HomeMy WebLinkAbout2236 CORTE CICUTA; ; CB991543; Permit04/21/1999
City of Carlsbad
Electrical Permit Permit No CB991543
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Reference #
Project Title
2236 CORTE CICUTA CBAD
ELEC
2552702900
ELECTRICAL LINE
Lot#
Entered By
Plan Approved
Issued
Inspect Area
Status ISSUED
Applied 04/21/1999
JM
04/21/1999
04/21/1999
Applicant
LORCO
4488 SALISBURY DR
CARLSBAD CA 92008
619-434-8945
Owner
SHEA HOMES LTD PARTNERSHIP
10721 TREENAST#200 8854 04/21/99 0001 01
SAN DIEGO CA C-PRMT
92131 . .••'„ ;:
02
20.00
Total Fees $2000 Total Payments To Date „ $0 00 Balance Due $2000
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
TOTAL PERMIT FEES
0
P.
0
$1000
$000
$000
$000
$0 00
$1000
$000
$000
$000
$2000
Inspector
FNAL APPROVAL
Clearance
NOTICE Please take NOTIC! that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively
referred to as fees/exactions Wou 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 capactiy
changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired
CITY OF CARLSBAD
2075 Las Pal mas Dr, Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
1 PROJECT INFORMATION .
FOR OFFICE USE ONL
PLAN CHECK NO
EST VAL
Plan Ck Deposit ^
Validated By
Date
/
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 Proposed Use
Description of Work SO FT #of Stories tt of Bedrooms tt of Bathrooms
2. CONTACT PERSON (if different from applicant)
Name
3 APPLICANT
;r
[^contr
Address City
Contractor Q Agent for Contractor O Owner Q Agent for Owner
State/Zip Telephone tt Fax #
Name
4 PROPERTY OWNER
Address City State/Zip Telephone #
_
Name Address City State/Zip Telephone tt
5 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 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
exemption/ Any vu>latiop-pf Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001)
Name
State License tt
Address
License Class
City State/Zip
City Business License tt
Telephone #
Designer Name ^ ------- Address City State/Zip Telephone
State License tt _ ^ _
6 WORKERS COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
Q 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 Corjapaliy _ Policy No _ Expiration Date _
(THIS^SECTION NEED NOT BE. COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
£3 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
WARNING Failure to secure workaracgmnensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 OOOn inaddrttofTto the cost of compensation damages as provided for in Section 3706 of the Labpritode imMesfeand attorney s fees
SIGNATURE _ A _ DATE
7 OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
O 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)
O 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(s) licensed
pursuant to the Contractor s License Law)
0 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 Q YES QNO
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 DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q 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? Q YES Q NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q 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
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 3097(0 Civil Codel
LENDER S NAME LENDER S ADDRESS
9 APPLICANT CERTIFICATION
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 City 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 excavations over 5 0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by the Building 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 Commenced within 365 days 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 wofk is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
WHITE File YELLOW Aophcant PINK Finance
UNSCHEDULED BUILDING INSPECTION
DATE
PERMIT tt
JOB ADDRESS
INSPECTOR
PLAN CHECK #
DESCRIPTION
CODE DESCRIPTION ACT COMMENTS
City of Carlsbad Inspection Request
For 4/22/99
Permit# CB991543
Title ELECTRICAL LINE
Description
Inspector Assignment
Type ELEC Sub Type
Job Address 2236 CORTE CICUTA
Suite Lot 0
Location
OPPLICANT LORCO
Owner SHEA HOMES LTD PARTNERSHIP
Remarks
Phone 7604348945
Inspector se
Total Time
CD Description Act Comments
31 Underground/Conduit-Wiring CO
Requested By LORCO
Entered By CHRISTINE
Inspection History
Date Description Act Insp Comments
NOTICECITY OF CARLSBAD " ^ ^^ " " ^^ ~"" (760)438-3550
BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
DATE f "- 7 TIME
LOCATION
PERMIT NO 77/5 "
T
FOR INSPECTION CALL (760) 438-3101 RE INSPECTION FEE DUE?
FOR FURTHER INFORMATION, CONTACT 57^C/£
<r P
YES
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER