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HomeMy WebLinkAbout2373 AVENIDA HELECHO; ; CB070633; Permit03-07-2007' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070633 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2373 AVENIDA HELECHO CBAD ELEC 2552722600 Lot # DODSON ELECTRIC TO SPA Status ISSUED Applied Entered By Plan Approved Issued Inspect Area 03/07/2007 JMA 03/07/2007 03/07/2007 Applicant LORCO 4488 SALISBURY DR CARLSBAD CA 92010 619-434-8945 Owner DODSON LEONARD E&MCEVOY-DODSON KIMBERLY A 2373 AVENIDA HELECHO CARLSBAD CA 92009 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 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $2000 Balance Due $000 Inspector FINAL Date 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 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 will bar any subsequent legal action to attack review set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght 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 Jees/exactions of which you have previously been given a NOTICE similar to this, of as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION •- •• \ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 iyt^&^^^mmSKE3K^SES:^^:^^^^t FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By O Date 3 I"1 Address (include Bldg/Surte ft}Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's P A Use Proposed Use Description of Work SQ FT #of Stones # of Bedrooms ft of Bathrooms ^ (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 basts for the alleged exemption -Anvolation ojection 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S500]) Name IV^I ") rf\ Address State License tt ^}^JJ L>~L-^) License Class t jt Designer Name Address State License # J_^ City State/Zip Telephone tt j/ City Business License 9 \&Jt<*Ji*jmJ 1 rO*/£>- — «^d(^ JA 1 City State/Zip Telephone ^rJT^^T^F^'rJTJ"H*f^<"*[VTV"' B*P^t 'it1im'**='""^ '1 * ;" L ^' ' •' Upltm^^SSSSS^&'^MMnii Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations LJ 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 LJ 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 workej^a-Compensation insurance carrier and policy number are Insurance Owfipany Policy No Expiration Date NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS 100) OR LESS) 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 W/rkers' Compensation Laws of California WARNING Failure to secure wOTRera' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,00l>yfn addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE [/ DATE &) l^lO*~ I hereby affirm that I am eVempt 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) Q 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) D 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 ONO 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 ^BUILDJNG^ERMITS, ONLXfc^tb^iktA 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 C! NO Is tha applicant or future building occupant required to obtain a permit 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 site? D YES CD 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 fl Ul I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS i* W'tw ; ft "' 'tiiiM :. ., J , m<Hm 1 ^:^::J' 'in' u. ~*v % K: iU.hi^i^ •!-;.,' " *"im<"ii' t '4^ zrm^t±u^J:.,&$ml$%^MU£*U^^ 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 1 hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSOTAGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHIjfcH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for ex jt/otions over 5'0" deep and demolition or construction of structures over 3 stories in height under the provisions of this Code shall expire by limitation and become null and void if the building or workEXPIRATION Every permit issued by the authorized by such permit is not commence at any time after the work is commenced fo APPLICANT'S SIGNATURE .0 days from the date of such permit or it the building or work authonzed by sue 180 days (Section 10644 Uniform Building Code) DATE is suspended or abandoned WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/05/2007 Permit# CB070633 Inspector Assignment Title DODSON- ELECTRIC TO SPA Description Type ELEC Sub Type Phone 7604200808 Job Address 2373 AVENIDA HELECHO Suite Lot 0 Location Inspector CJWNER DODSON LEONARD E&MCEVOY-DODSON KIMBERLY A Owner DODSON LEONARD E&MCEVOY-DODSON KIMBERLY A Remarks A M PLEASE Total Time Requested By LORCO Entered By CHRISTINE CD Description Act Comment 39 Final Electrical Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/09/2007 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY