HomeMy WebLinkAbout2287 CAMINO ROBLEDO; ; CB983234; Permit0
B U I L D I
09/25/98 09:18
Page 1 of 1
Job Address: 2287 TftTjLD BAROGIiOWA
Permit Type: ELECTRICAL
Parcel No:
Valuation:
Occupancy Group:
Description: 100 AMP METER PED
: LA COSTA VALLEY
Appl/Ownr : VILLAGES OF LA COSTA
450 B STREET #620
SAN DIEGO CA 92101
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Electr
Remodel/Alter Per AM
NG PERMIT
Suite
Permit No
Project No
Development No
CB983234
A9804217
Lot#:
Reference*:
760
Construction Type
Status;
Applied:
Apr/Issue:
Entered By
929-2701
lected & Credits
NEW
ISSUED
09/25/98
09/25/98
JM
***
.00
.00
35.00
Ext fee Data
10.00 Y
25.00
/25/9B 0001 01 02
C-PRMT 35-00
FINAL APPROVAL
INSP.PATE
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
'ERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
1. PROJECT INFORMATION
2287 Camino Robledo
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (inciuda Bldg/Sulte *)
Tract 13386 480
Description
Business Name let this eddress)
Arroyo La Costa / 88-03 2
255-272-72
Lot No. Subdivision Name/Number
Open Space
Unit No.Phase No.Total I ol units
Assessor's Parcel I Existing Use Proposed Use
100 AMP, Single Phase Electrical meter pedistal irrigationcontroller
Description of Work SQ. FT. lol Stories I ol Bedrooms f of Bathiooms
!2;
Name
ONTACT PERSON (MdliiWMttr^i^
Tim o'Gradv P.O.Box 9000-685 CArlsbad CA Q2nifl-gQnn (7fin)Q?Q-?7ni
Address City Siete/Zip Telephone *
nconV^
Villages of La Costa Soufr.hwftst- T..T..P. a^n "R" gf. #620. g^n pi oao Q71
" "''
Fax
Q1
Name
4.
Villages nf T.a
Name
6. •'i'CONTIWCTOH
. .
Address City Stale/Zip " ' Telephone"'*''
finiil-'hw^at- T..T..P. 4Rn "R" gfr #62QfSan Diego ooiQl
Addreta City Stale/Zip Telephone *
w.tit.n?;'.->-'-iiiu.T:^:-u?^ii6t19l 515*5653
(Sec. 7031.B Business end Professions Code: Any City or County which require* a permit to construct, alter. Improve, demolish or repair any structure, prior to Its
Issuance, also require* the applicant tor such permit to file e signed statement thet he la licensed pursuant to the provision* of the Contractor's License Law
(Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code] or thet he Is exempt therelrom, and the basis for the aHaged
exemption. Any violation of Section 7031.B by eny epplicent for e permit subjects the applicant to a civil penalty of not more than live hundred dollars 1*600)).
Schilling Corporation P.O. Rnx 7lQnn? fiani-M r-A Q?Q72 (619U48-539292072State/ZiiName
State License t dflfll
Address
License Class
City "State/Zip Telephone i
City Business License * 770300 EXP . 5/31/99
Designer Name | Address City Stale/Zip Telephone
Stete License * r
6. WORKERS'COMPENSATION : . 1 f •
Workers' Compenselion Declaretion: I hereby affirm under penalty of perjury one of the following declarations:
Q I hive and will maintain • certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Coda, for the performance
of the work for which this permit Is Issued.
Q I have end(tvill maintain workers' compensation, as required by Section 3700 of the Lebor Code, for the performance of the woik for which tins pwmit is
issued. My worker's compensation insurance cerrier end policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l»100| OR LESS)
G CERTIFICATE OF EXEMPTION; I certify that in the performance of the work for which this permit Is issued, I shall not employ any parson In any manner so as
to become subject to the Workers' Compenselion Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and ahall subject an employ*/ to criminal penelllee end civil lines up to one hundred
thousand dollars 1*100.0001, hi addition to the coat of compensation, damages es provided lor In Section 3706 of the Labor code, Inleraal end attorney's feai.
SIGNATURE DATE
7. OWNER-BUILDER DECLARATION 'i 7 < '"'•••-. • •'"-"»• ---•- •--•.:'•- ill >•=' •«;, -^- -,'. ' | ;: ,.>• iW- - •..:•[•'
I hereby affirm that I am exempt from the Contrector'a License Law lor the following reeson: ' *
Q I, as owner ol the property or my employees with wages es their sole compensation, will do the work end the structure is not intended or offered lor salu
(Sec. 7044, Business end Professions Code: The Contrector's License Lew does not epply to en owner of properly who builds or Improves thereon, end who doea
such work himself or through his own employees, provided thet such improvements era not Intended or offared lor sale. II, however, lite building or improvement is
sold within one yeer ol completion, the owner-builder will heve the burden ol proving thet he did not build or Improve lor the purpose ol sain).
S I. es owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Professions Code: The
Contractor's License Lew does not apply to en owner of properly who builds or Improves thereon, end contracts for such projects with contrectoiU) licensed
pursuent to the Contractor's License Law).
Q I am exempt under Section Business and Professions Code lot this reason:
1. I personally plan to provide the mejor labor end materials for construction of the proposed properly improvement. Q YES QfJO
2. I (have / have not) sign'ed an application (of e building permit for the proposed work.
3. I have conflicted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number);
SchilH ng Corporation (-see-)ve)
4. I plen to provide portions of the work, but I heve hired the following person to coordinate, supervise end provide the major work (include name / address / phone
number / connectors license number): ,..._.-,.- -,- , , ,.,.__,
5. I will provide some of the work, butj^iave contracted (hired) the following persona to provide the work Indicated (include neme / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
(COMPLETE THIS SECTtoN FOR W/V^Ofjfc^ l.-T-j •,• Vjf '^
Is the applicant or future budding ocetiptnt required to submit e business plan, acutely hazardous materials registration form or ri*k management and prevention
program under Sections 26606, 26633 or 26534 of the Presley-Tenner Hazardous Substance Account Act? Q YES Q NO
Is the applicant or future bi-UdJng occupent required to obtain e permit from the elr pollution control district or air quality management district? Q YES Q (JO
Is the facility to be constructed within 1,000 feet of the outer boundary of e school cite? Q YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OH IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERQENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
j8r.-i,fibM«tiiUcTloiliitfW^ • ""' ': :-:^" •' ' I
I hereby affirm thet there Is e construction lending agency for the performance of the work for which this permit Is Issued (Sac. 3097(1) Civil Coda).
LENDER'S NAME _ __ LENDER'S ADDRESS _ __ __
•'•:>':- ; •' '•-•'•
I certify the! I heve reed the eppllcetfon end state thet the above Information la correct end that the Information on the plans la eccurete. I egree to comply with all
City ordinances end Stale lews relating to building construction. I hereby authorUe representative* of the CIlV 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 LIAUII ITIES,
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 permit Issued by the Building Official under the provisions of this Code ahall expire by limitation and become null and void if the building or
work authorized by auch permit is not commenced within 365 days from the date of such permit or if the building or woik fciiihoiuod by sued pormii is suspends]
or abandoned at any time efter the wjukJs commenced for e period of 180 days (Section 106.4.4 Uniform Building Coda).
APPLICANT'S SIGNATURE DATE
t'll ir r,,
Inspection List
Permit*: CB983234 Type: ELEC 100 AMP METER RED
Date Inspection Hem Inspector Act Comments
2/25/99 32 Const. Service/Agricultural RB AP
2/11/99 32 Const. Service/Agricultural RB CO NEED 36" CLEARANCE IN FRNT
11/3/98 32 Const. Service/Agricultural RB NR NO PEDESTAL SET
10/29/98 32 Const. Service/Agricultural RB NR NEED REINSPECTION FEE PA
10/28/98 32 Const. Service/Agricultural RB NR PAY REINSP FEE
10/14/98 39 Final Electrical RB NR NO LOAD RAN
Wednesday, October 20,1999 Page 1 of 1
City of Carlsbad Inspection Request
For: 2/11/99
Permit* CB983234
Title: 100 AMP METER FED
Description: LA COSTA VALLEY
Inspector Assignment: RB
2287 CAMINO ROBLEDO
Lot
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
APPLICANT : VILLAGES OF LA COSTA
Owner: VILLAGES OF LA COSTA
Remarks:
Phone:
Inspector:
Total Time:
CD Description
32 Const Service/Agricultural
Requested By: MIKE
Entered By: CHRISTINE
Act Comments
36 /»
Inspection History
Date Description
1 1/3/98 32 Const. Service/Agricultural
10/29/98 32 Const. Service/Agricultural
10/28/98 32 Const. Service/Agricultural
10/14/98 39 Final Electrical
Act Insp Comments
NR RB NO PEDESTAL SET
NR RB NEED REINSPECTION FEE PA
NR RB PAYREINSPFEE
NR RB NO LOAD RAN
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
DATE //
LOCATION P^-ff 7
PERMIT NO.
(760)438-3550
2075 US PALMAS DRIVE
TIME
-f
A & C +-S&SI f
<g^T
FOR INSPECTION CALL (760) 438-3101. RE-tNSPECTION FEE DUE? I I YES
FOR FURTHER INFORMATION, CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB983234 FOR 10/28/98
DESCRIPTION: 100 AMP METER FED
LA COSTA VALLEY
TYPE: ELEC
JOB ADDRESS: 2287 CALLE BARCELONA
APPLICANT: VILLAGES OF LA COSTA PHONE:
CONTRACTOR : PHONE :
OWNER: PHONE:
REMARKS: C/MIKE/
SPECIAL INSTRUCT:
INSPECTOR AREA RB
PLANCK # CB983234
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 929-2701
INSPECTOR
TOTAL TIME: _
CD LVL DESCRIPTION
32 EL Const . Service/ Agricultural
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
101498 Final Electrical
ACT INSP
NR RB
COMMENTS
NO LOAD RAN
crnr OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE
/
LOCATION Z. ff
PERMIT NO.'ERMIJ
^
(760) 438-3550
2075 LAS PALMAS DRIVE
TIME
*
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FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE?
FOR FURTHER INFORMATION, CONTACT
YES
PHONE
BUILDING INSP CODE ENFORCEMENT OFFICER
NISA