HomeMy WebLinkAbout2400 BUENA VISTA CIR; ; CB052527; Permit.I
07-07-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Electrical Permit Permit No: CB052527
Job Address:
Permit Type: Parcel No:
Reference #:
100 AMP PANEL AND ELECT TO FUTURE SPA
2400 BUENA VISTA CR CBAD ELEC Status: ISSUED
1552230600 Lot #: 0 Applied: 07/07/2005
Plan Approved: 07/07/2005
Issued: 07/07/2005
Entered By: LSM
OLIVER RES- UPDATE FROM GOAMP Inspect Area:
Applicant: Owner:
SUITE B
WARD DONALD R
133 THE MASTERS CIR
COSTA MESA CA 92627
760-434-2335
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
40
0
0 0
$10.00
$10.00
$0.00 $0.00 $0.00
$1 0.00
$0.00 $0.00
$0.00 $0.00
$30.00
Total Fees: $30.00 Total Payments To Date: $0.00 Balance Due: $30.00
review, set aside, void, or annul their imposition.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. maS-&3
CITY OF CARLSBAD BUILDING DEPARTMENT Plan Ck. Deposit 1635 Faraday Ave., Carlsbad, CA 92008
Address (include BldglSuite #I
Legal Description Lot No.
Assessor's Parcel # Existing Use Proposed Use
Business Name (at this address) K
Subdivision NamelNumber Unit No. Phase No. Total Y of units
&Description of Work IOU *p mmfl/m-J
Name Address City Statelzip Telephone # Fax #
Name 1 Address ' City StetelZip Telephone #
Name Address City Statelzip Telephone X
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
State License I 7 (4 License Class C -/O City Business License #
Designer Name Address City Telephone Statenip
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to aecum workam' compwcltion covomga is unlawful. and kal subject an employw to Criminal panaltim and clvl fin- up to one hundred
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
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
attorney's fees.
' 0 1, 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).
0 1, 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).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) sigmd an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
~
4.
number I contractors license number):
5.
of work):
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 I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
PROPERTY OWNER SIGNATURE DATE
mF4 mmammr
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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
0 YES 0 NO
LENDER'S ADDRESS LENDER'S NAME
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 Stete laws relating to building construction. I hereby authorize representatives of the Cit) of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' 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 shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
APPLICANT'S SIGNATURE DATE -7-TeQ?
at any time after the work is (Section 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
' City of Carlsbad Bldg Inspection Request
For: 07/18/2005 /
Permit# CB052527 Inspector Assignment:
Title: OLIVER RES- UPDATE FROM 60AMP
Description: TO 100 AMP PANEL AND ELECT TO FUTURE SPA
Type: ELEC Sub Type:
Job Address: 2400 BUENA VISTA CR
Suite: Lot 0
Location:
APPLICANT RAYGUN ELECTRIC
Owner: WARD DONALD R
Remarks: PLEASE INSPECT 1 PM
Total Time:
Phone: 7604342335
Inspector:
Requested By: RAY
Entered By: CHRISTINE
CD Description Act Comment A
33 Service ChangeNpgrade
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Associated PCRs/CVs
A
Inspection History
Date Description Act lnsp Comments
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