HomeMy WebLinkAbout2329 CANNON RD; MP; CB122430; Permit11-16-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanlcal/Electrical (PME) Permit
Permit No:CB122430
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#;
Project Title:
2329 CANNON RD CBAD St: MP
PME
Lot#:
CANTERBURY HOA - REPLACE ELEC
METER PEDESTAL
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/16/2012
SKS
Applicant:
THREE PHASE ELECTRIC
Owner:
737 S. VINEWOOD ST
ESCONDIDO CA 92029
760-781-1100
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$154.00
$0.00
$0.00
TOTAL PERMIT FEES $154,00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: $0.00
Inspector:
FINAL AP
Date:
PPROVAL
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions." You have 90 days from the date this pemiit vi^as issued to protest imposition of these fees/exactions. If you protest them, you must
foiiovii the protest procedures set forth tn 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 follovi^ lhat procedure will tiar 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
fgg?/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of lirpitations has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrF ISSUANCE: !_j PLANNING J ENGINEERING Z.' BUILDING FIRE HEW-TH '^'J. HAZMAT/APCD
CITY OF
CARLSBAD
Building Pennit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@cadsbadca.gov
www.carl8badca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS 2329 Cannon Road [AP
SUrrEff/SPACEf/UNIT*
na
APN -
CT/PROJECT # LOr# PHASE# » OF UNrrs # BEDROOriflS # BATHROOr^flS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Stpiara Fat of MhcM Araa(a)
Replace existing electric meter pedestal struck by a car
EXISTING USE
Power for irrigation
PROPOSED USE
Same
GARAGE (SF)
na
PATIOS (SF)
na
DECKS (SF)
na
FIREPLACE
YES[~|* NOj I
AIR CONDITIONING
YES [~| NO I I
FIRE SPRINKLERS
YESj I N0| I
APPUCANT NAME (Primary Contact) Jeff Locher - Three Phase ElectrQ APPLICANT NAME (Sacondary Contact)
ADDRESS
737 So. Vinewood Street
ADDRESS
CITY
Escondido
STATE
CA
ZIP
92029
CITY STATE ZIP
PHONE
760-781-1100
FAX
760-781-1188
PHONE FAX
EMAIL
jeff@hoalighting.com
ElVlAIL
PROPERTY OWNER NAME Canterbury HOA CONTRACTOR BUS. NAME Three Phase Electric. Inc.
ADDRESS
5927 Priestly Drive
ADDRESS 737 So. Vinewood Street
CITY
Carlsbad
STATE
CA
ZIP
92008
CITY
Escondido
STATE
CA
ZIP
92029
PHONE
760-918-8040
FAX PHONE
760-603-9156 760-781-1100
FAX
760-781-1188
EMAIL ElVlAIL jeff@hoallghtlng.com
ARCH/DESIGNER NAI^E & ADDRESS
599757 C-10
crrv Bua LIC#
ssuance, also reauifCs (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 state rnent that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section TOOOof Division 3 of the Business and Professions Code] or that he is enempt therefrom, and the basis for the alleged exemption. Any violation of Seaion 7031,5 by any applicant for a permit sutijects the applicant to a civil [renalty of not more than fwe hundred dollars {$500)).
1
-JL
77^ •ft*.-.. •
Workers' Compensation Dectaration: / heretty infirm of?der penafly of perjury ore of tfie following dedarations:
I have and wHI malnWn a ceruncate of consent to sdf-tnnjra tor workers' compensation as provided by Sectbn 3700 of the Labor Code, for the peffarmarKe of the vnrli for which this permit is issued.
\/„\ 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 workers' compensatkm insurance carrier and polk^
nun*er are: losufance Co._ Granite Stat&lnsuranee Co. Policy No.. WC009954517 ExpiraBonDate. 3/10I2D13
Bsection need not be completed if the pennK t
Certificate of Exemption: I certtty that in r
California. WAfVJING: Failure to secure wo
addition to the cost of compensation, damage
JS^ CONTRACTOR SIGNATURE
i(S100)orless.
(for which this p«mit is Issued, I shall not employ any person In any manner so as to become subject (• the Workers' Compensatkjn Laws of
age is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dotlars (&100,000), in
tied fftr In Rection 3706 of the LatsfuueMleHnterest and attomey's fees.
IVGENT DATE
/ hereby affirm that I ant exempt from ConHactor's Uceike la* for ffje tt^knuing reason:
I I I, as owner of ihe property or my employees vvith wages as their sole compensation, wHI do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
LKense Law does not apfrfy to an owner of property who buiUs or improves thereon, and who does such work himself or through his own einph}yees, provkled that such improvements are not intended or ofterad for
sale, tf, however, the buHdlng or Improvement is soW within one year of completion, the owner-buiUer wiU have the burden of proving that he did not buAd or Impnwe fbr the purpose of sale).
f " 1 I, as owner of the praperty, am exclusively contracting with Iteensed conSactors to constmct S» project (Sec. 7044, Business and Professions Code: The ContracttK's License Law does rxit apply to an owner of
property who buMs a invroves thereon, and contracts for such pfi^ecls with contractor(s) licensed pursuant to the Contractor's Lksrjse Law).
I I I am exempt under Section. -Business and Professkjns Code for this reason;
1.1 personally plan lo provide the major labor and materials for constnjctkjn of the proposed property Improvement ^Yes I ho
2,1 (have / have not) signed an ^iplkaBon for a bulWing permit for the proposed worit,
3.1 have contracted with ttie folowing person (flmi) to provkle the proposed construction (include name address / phone / contractors' Iteense number):
4.1 plan to provide portkxis of the worii, but I have hiiBd the tollowtng person to coordinate, supervise and provkte the m^ woric (include name / address / phone / contractors' license number):
5.1 wiN provide some of the worit, but I have contracted (hired) the follow^ persons to provWe the wortc indteated (indude name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE •AGENT DATE
Is Bie applicant or future building occupant required to submit a business plan, acutely hazardous matenals regislratm fonn or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applk:ant or future building occupant required obtain a pennit from the air pollutk>n control distilct or air quality management disthct? • Yes • No
Is the facility to be constnjcted within 1,000 t&et of the outer boundary of a school site? • Yes • No
IF ANV OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MATING THE REQUIREIKHTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL NSTRICT.
I hereby affimi that there is a construction lending agwicy for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
• - '<^'^ A
I ceiti^thErtl have lead the appHcstion and state that tlie above infbmKition is conect aiKl that the infom on the plans is accuiste. I agrm to comply with all Cl^ ordnances and State laws relaOng to buildii^a}ns&i^^
I hereCiy authorize representative of the City of Carisbad
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS
OSHA: An OSHA pennit is required to excavaSons oWr 5'0'
EXPIRATION: Every pennit issued by the BuWing fflfcial ui
180 days from the date of such pemiit or if 9ie bupnfl or
^gfAPPLICANT'S SIGNATURE
property feir inspection purposes. I ALSO AO^EE TO SAVE, INDEMNIFY AND KEEP HAfM-ESS THE CITY (T CARLSBAD
lYJN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
istrtxaion of structures over 3 stories in height
shall expire by limitation and tiecome nul and void if the buikiing or wofk aulhixiz^
lit is suspended or abartloned at any time after the work is comniencedforaperiod of 180 days (SsdCT Unifemi Building Code).
DATE
Inspection List
Permit#: CB122430 Type: PME CANTERBURY HOA - REPLACE ELEC
METER PEDESTAL
Date Inspection Item Inspector Act Comments
11/28/2012 32 Const. Service/Agricultural - Rl
11/28/2012 32 Const. Service/Agricultural PY AP
Thursday, November 29, 2012 Page 1 of 1