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HomeMy WebLinkAbout2319 CANNON RD; ; CB063398; PermitCity of Carlsbad 11-30-2006 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB063398 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2319 CANNON RD CBAD st: MP ELEC 100 AMP METERED PEDESTAL Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/30/2006 JMA 11/30/2006 11/30/2006 Applicant: ROBINSON ELECTRIC . " 8871 TROY ST SPRING VALLEY, CA 91977 619-697-6040 Owner: 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 100 0 0 0 $10.00 $25.00 $0.00 $0.00' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector:J FINAL AfBRQ Date: lU 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, !f 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO/0366 EST. VAL. Plan Ck. Deposit Validated By. Date Address (include Bldg/Suitp^O Business Name (at this address) Legal Description ' Assessor's Parcel # Description of Work . t \ Lot Ni. Subdivision Name/Number Existing Use . SO. FT.#of Stories Unit No. Phase No. Proposed Use ff at Bedrooms Total ff of units ff of Bathrooms s Owner City Agent for Owner State/Zip Telephone #Fax # a.11117NameAddressState/Zip Telephone # Name Address City State/Zip Telephone # (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 exernptiqn. Any vjolation oj Sectyon 70,31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S500]).M7~t&tt> Name State License # Address License City State/Zip ' iCity Business License it 1 Telephon'e # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: '•CT 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: « i \\}5~H, f%^33> Expiration Date fc>( lt>~_ _Insurance Company Policy No. (THIS SECTION NEED NOT(£E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Q 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10,0,000), in additin totte cost of compensation, damages as provided for in Section 3706 of the Labor cod* , interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). 0 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). C] 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. O YES l"~lNQ 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 NO FQR^O^ 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 Q 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? L~D YES Q 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. ;8i§:o6]NSt^ I hereby affirm that there is a construction lending agency for the performance of the work for which 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 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 180 days from the dale ol such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 1i$ days jt6ecnon*| 06.4.4 Uniform Building Code). APPLICANT'S SIGNATURE JL DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/26/2007 PermiW CB063398 Title: 100 AMP METERED PEDESTAL Description: Inspector Assignment: 2319 CANNON RD WIP Lot Type:ELEC Sub Type: Job Address: Suite: Location: APPLICANT ROBINSON ELECTRIC Owner; Remarks: Phone: 6196976040 Inspector: Total Time: CD Description Act Comment Requested By: KIM Entered By: CHRISTINE e *M ^1 WfL, f%\/? Comments/Notices/Holds \A&n i&Yw\n\^ Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments NOU'22 2006 07:19 FR FISHEL CO 760 9S7 4075 TO IB19'4G32577 P.04 NOV 3 0 2006ty of CARLSBADUILDING DEPT.CiB** TOTflL PPGE.04 ** NOU 2H 2006 07:19 FR FISHEL CO 760 967 4075 TO 16194632577 P.93 CONSTfllOQ* OflMi1! NO. s ^i(D • 1 '• 1 J |Q RS S *— 1 Ul K] ^ r^ 7. J LI 3. | ^ 5 '•*",V- W*?• **".;•