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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