HomeMy WebLinkAbout2462 MICA RD; ; CB102474; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-16-2010 Electrical Permit Permit No: CB102474
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2462 MICA RD CBAD
ELEC Status:
Parcel No: 2132700200 Lot #: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
PCH ELECTRIC
1433 STEEN CR
VISTA 92083
760 717 7635
Electric Issue Fee
HALL RES-ADD (1) 30 AMP CIR.
FOR NEW DRYER LOC
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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
WILLIAM LYON HOMES INC
4490 VON KARMAN AVE
NEWPORT BEACH CA 92660
ISSUED
12/16/2010
LSM
12/16/2010
12/16/2010
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
Inspector: 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 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. NOA DOES IT APPLY to any
f whi h h v r vi I iv n N Tl ·1 r hi whi h h f limi i r vi I h i
#" ' «,~\ Building Permit Application Plan Check No.Ch I 0:;;J.f 7 c.L
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 / 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date I "2-} 11,,, f I 0 lswPPP
JOB ADDRESS Zc/it2 /1-1/C:ef<. I(,:;(. SUITE#/SPACE#/UNIT# IAPN ---
CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
i ,,,, .f/-q_ I J /-'}6 ,l/"l;? t ,r1c., ,'f-q//e/-/c;r ,,.,..e.,.,. d/' ft' r t,.." C 4 r/~_.,,
EXISTING USE FIREPtACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
vesO
IAIR CONDITIONING I FIRE SPRINKLERS
Nc(J YES □No□ v,s□No□
CONTACT NAME (ff Dlffetent Fom AppHcant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE lFAX PHONE FAX
EMAIL EMAIL
PROPERTY OW'2" ?!'! /i (!? Jl4 II CONTRACTO):US#ME ~/,?, , ~ 'C-/rt<C-
ADDRESS 7-<I'' 2 ,,-1"1/t:4 J(cf, ADDRESS s Tee..,.,,. It/ 77 C,1',-c./ e
CITY C: 4/'IS /4 // STf2.;/ 9
z1p
CITY ///.) / C(_ 24 ZIP
97c;oJ
PHONE
xo8-3¢rr -7z t c, l'AX ~6[1-;/~tL-~o J6 PHONE '7~ FAX 7-a -717-7t5)_s ?6,-75~-Jj..J'" 6
EMAIL
,;u/'~U)~.l-o -
EMAIL /C~ e lecrr'ic ,.; "•-•ii ,Ct:1..--r
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATELIC.# I CLASS r~ "p,p-ft,..,, ?zz7c1 I .C:-IC
(Sec: 7031.5 Business and P_rof~1ons Code: Any City or C~un_ty which requires a perm1t to c_onstruct, alter, Improve, (!emoltsh or repair anr structure, pnor t9 Its 1ss~ance, also requires the app!1cant for such permit to file a s1ro,ed s~tement that he 1s licensed pursu~nt to the provisions of the Contrai;tor'!> License t.,aw {Chapter 9, commending with Sect•!)n 7000 of Division 3 of the Busmess and Professions Code) or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$5001).
WORKERS· COMPENSATION
Wotkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
B I have and will maintain a certificate of consent to self-Insure for'Mll'kers' compensation as provi::led by Section 3700 of the Labor Code, for the performance of the work for which this pem,it is issued.
I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ____________________ Policy No. _____________ Expiration Date ________ _
E on need not be completed if the pemiit is for one hundred dollars ($100) or less.
rtlftcata of Exemption: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dO,lars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, Interest and attorney's feas.
,1$ CONTRACTOR SIGNATURE
I heraby affirm that I am exempt from Contractor's License Law for the following 1"88son:
□
□
□
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 'Mio builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are nol 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 Of improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to ronstruct 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).
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. OYes Oo
2. I (have/ have not) signed an application for a building pennil for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number):
4. I plan to provide portions of the work, but I haV9 hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
.If PROPERTY OWNER SIGNATURE DATE
,. ,
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a bu&iness,R!!Q, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 Of 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes l..JNo
Is the applicant or future building occupant required to obtain a pemut from the air pollution control district Of a~ll81ity management district? []ves D No
Is the facility to be constructed within 1,000 feet of the outer lxlundary of a school site? Oves LJNo
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the perfonnance of the work this permit ts issued (Sec 3097 (t) CIVil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
1 certify that I have read the appllcallon and state that the above Information Is correct and that the lnfonnation on the plans Is accurate. I agieeto comply with all CHy ordinances and State laws relating to building construction.
I he!eby ""'1orize rep18S8<11ai"' of lhe City of Cai1sbad to enter upon lhe above mentiorad property for ,spection pu,posea I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 11-iE CITY OF CARLSBAD
AG'JNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES \'llilCH W..Y IN ANYWAY ACCRUE AG'JNST Si'JD CITY IN CONSEQUENCE OF 11-iE GRANTING OF 11-ilS PERMIT.
OSHA: AA OSHA permit is required fa-excavatk:lns CNf!I 5'0' deep and demolition or <mslroction of structures over 3 stories in heiglt.
EXPIRATION: Every pennil issued by lhe BLiking Official under lhe pr0\'isions of this Code shall expire by limitation and become rull ard -.oicl if the Wkling or work authorized by such permit is not oorrmenood within
180 da)ts rrom the elate of sldl permit or if the blildi orWC>lil. authorized by such permit is susperded or ci>andoned at anytime after lhework is canmenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
8SAPPLICANT'SSIGNATURE n~~~~ DATE /2-;tt' -2e:~o
City of Carlsbad Bldg Inspection Request
For: 01/18/2011
Permit# CB102474
Title: HALL RES-ADD (1) 30 AMP CIR.
Description: FOR NEW DRYER LOC
Type:ELEC Sub Type:
Job Address: 2462 MICA RD
Suite: Lot: 0
Location:
APPLICANT PCH ELECTRIC
Owner: WILLIAM LYON HOMES INC
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Requested By: EFROM?
Entered By: JANEAN
39 Final Electrical .lii'f4_
2-vi --JI+-----~
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments