns(lection Histoiy
Date Description Act lnsp Comm ts
05/13/2002 39 Final Electrical NR PK SUB PANEL IN BACK YARD -NO JOB CARD
05/06/2002 39 Final Electrical co RB SEE ATTACHED NOTICE, SEE CO FM 4/18
04/18/2002 39 Final Electrical co RB SEE NOTICE
03/25/2002 39 Final Electrical NR RB NO PERMIT OR ACCESS
03/22/2002 33 Service Change/Upgrade PA RB OK TO SET METER ONLY