HomeMy WebLinkAbout2313 GALENA AVE; ; CB053065; Permit'\J \ 01\ \ \[,c O ,fh City of Carlsbad · \)\J [ ~ v~J 1635 Faraday Av Carlsbad, CA 92008
08-25-2005 ~ Electrical Permit Permit No: CB053065
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2313 GALENA AV CBAD
ELEC
0000000000 Lot #:
CORDELANE-ELECT METERED PEDIST
0
Applicant: Owner:
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
Total Fees: $35.00 Total Payments To Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/25/2005
RMA
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
$0.00 Balance Due: $35.00
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CLiiF" i5
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P-S FINAL APPROVAL /
Inspector: ' Date: f;J..r Hr~ 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.
'Ii..
?ERMiT APPLICATION
FOR OFFICE USE ~LY
PLAN CHECK No w oS3o£r
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL.~...-...-...-~~...-~~~
\OJ N'<\ ~ £IQ.-<-1Y) C ('()Q,-\-e..('" ~c) ~ \
Plan Ck. Oeposi~ ~
Validated By _ _, . ..__ ____ -i-'1-11--"-----
0ate ff Jsf by
AddtNI (Include Bldg/Suite II Business Name (It this addrHsl
Legal Deacrlption Lot No. Subdivision Name/Number Unit No. PhaH No. Total I of units
Alseuor'1 Parcel I Existing UH PropoHd UH
0. FT. lot StoriH I of Bedrooms I of Bathrooms
Name Addre11 City State/Zip Telephone I Fax I ~JIRjjjmi:Jtm--~w ... ~~~im~?m~(ljmf'mtA9ii\t m>'~""E,r1:i.; •. u.:J-,-:·} ;··s..'?1 ..... ~-~ •. ,,;,.: .. ;,~ •. :.,,.<,..., ~
Name Addre11 City State/Zip Telephone I
i ~flWJiMl :i.tit~.i~uttri ••' '~~.t,;t~~..t1-a~:)Ai~1~ mn..,.:l'l;,1.~;,a;f•1,,/;p;h\~.1.t~f' :'W·;jtt~;;.:it'l,1:il.W;,1~-.':.i~ti:; ~.~·;,.. •t,~i • ,' ··
Name Addre11 City S.tate/Zip Telephone I
!1.~UNII'!~ • ;,· ~i~lt:-.":.!t!hi .14?11'.:ll'tt:·'.{'.iJ_1,,,'.a~~.i~~1,,."l~.\:!;i,t• ~~ ~i~~t~.~!!.1t<1.,•r~1;•.'' ,
(Sec. 7031.6 Bu1ine11 and ProfHsions Code: Any City or County which requires I permit to construct, alter, improve, demolish or repeir eny structure, prior to its
lssuence, 1110 requirH the applicant for such permit to file a signed stltement that he is licensed put1u1nt to thl provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of tha Business and Professions CodeJ or that he ia exempt therefrom, and the basis for the alleged
e\9#"'~tlon. #Y 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 ($50011.
JLt-\ ~'±:-t :6. (On$:b::Yv\'1(Y) \°t \'l 'e c..tO't'\1(Ar O<A l::..s l>,..IC'A'/" C,<'At"\SP4d LA °i~SP'o 760-4lff-3~ot>
Name Address Q City r State/Zip Telephone I
State Uc-., 'EzsJS9 G License Class v City.Buaineas Licanse, ,~ Jqla6
Address City State/Zip Telephone Designer Name
State License ,
m~iww11•••••ii•••~af2'tr11Ml!···~,1m·&'l!S:l,{~~g~'l!i.~~1m,~tw~tBL\~~('tl,il!f}~i;'l.•:;P.2"~i.i~i.".,;;,.:!;~~id.:,·J~;'f :·· ... ,.,:\·
Workers' Compensation Declaration: I hereby effirm under penalty of perjury one of the following dectaratlona: . ~ I have and will maintain I certlflcete of consent to Mlf-inaure for workers' compenutlon aa provided by Section 3700 of the Labor Code, for the performance ~ work for which this permit is i11ued. .
0 I have and wlU maintain wo,kera' compenutlon, u required by Section 3700 of the Labor Code, fo, the performance of the work for which thi1 permit is
iaaued. My worker'• compen11tion insurance eatri« and policy number are:
Insurance Company Polley No. Expltatlon Date ______ _
(THIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOL1.ARS IUOOI OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which thle permit 11 iaaued, I lhaU not employ eny per1on In any m1Mer 10 H
to become subject to the Workers' Compenutlon Laws of California.
WARNINO: F.ilure to -worbn' oomperwadon ao-.. le unlnrful, ...t lhlll Mlllject en employer to crimlMI penal1iN and dvl flnu up to one hundred
thoulMd dollera (U00,000), In eddltlon to the coat of ~tlon. c&.m..-u provided fo, In Sec:tlon 3708 of the Labor code, lnt11ut and attorney's fus.
SIGNATURE DATE ----------~ ~~~~
I hereby affirm thet I am exempt from the Contractor's Ucense Law for tha following reeson:
0 I, •• owner of the property or my employ ... with wages u their IOI• compenution, w~I do the work and the 1tructure ia not intended or. offared for 11le
(Sec. 7044, BualllMI and Profualone Code: The Contractor', Uc-. Law doN not apply to an owner of property who builds or improv11 thereon, and who doea
1uch work hlmaelf or through his own emplov-, provided that 1uch lmprov-,ta are not Intended or offered tor Hie, If, howev«, the building or Improvement ia
sold within one YNI of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpo11 of 1alel. ~ I, •• owner of the property, am axcluaivaly contracting with llc:anaed conu.cton to conetruct the project (Sec. 7044, Buaineu and Profaulona Code: The
Contractor'• LlclllN Law doN not apply to an owner of property who builda or lmprovN thereon, and contr1ct1 for 1uch projects with contractorl1) licensed
pursuant to the Contractor'• UclllN Law).
· 0 I am exempt under Section ~ and Profeaalone Code for thle reuon:
1. I peraonally plan to provide the major labor and materials fo, construction of the proposed property Improvement. 0 YES ONO
2. I (have I have not) algned an 1ppllc1tlon for a building permit for the proposed work.
3. I have contracted _with the following paraon (firm) to provide the propoHd construction (include l'llfflll I addreu I phone number I contr1c:tor1 lic411l18 number):
4. I plan to provide portlone of the work, but I have hired the following person to coordineta, 1uperviM and provide the major work (include neme I addtus I phone number I conu1c:tors llc-. number):. ___________________________________________ _
IS. I wlU provide some of the wo,k, but I have contracted lhlredl the following p1111ons to provide the work Indicated (Include name / 1ddre11 I phone number I type
of work): ________ '---------------------------------~-----------~ ,:,?=1~.;~ ~
1.~:,..!,~_E_ ;.w:1;11f;ut:.~~~;!:,o~<.i1 .. n,,'!lil'J~.,,,r. 1!,~_J,1~-. · · 11W GillimrA!W-~ll~:ir-ayc;w,p;~:.filDilW.a:11.fi!~~;',\l';Q'.i!GiV,::
Is the epplicant or future building occupant required to submit • buaineaa plen, ecutely huardoua materials registration form or ri1k management and prevention
program und,r Sections 26605, 26633 or 26634 of the Presley-Tenner Haz.ardoua Subatance Account Act? O YES O NO
la the •ppllcent or future building occupent requlr1d to obtain• permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of• 1chool 1ite7 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.
il~l!Tfilt«ITLOffllM~JN~Y~~rt,,1.#~~;,'l.iti:!'L.~t!F.t.lr..![ ~<cii~:2-• .L::.·.,;.~:S'1L~i, ,\.,;-).~·.:Jwr:t::,, ,j1, ,'.,t .• :i.·:'J:,,. ·· , . .I ,
I hereby affirm that there is • construction lending agency for the performance of the work for which this permit Is issued (Sec. 30971i1 Civil Code).
~LEiN•DDEiRl'S~NAM~-~-·i:ii.i-i ·iiiiiiiiiiiii:iiiiiiiiii~iiiii~ LENDER'S ADDRESS ___ ~-~-~~~--~~-~~-~~~-~~
111 '"''"t1.«i~Vi~.~~~~J,JH~'ic~~;~-'ll.1)1~'Lf~~.:,~~t.:11i1i1itt;~:i!i.i;x.·~;'.;:-.
I certify .that I have rHd the 1pplic1tl?" and 1t~t~ that the •bo_ve Information 11 cor~ect and that the Information on the plal'll la accurate.' I agrN to comply with all
City ordinanc11 and State laws relating to building constrUCtlon. I hereby 1uthor111 representativH of the Citt of Carlsbad to enter upon the above mentioned
property for Inspection purpo11s. I ~O AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARl.SBAD AGAINST ALL LIABILITIES
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. '
OSHA: All OSHA permit ia required for excavations over 6'0" deep and demolition or construction of 1tructurH over 3 atori11 in height. ·
EXPIRATION: Every pe~mlt Issued by the bul~dl~ Official under the provisions ol this Code shall expire by limitation and become null and void If the building or work
authorl~ed by such permit !s not commenced wnhm 180 days from the date of such permll or ii the building or work authorized by such permil is suspended or abandoned
at any lime after the work 1s commenced tor a periOd ol 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'SSIGNATURE QO~~
WHITE: File YELLOW: Applicent PINK: Finance
m' I
.
.
City of Carlsbad Bldg Inspection Request
For: 12/22/2005 .
Permit# CB053065
Title: CORDELANE-ELECT METERED PEDIST
Description:
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
2313 GALENA AV
Lot
APPLICANT JOHN LANG HOMES
Owner:
Remarks:
Total Time:
CD Description
39 Final Electrical
0
A~ ;omment
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description Act I nsp Comments
Inspector Assignment: RB ---
Phone: 7605353281
Inspector: -----
Requested By: BRENDON
Entered By: CHRISTINE
11/01/2005 39 Final Electrical NR RB NO GROUND ON CIRCUIT ON LOAD SIDE
115
I
J -
CUSTOMER TO LOCATE
2 EXIST. 1-DB4' PRJ. CONDUIT, CONNECT L EXTEND. PULL CABLE PROM TERM. 0168688
TO Hl21429
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