HomeMy WebLinkAbout2338 CAMINO ROBLEDO; ; CB990637; PermitCity of Carlsbad
Electrical Permit Permit No:CB990637
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2338 CAMINO ROBLEDO CBAD
ELEC
Lot#:
VILLAGES OF LACOSTA-PEDISTAL
Status: ISSUED
Applied: 02/17/1999
Entered By: RMA
Plan Approved: 02/1 7/1 999
|Inspect Area:01 02
C-PRHT 35-00
Applicant:
VILLAGES OF LACOSTA
Total Fees:$35.00
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AM
Remodel/Alteration per AM
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
TOTAL PERMIT FEES
Due: $35.00
0.00
5.00
0.00
0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Inspector:
FINAL APROVAL
Date:Clearance:
NOTICE: Please take NOTICE ttftt 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 wilt 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 capactiy
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.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr.. Carlsbad CA 92009
(760)438-1161
1. PROJECT INFORMATION
2338 Garnino Robledo
FOR OFFICE USE ONLY
PLAN CHECK NO
EST. VAL _____
ONLY ,
. WJ7I u *** /
Plan Ck. Deposit
Validated By
Date Ij
Address (include Bldg/Suita ft
Tract 13386
Business Nairn lit this address)
471 Arrovo La Costa / 88-03 2
Legsl Description
255-272-71
Lot No. Subdivision Name/Number
Open Space
Unit No.Phase No.Total * ot units
user's Parcel * Extortng Use Proposed Use _ . _ ,100 AMP, Single Phase Electrical Meter Pedestal, Irrigation Controller
SQ.FT.fof StoriesDescription of Work
2. CONTACT PfRBON (H dHfarint from
Tim O'Gradv PO Box
Name Addraas City
3, APPLICANT D Contractor Q Agent for Contractor "Q 6wnef~;"O Agent for Owner
Villaaes of La Costa Southwest, L.L.C.
I of Bedrooms t of Bathrooms
9000-685 Carlsbad, CA 92018-9000 (760)929-2701/2705
State/Zip Talaphona *Fax ff
„ , _, ««.,,•»..450 B St. #620 San Diego, CA 92101
Name
4. PROPERTY OWNER
Villaaes of
Name
A.
La Costa
At
Jdress
SoutJ
Idraas
iwest,L.L .C.
City
450
Chy
B St.
-
State/Zip
#620 San
Stata/Zip
Telephone 4 g 1 Q
Diego, CA
Telephone < t) 1 ^
J515-5653
92101
)5 I 5-5o53
(Sac. 7031.5 Buainaas and Ptofaaaiona Coda: Any City or County which requires a parmft to conatruct, altar, Improve, damoHah or rapair any structure, prior to Its
issuance, alao requires tha applicant tor iuch permit to We a signed atatamant that ha la licensed purauant to tha proviaiona ot tha Contractor's Ucanaa Law
IChaptar 9, commanding with Saptfon 7000 of Division 3 of tha Bustnaas and Prolaaaiona Coda) or that ha la exempt tharafrom, and tha basis for tha altagad
axampiion. Any violation of Section 7031.5 by any applicant for a parmit subjects tha applicant to a civil penalty of not more than ftva hundred dpHan U5QP1).
11ina Corporation PO Box 719002 Santee, CA 92072 (619)448-5397
Name
State License * 4881 53
Addraas
License Class
CHy State/Zi - /-., lnn5/31/99
Addrasa City Stata/Zip TalaphonaDesigner Name
Stata License »
«. WORKERS'COMPENSATION " " " ~" ""*"'• ~l'r"~"': ' "IT"' """ ^'""TV'"'
Workers' Companaation Declaration: I hereby affirm under penalty of perjury one of tha following declarations;
D I have and will maintain a certificate of consent to self-Insure for workers' compenaanon as provided by Section 3700 of tha Labor Code, for the performance
of tha work for which this parmit is issued.
D I have and wiH maintain workers' compensation, as required by Section 3700 of tha Labor Coda, fpr the performance of the work for which this parmit Is
issued. My worker's compensation Insurance carrier and policy number are: i
Insurance Company Policy No. . Expiration Date
(THIS SECTION NEED NOT BE COMPLETED V THE PERMIT IS FOR ONE HUNDRED DOLLARS 11100) OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in tha performance of the work for which thfa permit ia toeuad. I shad not employ eny person in any manner ao as
to become subject to tha Workers' Compensation Lewa of CaNfomia.
WARNING: Failure to eecure workers' eompeneatton coverage ia unlawful, and aha* subject an employer to criminal penaWoe and ch* tinea up to one hundred
thousand dollars (9100.000), to addition to tha coat of compensation, damages aa provided tor hi Section 3706 of the Labor code. Interest end attorney's feea.
SIGNATURE „__ ___ . DATE
7, OWNER-BUILDER DECLAIUWON " ' •:•:-.•.. -r;,;. ;y-. -;: . ., . , ™B - .. -
I hereby effirm that I am axampt from tha Contractor's Ucanaa Law for the foMowine reason:
Q I, as owner of the property or my employees with weges aa their sole companaation. wiH do tha work and the etructuie la not intended or offered for sale
(Sec. 7044, Business end Profeaeione Coda: Tha Contractor*a Ucanaa Law doea not apply to an owner of property who buttda or Improves thereon, and who doee
such worJ^Mmaelf or through his own employees, provided that ouch Improvements are not Intended or offered for aaJa. H, however, the building or Improvement la
sold iwrfmn one year of completion, tha owner-bunder wM have tha burden of proving that he did not buHd or Improve tor tha purpoaa of aala).
Jtf I, as owner of the property, am exclusively contracting with licensed contractors to conatruct the project (Sac. 7044, Bualneas and Profession* Code: The
Contractor's License Law doea not apply to an owner of property who builds or Improves thereon, and contracts for auch protects with contractorla) licensed
puituam to tha Conltectof's Ucanaa law).
Q I am exempt under Section _________ Business and Professions Code tor this reason:
1 . I personally plan to provide the mejor labor and materials for construction of the proposed property Improvement. Q YES QNO
2. I (have / have not) signed an application for a building parmit for the proposed work.
3. I have contracted with tha following parson (fkmi to provide the proposed construction (Include name / address / phone number / contractors license number):l-lnc Cororation fsee above)
4. I plan to provide portions of tha work, but I have hired the following person to coordinate, supervise and provide the major work (include name / addreaa / phone
number / contractor* license number): _ _______ __ __ __ . _____ ____
peraone to provide tha work indicated (include name / address /. phone number / type5. 1 wiH provide some of the work, but J>ave contracted
of work):
PROPERTY OWNER SIONATURl
'COMPLETE THIS SECTION F^«W«SB0rf^ SUILMNQ KMUnTi
Is the applicant or future building occudant required toXubmtt a buainaCTplan, acutely haiardoua materials registration form or risk management end prevention
progrem under Sections 26S06. 28633 or 2BB34 of the Prealey-Tennar Haterdoua Subatance Account Act? D YES D NO
Is tha appHcant or future butkHng occupant required to obtain a parmit from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1.000 feet of the outer boundary of a school she? 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 OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
i8." CONSTRUCTION LENDING AGENCY "1"""""B" "'—"•<- ^TT-T t^T~: |w^r^"*™"— - *•*-• •--" -" -"• 7—"' " - — ' . . .
I hereby affirm that there Is a construction landing agency for tha performance of the work for which this permit Is Issued (Sec. 3097(11 Civil Code).
LENDER'S NAME LENDER'S ADDRESS
*. APPUC AW CERTIFICATION " «].»rT-.-,~.,.-1 rni..rnr™ ^.;! _-.,(.^.,w. _».^.^,,_,,_T,,:I,^?p..^.!sr;s.^p,^r,.1,i, : ^ .. . . ... .
I certify that I have read the application and atata that tha above Information Is correct and that the Information on tha plena la accurate. I agree to comply with an
City ordinances end Stata laws relating to building construction. I hereby authorise representatives of tha CUV of Carlsbed to enter upon the above mentioned
property for inspection purpoaaa. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES.
JUDGMENTS, COSTS AND EXPENSES WHICH MAY Hi ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavation over 6'0" 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 ahafl expire by Umltptlon end become null end void If tha buHding or
work •uthorixad by such parmit la not commenced within 3BS days from the data of auch permit or If tha building or work authorized by such permit Is suspended
or abandoned at any time after the work Is commenced for a period of 1 BO days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ___ __ DATE
WHITE: Rle YELLOW: Applicent PINK: Flnenca
City of Carlsbad Inspection Request
For: 5/14/99
Permit# CB990637 \
Title: VILLAGES OF LACOSTA-PEDISTAL
Description:
Type: ELEC Sub Type:
Job Address: 2338 CAM I NO ROBLEDO
Suite: Lot 0
Location:
APPLICANT : VILLAGES OF LACOSTA
Owner:
Remarks:
Inspector Assignment:
Phone: 6198844012
Inspector:
Total Time:
CD Description Act Comments
32 Const. Service/Agricultural
Requested By: MIKE
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
fja 171999
y Of CAP
BUILDING