HomeMy WebLinkAbout2362 HOSP WAY; 136; CB072801; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-06-2007 Electrical Permit Permit No: CB072801
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2362 HOSP WY CBAD St 136
ELEC
167250424'+ Lot #:
GREEN RES-CONVERT PLUG TO 220
IN KITCHEN-FOR WASHER/DRYER
0
Applicant: Owner:
DEBORAH GREEN
619 843-0809
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
0
0
0
0
Total Fees $20.00 Total Payments To Date:
1( \
Inspector'
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/06/2007
RMA
11/06/2007
11/06/2007
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
$20.00 Balance Due: $0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmposit1on" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information wlth the City Manager for
processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
feeslexa ti n f which o have r vi I n iv n N Tl similar hi r h h t tu f limi i n h h rwi
NOV-06-2007 TUE 09:24 AM Cily of Carlsbad A. P.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA_ 9_2008
Legal t:Jesc:riptian Lot ~a.
E!Cisting Uae
2,
N1mt1 Ci1y
J. 'APPLICANT O COflUIDl0r D Agan1:lor· Comraei:or O Ownar ·□ A11ant f(lf Ownar
Addrua
•• CONTRACTOR, COMPANY NAME
Pr.1u No. Toni II a, un1t1
ISec. 7031.5 Bl.lBlf\1!1$.!: and Ptolu:sions Codi: AnY City or County whlcl"I r,ovi,as. 1 permit 10 cottelfl1i:t. ■liar, improve, C11rnc,li11h or rollllir eny s1ructure, p,ior 10 iii
IHu.r,,a, alao l'Qoquiras 1ne t,iplicam 1ef 11.n:h parmlt io rile a Bignod ,1111mant lh■t ha IB llcenHd i:;iurs1.1m to ll'N orov1al0ns of 1h11 Contr1ctor'1 LictnH Law
iCh■pllll' 9, command111g with Sactlan i'OOO of D111l,!oo 3 ol tho Elu;in&H ■nd Prol1u.l0ns Codal cu thn ha Is 8Mmpt 1n1r1trom, an~ tha bUh!I IOI tt,a IIIIQ8d
ax.emi:,tlon, Any ... 1o101io11 of Sei.11011 7031.5 bV env 1pplic.11nT Por II perml1 i;ubjec-t• the 1p,1r,cu1t too civil P&nl11y ol 1101 mor11 u,11n f1uo hundrai:I CIOllan; 116001).
Name AdClron &11ra1Z/p Tol■phona f
S1111 Licane" II ________ _ Lic:oru11 C11a ________ _ t:i1y 8~1ncin Lic8n10 II ______ _
Daelgner !llama Cl1v $1u11/Zip Talaphon&
State Uc11nsa I'-------,---
11. WORKeRS' C0Mll'ENSATIQN,
Workara' C,;,rnp11nurlcn tl11cl1mion· I har■by affirm und■r pa11111v of parl\11v ona ol ll'lo follcwin; dOclara1i11l'l1,
0 I haulil and will m1inuln I c1rrilieaio of ccnunt 1c Hlf.in1u.ro lor worka~· comp.,nn1lon a& p111>1ld1d by S1c1lcn 3700 or the L•bor Cr.1d11, !or 11'11 p11'f0rm1nc1
Of 1h11 work for wh,cli 1l'lls pormi1 is iae1.111C1.
D I have 1rtd wifl maintain work11rs' coiiipenuticln, as raquir1d bv Secut1n 3700 Dr the LoDor Coda. !Or 1ha p•rlormanca M Iha wortc tor which this p,11rmi1 Is
issu•d. My work•r'& c:ompens11i0n insurance curiar and policy numbllr ■rs:
lruiurMCI Ccimpany__________________ Poll=¥ No.___________ fxPl'otir.1n Date, ______ _
!THIS SECTION NEED NOT IE: COMPLETto IF THE PERMIT 15 FOR DNE HI.INCRED DOLLARS [11100) OR LESS!
0 CERTIFICATE 0F EXEMPTION1 I canlfy thllt in 'll'lt p1,f0rm1neo "' 1he wo,k for which 1hi~ pNmlt Is inued, I shall 1101 employ 81'1V l)orson il'I lny m■nnar eo n
tl3 bacom• subjac:110 1h11 War~e,s· Compa11a11lon Uws of C■fifomi■.
WARNINQ, F■Uur■ ICI 0111111'■ -rbff' c11mP4""1tlDn ooHrfl(lt 11 unlawful, and 1h1II ■ubjtQ 111t ■lnlJlfl't'tl' 10 c:rimlnt,I p1nllhlH Ind c:MI flnH up 10 111'11 hw!drtd
th01111nd dol■,1 IJ 100,000), lr'I addition 10 1h1 c:otl of CDmptn■llion, d■m■ge■ e■ l)fOVlded lor in S■ctjon :!706 •f lh■ Labnr c:oil■, imtN,1\ ■nd ■nonwy'■ f•H-
SIGNA UAE,___________________________ OATE ________ _
N!R-IUILDER'DECLAMT10N
I rio by 1fflrm 1h,1 111m exomol f111m 11'1• Conu■c1cn:: UC8ns& Llw /or 1,.,0 IDlhiwjf\11 "uon:
1, as owner ol th■ proper,y or my 1mplov1tH wltn w111ee a, th■ir &ale tt1mpen&1tl0n, will do !he work ■l'ld th■ 1muciur1 i, n01 irinndeCI or Ol!CN1d f« Ulfl
ec. 7044, Bu~lnciH and Prot1uiON Codo: T1'11 C0n1ractr.1r'1 Lic1n111 Lllw G011 not apply 10 ■n 0wn1r of propeny who builds or improves thereon, 11'111 wl!fl doH
such work nlmnlf Dr through nie Dwn employna. pro>1idtld !hH suc:h imptovom.,nto ero nQT intended or offar1C1 for nle. II, howe"er, the buildlng or improu'"111nt ia
&<.ild wl1hln Qflll v-•■r Ol 1.omfll•tlo!'I, 1h1 t1wnar-01,1IIC1ar will ntv, tha b,..,Clon ol proving 1r1111 I'll dhS not build or imp,ovo for tho PUfPOH i:,f aalal. D I, as ownar 111 tha propar,y, am axclusiuelv c0n1r1c:1ing wi1h licarui■d c0n1rac1oro ID c:on&truct tM project 1S1c. 7044, Businus and "'of1Hion1 Codo: Th,
eoMr■cror'& Ucen■a Law cloH n01 ~ply tll en ownor pf pro0onv who Duild& ar lmoniu■s 1her11on, and c:onuact& for 11.1ch prol•ets with corrcr■ctorcsl Uoen111K1
011ri'u■n110 tt111 C0n1r1c10r's Licenu L■wl,
0 1 ,,.. 1xan,111 1,1ni111r S11C1len _____ Bualrieu and Protenion■ Cod& ror ll'llo f"ll■,.om • /
I ~I\I pl■n 10 pro.,ido 1~• m1Jci1_ l1ba1 ll'ld m■r■ri■le !or conauuc11gii ~ 11'10 propoHd proo1111v 1mproV1m1ntA V'laS ONO
I ~•"• nr.1t/ sii;inod 1n 1ppllc11,cn for I D~•ld,ng pa,mlr for tho pr11po111d wmk.
I have c0ntr11c:1ed with tha following per.10n 1firml 10 pro~ida 11'11 llropand c:Dl'llitruetlon (inciuda n1m8 I addrn& I phon11 nurr,ber I ccin1roc1or1 lical\llO numb8r),
4. I plan 1<.1 proulda 011rtio"" of ,rio work, O.n I tuwo hl1Dd th• following po~on 10 coordinna, 11,up1r~i11 and prcwida U,1 major work (ine1uo1 name/ OCICltou I phono nun,bor I CPlltrBC1Qr1 lican11 n1.1mb1rl: ________________________________________ _
S. I will pr0-..ide ■01111 <Jf th• w01k,, omract1d [Midi tho fDIIOwing paraons to prouldc, ttia work indicated 1:nclutla n1ma 1 •da,011 / phorio numb111 / 1n,1
ol work);. __ ~--------:h'-c,l'-r---::::::c=:-----------------~.---,.,,,..-,,,,,,,,.,~-------
PijQPERTV OWNER SIGNATURE
CCMPI.ETII= :n-ltS S~CTtON FOR N
Is tha apCllicant or lu111ra building occ:upll'II r■qu·,r■a 11:1 &Wlmil • b1J11inass plan, ac,11"ly hu1rclow; m1111'1l1 r11gi1trotivo ftlfll'I gr riak m1n11gam1m and pr•v11t11ion
program under Sec1l0n& 25505, 25633 D, 26!i34 of Iha Praelev-Tannar Moz1rdou1 $i,bst1nct Acc:ounl Aci? 0 V!:S D NO
Is the &Jlpllcan, er futuro t>uilding oc-cup1n1 requi11d 10 otntin I p111mi1 from 11'11 1ir polli.ltlon c0n11ol dinrici op oi, 11u■llt>1 m1n■oomortt r.lii.rr1et1 D YES D NO
Is tha t1cility 10 be c0na11uctad within 1,000 feo1 cir the 0u11r bound1ry ol I si:t10ot 1i111 D YES ~NO '
IF ANY OF THE ANSWE1'$ A .. E VE$. A FINAL CERTIFICATE OF OCCUll'ANCV' MAY NOT IE ISSIUECI fNtESs THE APPLICANT HAS MET OR rs MEETING THE
ftEQLUREM!NTS OF THI! OFFICE OF EMERGENCY SERVICE! AND THE AIR POLUJTICN CONTROL DISTRICT.
B. COfllSTIIUCTION LENDING AGENCY·.' "
I nareby 11fffrm thu 1hore is e ,on,1TL1ctlon hmdini;i &goncv for Iha p•rform1nc11 of me WDfll for which this permit ia IHuad (Sec. 3097(11 C/uil Code).
LENDEFl·S NAME _____________ _ LENCl!R'S ADDFIEH, ________________________ _
S, APF'LIC'AN:r CERTIFICATION
l Cll"C!ly 1rlat I hh• rnd th& oppjiCHICln ar,d Sta10 1ha1 11'11 lbDUI l11fgrm11i0n If c:orrl!ICT ond 1n11 Thi lnf1:1rm11lon on tha Dlln'i i& 8Ctur■t11. I agr■o 10 comply with Ill
CilV ordinHMH ■nd S1tt• l1wa rolatinlil to b11llding con5tructi"FI-I hermbv ,uthorlu rgpreeenlHivH of ll'lo t:il~ Df C:■rlsb~o 10 inter llllCln Ulo obove m1ntlom1d
proparty /or in1pe,1lgn purpOSH, I ALSO AO.A!E TO SAVE, INDEMNIF"I' AND ICU.P HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES.
JUDGMEf./TS, ecsTS AND EXPENSES WHleH MAY IN ANY WAY ACCRUE AGAINST SAIP CITY IN CONSEOUE,.Cf OF THE GFIANTING 01' THIS PERMIT.
OSHA; An OSHA perml1 i; required r11r uc:,~llions """ 6'0• d11p ,nd Clflmolhion or col\lllruc-iiori ol n,ucturH 0>111 3 uariaa In hei11ht.
Ek'PIRATION: Euel')" partnit i5SU8d by 1 ll ing Official under tt,e provlslPlle of ll'lls CDde $1'11111 Gllpire by llmirarlon end becomti null and UQid if Iha b!Jlcling or WQrk
eill!Miizad by ,uch pam111 ls nol comm cod w( In 160 Clays rrorn 1he data ol such permll or ii 1r,1. building or work eulf1or1zlld by sut11 permit is 5u~penC111d er abandoned
Elf 1.riy dm11 altar 11'111 woli( i.& comme r a eri d ol s (Sacliori 10fl.4,4 unlf□rm S.rlldln9 Codti).
!~
City of Carlsbad
i=iiiidii,i,M·i4·Ellil,i§,il
tiRITN Rl:SIDl'NCI:
2.16~ I !OSI' WY if I 36
CARLSll/\D CA 92008
RE, BlHLDING PERMIT EXPIRATION
PERMIT TYPE, ELEC
Permit Number:CB072801
Issue Date: I l /06/2007
ADDRESS: 2362 HOSP WY #136
PLEASE CALL FOR AN INSP•:CTION IF WORK IS
COMPLETE
Our rccmds indicate that your building permit will expire by limitation of time on 05/04/2008.
i lie pn,, is inns d l !lC. Sc_cthn '06 -I 4 -~amended by the Carlsbad. l'v1uni~jp~J Cllde.0sMc: "F.XP_!RATION.
hen permit is"red hy the Building Orticial under the provisions of this code shall expire by limitation and
bc·c,,rn,· null and ,oid if the building ,w work authorized by such permit is not commenced within 180 days from
the d:r:c ,,r such permit (unless issued prior to 7/1199 which is one year from date of permit), or if the building or
t1 ,,rk authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the huilding nr '"'rk authorized hy such permit exceeds three calendar years from the issuance date of permit.
Work shall he presumed to have commenced if the penniUee has obtained a required inspection approval of work
authori1cd by the permit by the Building Official within 180 days of the date of permit issuance. Work shall he
prc,umcJ to be stopped ir the pcrmittce has not obtained a required inspection approval of work by the Building
Orticial ",thin each 180 da, period upon the initial commencement of work authorized by such permit.
lk!i,rc ,uch w,,rk can he rccon,mcnccd, a new permit shall be obtained to do so. and the fee, therefore. shall be
,_l1ll.·~halr the amount requirL'd ll)r a new permit for such work. and pro,,idcd that no changes ha,e been made or
,., ill hi..' :1::id,.,· 111 thl'. uriginal plan~ ~nd :,;pccifications for such work. and provided fu11hl!r that such suspension or
a ·-rnth.inmt.:nt has not cxccedl;:'d rnk· ~ear. In order to renc\.\ action on a permit after expiration. thi: pennittee shall
;,:,~ ~ ri~\\i~rrni_t.fee. ·"-.
:\n_, p\,.;r"\'ll !H,!dinµ an Ulh .. ''Pircd permit may opply fGr all extension of the time within which work may
i.:omnh.'!h.:1..· undl"r that p~rn1it \,hen the pcrmittcc is unabh: to commence \\ork \\·ithin the time period required by
thi-. :-,.:clidn for good and s.1ti:..fac1011 reasons. The Building Official may extend the time for action by the
pcrmittt.'e for a p~rim.l not exceeding I 80 days on written request by the pcnnittce showing that circumstances
bc,ond the co, ·ol of the pcrmiltcc have prevented action from being taken. No permit shall be extended more
ti· -·-··----------------···
ck hdow indicating your intentions and return this letter to us.
Pwjcct abandoned A new permit will be obtained prior to commencing work.
7\o kc extension requested for 180 da}S. (attach a leucr of explanation)
l,i;.ihc· f''."Jcl'l ha, b,·cn wmplctni and onl) a linal inspection is needed, please call the inspection request line at
I 76C)) 602-2725.
11 \l">u ha,c any quest ions. please contact the llui !ding Inspection Department at ( 760) 602-2700.
Christine \Vauschck
Uflicc Speeialist