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HomeMy WebLinkAbout2476 MOUNTAIN VIEW DR; MP; CB000252; PermitCity of Carlsbad 0172672000 Electrical Permit Permit No:CB000252 Building Inspection Request Line (760) 602-2725 Job Address: 2476 MOUNTAIN VIEW DR CBAD St: MP Permit Type: ELEC Parcel No: Lot #: 0 Reference #: Project Title: ARMY/NAVY ACADEMY-100 AMP meter at tennis courts Applicant: Owner:, ARMY NAVY ACADEMY Status: ISSUED Applied: 01/26/2000 Entered By: RM Plan Approved: 01/26/2000 Issued: 01/26/2000 Inspect Area: 8416 01/26/00 0001 01 02 C-PRMT 35-00 Tôtl Payments Toâje' $0.00' "-' .Bala Total Fees: $35.00 / çe Due: $35.00 Single Phase per AMP (9$1,0.00 $25.00 Three Phase per AMP 0.00 Electric Issue Fee I Three Phase 480 Per AMPS $0.00 Remodel/Alteration per AMP $0.00 Remodel Fee $0.00 Temporary Service Fee INCORPORATED Test Meter Fee 1952 10 $0.00 Other Electrical Fees $0.00 $35.00 TOTAL PERMIT FEES FINAL AP 2. PROVAL Date: Clearance: NOTICE: Please take FlTIC'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 Cadsbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438.1161 FOR OFFICE USE ONkY PERMIT APPLICATION PLAN CHECK NO CITY OF CARLSBAD BUILDING DEPARTMENT 'EST VAL 1635 FaradayAve., Carlsbad, CA 92008 Plan Ck posit , Validated By. p i4' Date_____o mi _________ PJQ,JECTJNFORffiATION., & v 7 lô tflOufr/414 V, J)1K.' - . Arm y 41h!J Ab y Address (include Bldg/Suite #) Bu(iness Name (at this address) 1 Legal Description . Lot No. Subdivision Name/Number Unit N Phase No. Total) of units - Jr Assessor's Pa ,b # . Existin' / Proposed Lice Tv3WaA o Qh4J il'feh'- OMI 7"o -s c, 54>e 2ø4-. Description of Work - SO. FT. #of Stories . # of Bedrooms # of Bathrooms FW ESE R IAEL~~Wtrrrie%e 411 6pr jf Cth . cAeLsr- NanIeJ . Address - City State/Zip Telephone # Fax # Name' ' . ,. Address- , - . City . . State/Zip - Telephone # 71501111 -0 r/5b1 Name . (I Address City State/Zip - -Telephone # JJN gum (Sec. 7031.5 Business and Professions Code: Any City or County which reuires 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 provisiois 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 exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 10001). Name . • Address . City, ' - State/Zip '• Telephone # - State License #', - - -. - License Class . . City Businàs License # Designer Name - Address - . City State/Zip Telephone State License # - 12 H Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ' 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 which this permit is 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 [$100] OR LESS)". CERTIFICATE OF EXEMPTION: 1 certify that in thi 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 secure workers' compensation coverage is unlawful, and shall subject snernployer to criminal penalties and civil fines up to one hundred "thousand dollars ($1001000), in addition to the cost of compeflsation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE ___- _-- _-'•-.• DATE R Mil 11 L1LLL [ gmmi I hereby affirm that I am exempt from the Contractor s License Law for the following reason 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 Contraàtor'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 Ior 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) I, as owner of the property, 'cm exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions 'Code: The - ôontractor's License Law does not apply to .an owner of property who builds r improves thereon, and contracts far 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: - - - - I personally plan to provide the major labor and materials for-construction of the proposed property improvement. 0 YES ONO - - I (have /have not) signed 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 / address I phone number I 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. work): provide home of i ,,àrk6ihave contracted (hired) the following persons to provide the work indicated (include name! address /phone-flarnber / type of PROPERTY OWNER SIGUR - - ' ' DATE /'6-00 - " -'-- - Is the applicant or future building -occupant required to submit a business plan, acutely hzardous 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? 0 YES 0 NO Is the facility to be cOstucted 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 30970) Civil Code) LENDER'S NAME , ' - LENDER'S ADDRESS ER I certify that I have read the application and state that the above information is correct and thit the information on the plans is accurate. I agree to comply with' all City ordinances and State laws relating to building construction. I hereby authoriie representatives of the Citi 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 thi0 Code shall expire by limitation and become null and void if the building' or work authorized by such permit is not commenced within 180d m the date of such permit or if the building or work authorized by such permit is 'ciispended or abandoned - any time after the 'work is ' en d for (of 180 da s (Section 106.4.4 Uniform Building Code).- at - - • -- - - ' APPLICANT'S DATE / - - - -- WHITE: File YELLOW: Applicant PINK: Finance - - - 7 aqw, City of Carlsbad Bldg Inspection Request Lu For-' 2/8/2000 Permit# CB000252 Inspector Assignment: PY Title: ARMY/NAVY ACADEMY-I 00 AMP Description: meter at tennis courts'' - Type: ELEC Sub Type: ) Phone: 0000000000 Job Address: 2476 MOUNTAIN VIEW DR : Suite: MP Lot 0 . Location: Inspector: APPLICANT. ARMY NAVY ACADEMY Owner: ARMY/NAVY ACADAMY, Remarks: CHECK IN AT THE MAINTENANCE OFFICE ' Total Ti 'me: . Requested By: ROGER, - Entered By: CHRISTINE CD Description Act Comments 34 Rough Electric - Associated PCRs - Inspection }-llstory Date Description, . Act Insp Comments . . 2/1/2000 31 Underground/Conduit-Wiring AP PY OK TO COVER 2/1/2000 34 Rough Electric ' . NR PY 4 -i .