HomeMy WebLinkAbout2165 ALGA RD; ; CB011174; PermitJob Address:
Permit Type: Parcel No:
Reference #:
Project Title:
LU y
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Electrical Permit Permit No:CBOI 11 74
21 65 ALGA RD CBAD
ELEC Lot #: 0 Applied: 03/27/2001
Status: ISSUED
Entered By: RMA
Plan Approved: 03/27/2001
Issued: 03/27/2001
CABLE BOX&lOO AMP METERED PEDISTAL
DANIEL CABLE VISION-REPLACE Inspect Area:
Applicant:
FISHEL COMPANY, THE
Owner:
666 AIRPORT ROAD OCEANSIDE, CA 92054
619-967-6930 5224 03/27/91 0002 31 92 CGP 35 .I 00
Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00
Single Phase per AMP
Electric Issue Fee
Three Phase per AMP
Three Phase 480 Per AMP
RemodeVAlteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
100
0
0
0
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $35.00
I FINAL APPROVAL 1
inspector: zc Date: .* Clearance:
NOTICE: Please take NOTICE that appmval of your pmject includes the ‘Impilon’ of fees, dedications, reservations, or other exadons hereafter mlledVelY
referred to as ’feedexactbns.’ You have 90 days from the date this permil was issued to protest imptbn of these fecslexadions. If you votest them, you must
follow the protest procedures set forth in Government Code Secdon 66020(a), and filethe protest and any other required information with the City Manager for
vocessing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to Smely follow that pmcedure will bar any subsequent legal action to attack.
review, set aside, void, or annul their impition.
You are hereby FURTHER NOTIFIED that your Cght ta prolest the swed faes/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, noT planning, zoning, grading or other similar application precessing or seryice fees in connection with this proi?d. NOR DOES IT APPLY to any feeslexactions of which you have pieviously been given a NOTICE similarta this, was to which the statute of IimBtions has previously otherwise expired.
FOR OFFICE USE 0
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
PLAN CHECK NO. [I/ 7
1635 Faraday Ave., Carlsbad, CA 92008
" Y
EST. VAL.
Plan Ck. Deposit
Validated By
Date
I I
Business Name (at this address)
Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total X of units
Asrersor'5 Parcel X
Dercription 01 Work SO. FT. lo1 Stories I of Bedrooms X of Bathrooms
QLP,E~~L ton M -LA- P.&m-ta\ 4~ CAT^ _~ar~;os
Existing Usa Reposed Use
2. CONTACT PERSON (H Uflmt horn .ppllEMtl
mbALL 5 c760\ r(38-1W\ JL 'ibb
Name
3. APP ICANT Contranor 0 Agant lor Cornnnor Owner 0 Agmt for Owner
Name Address City StatslZip Telephone X &I Lla
4. PROPERN OWNER
Name Address City StateIZip Telephone I
6. CONTRACTOR - COMPANY NAME
issumce, aim requires the applicant lor such permit to fila a signad rtltsmsnt that he is licensed pu~oumt 10 the ploYilionl 01 the Contractor'r License Law 1Sec. 7031.5 Business and Prolessions Coda: Any City or County Which raguires a permit to COW~~UC~, alter, improve. demolish or repair any 6t~~cture. prior to its
exemption. Any violation 01 Section 7031.5 by any applicant lor a permit subjects the applicant to a civil psnalty Ot not mom than five hundre dollars 1$50011.
IChapter 9. commending with Section 7WO 01 Division 3 of the Business and PmleLTsionl Codal or that he is exempt therefrom. and tha basil for the alleged
Name Address City
State License X 'iq 321 b License Class city Business ~censs X \ \98b W
Designer Name Address City Statelzip Telephone
State License X'
6. WORKERS' COMPENSATION
workers' Compensation Declaration: I hereby allirm under penalty of perjury One 01 the lollowing declarations:
0 I have and will maintain Certificate 01 consent to self-insure 101 workers' compensation as provided by Section 3700 01 the Labor Code. lor the periormmce
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 parlormanca 01 the work lor which this parrnif is
issued. My worker's campanration insurance mrier and policy number are:
~nrutance Company CL.+>~m+~\ CA~a\\sy ZJJ. policy NO. Clsc\FIf6020B
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1
Expiration Osle co- 1 - Q \
10 bacoma wbjm to the Workers' Compensation Laws 01 California.
CERTIFICATE OF EXEMPTION I certify that in the performance of the work lor which this permit is issued, I shall not employ any person in any manner IO as
I to wimhd pnaltlas and Civil lines up to one hundred
3106 of the Labor code. Interest and attwnev'a lees.
Address City StatelZip Telephone t Fax X L,,\ ca\o\s~),~.~~\ ,. 5mn ELC4MWa at,L C-~AA CA. qh% r7blvw-nw
rk~ i?xb\ Cawewq L&b A.u-6ar czb a-,-.k &. 9LSi (7fiI 9b1-693n
StstaIZip Telephone X
DATE 3-\q-&
I hereby affirm that I am exempt from the Contram~r's License Law lor the lollowing reason:
0 I, as owner 01 the property or my employees with wages a6 their role compensation. wilt do the work and the str~ct~re is not intended or offered tor mi8 ISec. 7044, Business and Professions Code: The Cmtraclds License Law does not apply to an owner of property who builds or improves therson. and who doer
such work himreil or through his own employees. provided that such improvemanta am not intended 0, oflsred for sale. If. however, the building or improvement io
sold within one par 01 completion. the owner-builder will have the burden 01 proving that he did not build 0, improve for the purpose of sale).
0 I, as owner Of the property. am ~xcIysiveIy contracting with licensed contramors to con~trum the project 1Ssc. 7044, 0usinaas and Prola$sions Code: The
Contractor'r License Law doas not apply to an owner 01 property who builds or improver thereon. and c~ntracts lor such proiects with contraCtOrlsL licensed
pursuant to the COntractOr'I License Lawl.
0 I am axampt under Section Business and RolessionS Code lor this reason:
1. I personally plan to provide the major tabor and mstsrialr lor construction of the proposed prapenv improvement. 0 YES ON0
2. I Ihwe I have not) signed an application lor I building permit lor the proposed work.
3. I have contracted with the loliowing person llirml to provide the proposed construction linclude name I address I phone number I contractors license number):
4. I plan to provide portions 01 the work, but I have hired the loliowing parson to coordinate, ruperviae and provide tha major Work lincluds name I address 1 phone
number I contractors license numbarl:
01 work):
5. I will provide same of the work. but I have contracted (hired1 the lollowing persons to provide the work indicatsd iincluds name I address I phone number I type
PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR NONaEslDwTUL BUILDINO PERMITS ONLY
program under Sanianr 25505. 25533 or 25534 of the Prsrley-Tanner Haz.rdOUs Substance Account Act? 0 YES 0 NO
1s the applicant or future building occupmt required to rubmil a business plan. acutdy hazardous materials reginration form or risk management and prevention
Is the applicant or future building occupant required to obtain a permit lrom the air pollution control district or air quality management district? 0 YES NO
Io the facility to be conrsucted within 1,000 leet a1 the outer boundary 01 a school site? 0 YES 0 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.
DATE
a. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perlormance of the work tor which this permit is issued Sac. 3097111 Civil Code).
LENDER'S NAME
9. APPUCANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the pions is accurate. i agree to comply with dl
City ordinances and State laws relating to building construction. I hsrsby authorize representatives 01 the Citv 01 Carlsbad to enter upon the above mentioned
property lor inspection pu~pose~. 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 lor excavations over 5'0' deep and demolition or COwtrUCtion 01 StfUCtYreS over? Stories in height.
EXPIRATION: Every p ion and become null and void if the building or work
aulhorized by such permit is not c ulhorized by such permlt is suspended or abandoned al any lime aner the wor
APPLICANT'S SIGNATU DATE 3 -1q -0 I
LENDER'S ADDRESS
WHITE File YELLOW Applicant
THE FISHEL COMPANY 666 Airport Road Oceanside, CA 92054 (760) 967-6930
2075 Los Pamb Drive
Ci of Carlsbad
Carlsbad, California92009
July 31,2000
To Whom It May Concern:
The Fishel Company hereby authorizes Coastal Communications to acquire any
and all permits for the City of Carlsbad in our behalf.
If you should have any questions regarding this matter, please feel free to contact
me at (760) 967-6930.
Sincerely. '
The Fishel Company
: 3.
City of Carlsbad Bldg Inspection Request
For: 04/09/200 1
Permit# CB011174 Inspector Assignment:
Title: DANIEL CABLE VISION-REPLACE
Description: CABLE BOXBIOO AMP METERED PEDISTAL ?
Type: ELEC Sub Type:
Job Address: 2165 ALGA RD
Suite: Lot 0
Location:
APPLICANT FISHEL COMPANY, THE
Owner:
Remarks:
Phone: 7607570352
Inspector: (7 ,
Total Time:
CD Description
Requested By: RON CARR
Entered By: CHRISTINE
Act Comments
39 Final Electrical AE
Associated PCRs
Date Description
InsDection History
Act lnsp Comments
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