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
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Name City
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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