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HomeMy WebLinkAbout2286 GALENA AVE; ; CB053067; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB053067 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2286 GALENA AV CBAD ELEC Parcel No: 0000000000 Lot #: 0 Reference #: Project Title: ISLA VISTA-ELECT METERED PEDIS Applicant: JOHN LANG HOMES SUITE 160 6183 PASEO DEL NORTE 92009 448-3905 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 100 0 0 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/25/2005 AMA 08/25/2005 08/25/2005 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 Inspector: FINAL APPROVAy Date: l:2,-d-J'-tl.S 5454 08/2:5/05 0002 'J.l t:~GF~" Clearance: NOTICE: Please take NOTICE that 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. 35,. '.)i) FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No(}) O=f:]{)t 7 EST.VAL.~~~~~~~~~-CITY OF CARLSBAD BUILDING DEPARTMENT Plan Ck. Deposit f4 Validated By ~ J -1' Date d/7. f(~):;;, 1635 Faraday Ave., Carlsbad, CA 92008 \ GO ~rn Q 8 .e,c___,rvk_ f'<le.-kr 9ea <26~ \ . ' Busine&s Nema t•t this address) Legal Ducription Lot No. Subdivision Name/Number Unit No. Phaae No. Total I of units Assessor's Parcel I Existing Use Proposed Uae • FT. #of Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax I 11..'iriii!;~IMIY~@\tl:OOnw9ri~t~ttfiit.\e~~mto-&f~m1I~M~,9~;o.wi'l"ti;r,tttiJ'i;:;~'..·;·;,:;;i:·:.;ti~.,:,;,·~;·1i·~tt·~1~ .. i,:~1;,..~,~-·-\;.;·· . .::':°"/l~ Name Address City State/Zip Telephone I it"JJma~n~-.'lit.iiWf~~gf'Al~:~:vi\'.t!ii,r;.1}t!J,:!J:~~~i,~'1l•I~·\:1ii:mt1:;i:H1nt.?~~!i·t1,~.:;i:·,1.1,iit'li}~~t~lM,ri:.~;tf~&1·~il~:r!J:.~1li~ill&r~,,~,~1i:i,\J.,~\;',;,*:1'i'i.;,·;·;1·,.1,, .. ;,,.,,., ... ,. Name· Address City S.tate/Zip Telephone I ~~~---111[~ii.tii~ii1i"~'!i.:f.;:~~~i;;,111,t•\~]Ti,i;fii:t~'.i,bJtS'!'.:!kt-:t.~!~.YJg,li&~t~.wi;t.i;t.\i.iii.tit,1lt:it;r.1N~tii!!i'1it~~c!rt.;;1;'1{'1,i!! .. 1~1,.i,lf;;i'~;&,·i (Sec. 7031.6 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, •lso requirea the applicant for such permit to file I signed statement that he is licensed pursuant to the provision& of the Contract~r·s License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Proleasions Code) or that he is exempt therefrom, and the ba11s for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$50011 . .)L\-\ '2.st.CA\ty ii ~~-tloy') 19 0 9c-.\OW)v-<' Oo..lC.S t,fv-.,,, Cv-r:bPb<A CA 54::cJ0'6 7 GCJ-Y'-l'i£-3~00 Name Address D City 4 State/Zip Telephone I Stele License I G lo)S q b License Cius O City.Business License I I;)..\ Y ,:Z.,? (q Designer Name Address City State/Zip Telephone State License I---------- 1Bafiilf@MP:W~~~~*~™it\"l:'.i.ilru'.i~1iit'iii~li'1i!,~~iilrt~~'l.i'~~Wf1":.t~5'1$t;~~:J\::il.i:il'.:·}~'~~· .. :: .. , ... ;,.~ Workers' Compensation Decl1ration: I hereby affirm under penalty of perjury one of the foUowing decl11etlona: 1§: I have and will maintain a certlficete of consent to self-insure for workers' compensation ea provided by Section 3700 of tha Labor Code, for the performanc, of the work for which this permit is issued. 0 I have and will maintain worke,1• compensation, u required by Section 3700 of the L•bor Code, for the performance of the work for which thi1 permit is issued. My worker's compensation lnaia-ance carri" and policy numb1r 1re: Insurance Company Polley No. Expiration Date _______ _ ITHIS SECTION NEED NOT IE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED DOLi.ARi IUOOJ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the perfOffllence of the work for which this permit Is iuued, I shaU not employ any person in any meMer so a• to become subject to the Workers' Compensation Law1 of California. WARNING: Fellure to NGUfe worbra' -..,-tlan coveraee i. unlewful, Md ehllll llolbject .. empioye, to c:rlmlnal penaltla Md dvl flnN up to one hundred thou.-d doll.la <• 100.000J, In addition to the -t of compenudon, dllffl89N u provided for In Section 3708 of the Labor c:ode, lntwest and attorney's fees. SIGNATURE DATE _________ _ ., ... ~,,...-j~~~iJ.~fl~JM!~-~M.l.1~~m,~{f~~~µ,f,~\\,:+;i~#::,c~;r.r·\, ,, ,,. I hereby affirm that I am exempt from the Contractor's Uc80H Law for the foUowing reaaon: 0 I, H owner of the property or my employN1 with w1gu as their sole com~tion, wiU do the work and the structure i1 not intended or, offered for sale 1sec. 7044, Business and Professiona Code: The Contrector's License Law dou not apply to an owner of property who builda or improvea thereon, and who does such work hlmeelf or through his own employees, provided that such lmprovementa ue not Intended or off1red for Hie. If, howevw, the building or Improvement ia aold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve tor the purpose of salel. ~ I, ea owner of the property, am exclualvely contracting with licenHd contractora to conatruct the project (Sec. 7044, Buaineu and Professions Cod,: The Contr1ctor'a LicllOM Law doea not apply to an ownw of property who bullda or improves thereon, and contracta for such projects with contrectortsl licensed pur1uant to the Contractor'• Uc110M Law). · 0 I am exempt under Section Bualneas and ProfNSlona Code for this reason: 1. I peraonally plan to provide the major i.bor and materials for conatructlon of the propo1ed property Improvement. 0 YES ONO 2. I (have I have not) signed en 1ppllcatlon. for a building permit for the propo"d work. 3. I have contracted_with the following person (firm) to provide the propo"d construction !include name I addr ... / phone number / contractor, license number): 4, I plan to provide poniona of the work, but l have hired the following person to coordinete, supervise and provide the major work (include name I addre11 I phone number I contractors llcense number):. _____________________________________________ _ 15. I will provide eome of the work, but I have contracted lhlredl tha following persons to provide the work Indicated !include neme I addre11 I phone number I type ofworkJ:. ________ -'----::"°"7""--,:---------------,-----------_.:_--~----------~- PROPERTYOWNERSIGNATURE ~ ~ DATE _________ _ fra~lMGio~ ····~··· . ~... "" .... ~ ............. ,.. ·11~~1itffl~1i\'i~~~f.foii~~~~fj;l~i..:;,i;!i!1'iit.1::~2:::~~ .. Jt Is th• epplicant or future building occupant requirad to submit • busineaa plen, ecutely hazardoue mat1rials registr1tion form or risk management end prevention progrem und,r Sections 26606, 26633 or 26534 of the Presl,y•Tanner Hazardous Substance Account Act? 0 YES O NO la the applicent or future building occupent required to obtain • permit from the air pollution control district or air quality management district? O YES O NO Is the f•cility to be constructed within 1,000 feet of the outer boundary of• school site? 0 YES O 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. lo'™Q'~l1T.f1~m'illlffllllNDJN~-Yi.1:(l..~1li1W.~l~:tll:~:~)j\i.~~f~3~)~@:1iD1t~:Z~~!~~,:bu,y"'~~::\~!Ji•f;i;f.~Jk ;w1;i :li·J:fD:~1·~· ~\,. ,' ;,L i;i t:~ ,,,:\~!.%: : •. ,.-:.. I hereby aflirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971i1 Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS------------------------ liJDl/iiillliilli:liiJili!illiililrllailifi.~IIJi!1~Wr..l~liJ· ~· ··11~t~llil:~'lll~~JU".af~~:ll~t'lfi'~W.li11"B;~~:liiJm~~.i:~4~:~ii:.'i~;t~i.i,tt'.;:..:, l certify _that I have rHd the applicetlc_>n and st~t~ that the 1b~ve information Is correct and that the lnformetlon on the plans la accurate: I agrff to comply with ell City ordinanc~s and State lewa 1elat1ng to budding construction. I hereby •uthorize representatives of the Citt of Cerlabad to enter upon the above mentionad property for inspection purposes. I ~SO 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 6'0" deep end demolition or construction of structures over 3 stories In height. EXPIRATION: Every pe.rmlt Issued by the bulldl~ Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorl~ed by such permit !snot commenced w11hm 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any ume after the work 1s commenced for.a period ol 180 days (Section 106.4.4 Unilorm Building Code). APPLICANT'S SIGNATURE ~ ~.-::&?:--DATE ------------- WHITE: File YELLOW: Applicant PINK: Finance m ' . City of Carlsbad Bldg Inspection Request . , For: 12/22/2005 Permit# CB053067 Title: ISLA VISTA-ELECT METERED PEDIS Description: Type: ELEC Sub Type: Job Address: Suite: Location: 2286 GALENA AV Lot APPLICANT JOHN LANG HOMES Owner: Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: RB --- Phone: 7605353281 Inspector: ----- Requested By: BRENDON Entered By: CHRISTINE 39 Final Electrical /1.L~~~~~~~~- Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 11/01/2005 39 Final Electrical NR RB GROUNDING ON CIRCUIT