HomeMy WebLinkAbout2279 CAMINO ROBLEDO; ; CB080092; Permit01-10-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB080092
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2279 CAMINO ROBLEDO CBAD
ELEC
2552726400
MANGANO RES INSTALLATION
OF ELEC SUMP PUMP
Applicant
GEISSLER ENGINEERING
STE 101
2533 SHWY 101 92007
760 633-4252
Status
Lot # 0 Applied
Entered By
Plan Approved
Issued
Inspect Area
Owner
MANGANO FRANK A&KATHRYN L
2279 CAMINO ROBLEDO
CARLSBAD CA 92009
ISSUED
01/10/2008
KG
01/10/2008
01/10/2008
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
0
0
0
0
$1000
$000
$000
$000
$000
$1000
$000
$000
$000
$000
TOTAL PERMIT FEES $2000
Total Fees $20 00 Total Payments To Date $0 00 Balance Due $2000
Inspector // /
FINAL APPROVAL
Date _Clearance
NOTICE Please take NOTICEThat approval of your project includes the Imposition 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 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 capacity
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
1635 Faraday Ave Carlsbad CA 92008
760 602 2717 / 2718 / 2719
Fax 7606028558
Building Permit Application
Plan Check -Cl
Est Value
Plan Ck Deposit
JOB ADDRESS
j DESCRIPTION OF WORK
(?aonia0 RofcledcT
PHASE » # OF UNITS » BEDROOMS .....
SUITES/SPACES/UNIT*
# BATHROOMS [TENANT BUSINESS NAME CONSTR »PE OCC GROUP
\r\S-hi
[Sec 7031 5 Biumess 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 violation of
Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
["3 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
B>l have and will maintain workers compensation as required by Section 3708 of the Labor Code for the p°rf"rmanro ^ j^ "fflVof l"b|Ch this permit is issued My workers compensation insurance carter and policy
number are Insurance Co yj-jg VfiO • ^?lIS •mrttf^ff ____ Policy No /^^S^t^fy- __ . __ Expiration Date
This section need not be completed if the permit is for one hundred dollars (S100) or less •
L! 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 sub|ect to the Workers Compensation Laws of
California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in
addition to the cost of compensation/mages as provided, for in Section 3706 ofthe Labor code interest and attorney s fees
J&Z CONTRACTOR SIGNATURE
ecure
n/im
'C
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
n 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 sate (Sec 70-14 Business and Professions Code The Contractor s
L'cense Law does not spply 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 yea' of completion Ibe owner builder will have the burden of proving -hat he did not build or improve for the purpose of sale)
D 1 as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Cont-'acto's L'cense Law does not aprJy tn an owner of
property who builds or improves thereon and contracts for such projects with contractor(s) I'censed pursuant to 'he Contractor s License Law)
"1 I am exempt under Section _Business and Professions Code for Ibis reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement n Yes Cl No
2 I (have / have not) signed an application for a bmtimg permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 / contractors license number)
5 I 'A;;|' orovirjn ^prre of the work bu' I have contracted (hired) the following persons !o provide the work indicated (mrlude name / address / phone / type of work)
^PROPERTY OWNER SIGNATURI 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 25505 2553'i or 25534 of the
Presley Tanner Hazardous Substance Account AcP D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' Cl Yes O No
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender s Address
I certify that I have read the application and state that the above information iscorrect and that the information on the plans is accurate I agree to comply with all Cityordmancesand State laws relating to buildmgconstruction
Uiereby authorize representative 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 Cl TY 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
i 180 days from the date of such permifBW the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT S SIGNATURE DATE
Inspection List
Permit* CB080092 Type ELEC MANGANO RES INSTALLATION
OFELEC SUMP PUMP
Date Inspection Item Inspector Act Comments
02/20/2008 39 Final Electrical PY AP
01/24/2008 34 Rough Electric PY AP
Monday August 11 2008 Page 1 of 1
City of Carlsbad Bldg Inspection Request
For 01/24/2008
Permit* CB080092 Inspector Assignment
Title MANGANO RES INSTALLATION
Description OF ELEC SUMP PUMP
2279 CAMINO ROBLEDO
Lot 0
Type ELEC Sub Type
Job Address
Suite
Location
OWNER MANGANO FRANK A&KATHRYN L
Owner MANGANO FRANK A&KATHRYN L
Remarks
Total Time
Phone 7604575150
Inspector
Requested By STEWART
Entered By CHRISTINE
CD Description
34 Rough Electric
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
Dr Peter Geissler
Geissler Engineering
Plastmo Building, Suite 230
2533 South Coast Highway 101
Cardiff-by-the-Sea, CA 92007
.-A
8
GF 178.9
Oj
fV 179.6 si
ii 70
6
v
Co
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