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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