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HomeMy WebLinkAbout2452 LA COSTA AVE; ; CB061230; Permit... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-04-2006 Electrical Permit Permit No: CB061230 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2452 LA COSTA AV CBAD ELEC Status: Parcel No: 2161601400 Lot#: 0 Applied: Reference #: Project Title: JONES RES-REPLACE 100 AMP WITH NEW 225 AMP PANEL Applicant: A SANSHEY ELECTRIC PO BOX 301131 ESCONDISO CA 92030 760 7 43-6273 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 125 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: JONES PHILIP L&DIANE 6421 GARY CT SAN DIEGO CA 92115 ISSUED 05/04/2006 RMA 05/04/2006 05/04/2006 $10.00 $31.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.25 Total Fees: $41.25 Total Payments To Date: $41.25 Balance Due: Inspector: FINAL Date: Clearance: $0.00 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 lo 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 f hi h h V imil r . flimi i I h Xi PERMIT APPLICATION FOR OFFICE USE 01)1~.Y PLAN CHECK NO. U[O b {2--J D CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit (j ValidateiB. ( J/F Date IL J / nL' T fl tr~ l,4.C{b;])4/U_,. Business Name (at this address) X Address (include Bldg/Suite #) )L/'52 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel I Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Address City ,1,;J:,~·111111•11lAU1!i!t·il:llMl""io~•.;.Q,i119m1~c~,.,1ClllwM<:. ;l:1Ar,,nt,1<>ri0wotr1 ·' Name Address City )(~--; ,:"t::11--&fzbliiJ/•'-; Name City !lt~~1NAMet~~~1Li½-!f<'.iL°i'.%!¾,; '\'.Hitr►-)';i:t"i State/Zip Telephone# Fax# State/Zip Telephone# Telephone# (Sec. 7031.6 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 basis for the alleged ny violati of ~!ioi,!031 .6 by any applicant r91i a permit subjects the applicant to a civil alty of not ore than five hundred dollars ($600)). t::: "'2 <:T, ..,., L . ~'&! Address _,,., -("""' City License Class __ '--__ _c~=V____ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ A.,1?4WOIU--Nll!liftfMIIII&.~,. ;)!.l,:i.>, • ,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. ~I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic issued. My worker's comp:~n ~~:nee wri~r and policy number are~ I =' a , 1InsuranceCompany c~ Ft,Ar,J/) ~PolicyNo. /2/✓f// :(2,b ~ ExpirationDate,_~//.L,/-!""''.J<:L_ ':J.-ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D 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 Workers' Compensation Laws of California. WARNING: Failure to ucure workers' compenaation coverage la unlawful, and shall subject an empl~y r to criminal penaltkla and civil flnea up to one hundred thouaand dollars t$100,000), In addition to the coat of compensation, damages aa provided for In Section 708 of the Labor code, Interest and attomey'a feea. ysrGNATURE,______________________________ ATE _________ _ 1~\cf:~~CJJth~ifh~'i < ~"" •, /0\',;, ''--'t,W? ~l; <,t'f\).;' f ,1, 1µ~ 1;f !f'" ,,,-,, 1 ,(" ~%fa!~?,~,""' "ta ,,,,.,.,,,i,} !tiN~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 doas 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 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 buifljs 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. 0 YES ONO 2. J (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): ______________________________________________________ _ DATE _________ _ 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 26606, 26533 or 26534 of the Presley-Tanner Hazardous Substance Account AcH O YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 0 YES O 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' ,, 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). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ illlN\W''f&itR ... RilOMJQ~,,.,WmtWitr:o;;-;!~¼~1i:,f¼'.~~ .. tk⇒ill1i&±i£i\i,t]h;;fil\::%;1;f:;:<;~;:;,~;':1,,;,.htb;,~r~t%&wri;ljj:fi'.srict&~-~,'ll~~~:: '.,'i~¾~ld';#J,1}~~:¼''i/j;,:,,t I, ;·,:::.,,.:('.,h/t:;:¢<'.:;-·". 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. I hereby authorize representatives of the Citt 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· ep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bu· I Offi under the provisions of this Code shall expire by limitation and become null an void if the building or work authorized by such permit is not co•'!11'*~1:1(ithi 1 days from the date of such permit or if the building or work authorized by such erm· is suspended or abandoned at any time after the work is com need f of 180 days (Section 106.4.4 Uniform Building Code). -YPPLICANT'S SIGNATURE _ _j.,__~:;_.Ej'lf.-__________________ _J DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/19/2006 Permit# CB061230 Title: JONES RES-REPLACE 100 AMP WITH Description: NEW 225 AMP PANEL Type: ELEC Sub Type: Job Address: 2452 LA COSTA AV Suite: Lot Location: APPLICANT A SANSHEY ELECTRIC Owner: JONES PHILIP L&DIANE Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: BN --- Phone: 7606442550 -· j'l\/'v Inspector: ----- Requested By: PATRICK Entered By: CHRISTINE 39 Final Electrical r£_ _____ _ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 05/09/2006 34 Rough Electric Act lnsp Comments AP BN EMR