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HomeMy WebLinkAbout2497 OCEAN ST; ; CB021705; Permit06-05-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB021705 Building Inspection Request Line (760) 602-2725 Job Address Permit Type °arcel No •Reference # Project Title 2497 OCEAN ST CBAD ELEC 2030210800 Lot# PALMATEER RES OVERHEAD TO UNDERGROUND ELECTRIC 100 AMP PANEL Applicant MULLEN CONSTRUCTION 2890 PIO PICO DR CARLSBAD, CA 92008 619-434-2233 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/05/2002 RMA 06/05/2002 06/05/2002 Owner PALMATEER KATHERINE R PRINCIPAL RESIDENCE TRUST 2497 OCEAN ST CARLSBAD CA 92008 8597 06/05-'02 0002 01 02 CGF* 35-=00 Total Fees $3500 Total Payments To Date SO 00 Balance Due $3500 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 100 0 0 0 $1000 $2500 $000 $000 $000 $000 $000 $000 $000 $000 $3500 FINAL APPto/AL Date IV* /Of Clearance NOTICE Please take NOTIEE thaYapproval of your project includes the Imposition of fees dedications, reservations, or other exactions hereafter collectively referred to as' fees/exactions You :'4ve 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'Jin 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 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 :i!nspROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO ( /\0^! ~7 EST VAL Plan Ck Deposit Validated By. Date //> / Address (include Bl tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel tt Existing Use Proposed Use tt of Bathrooms ontractor ri, Q Agent for Contract Name 4?ff«i Address City State/Zip Telephone tt / State/Zip * Telephone #Name Address City •• •-K-MISK 'r (Sec 7031 5 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 Codel or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a eSSrmit ^Subjects the applicant to a civil penalty of not.more than five hundred dollars [$500])Fit* (M&m CA T^ 76* State License tt ^7 *>/ Address License Class City State/Zip City Business License # / Telephone tt 1&2-I . |J [l Designer Name Address City State/Zip Telephone State License tt 6 WORKERS COMPENSATION : :'-' J"" ,,^ • . . ;.;;;:: " ....:;- - ":• ..„ '" , Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 £A 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 \J^Vff,n A (&\ ~XM~Ly<L+ (—£>W7gCfc-s. Policy No /fe£><T - Q66Q£3^ / Expiration Date_ (THIS SECTION NEED NOT B/COMPLETED IF THE PERMIT IS FOR ONE* HUNDRED DOLLARS [$100] OR LESS) CD 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 yxfhe WBhkerd Compensation Laws of California WARNING Failure So secure/ workers compensation coverage'is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1^^00^inpdoitiorytb-*ha_co6«-trrSornpensation damages as provided for in Section 3706 of the Labor cope interest and attorney s fees SIGNATURE .^t^-^^J \J^T DATE 7 '• OWNER BUILDER DECLARATION i ... . .. : i ,\: I hereby affirm that I am exempt from the Contractor s License Law for the following reason t~l 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 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) CD 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 builds or improves thereon md contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) CD 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 l~l YES DNO 2 I (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) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS: SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY ; :ij ' Ji^'r J" «„,* ..,. ,,a 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES CD NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES CD 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(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLiCANt CERTIFICATION Y" ";zr'"-U^S':.'" a;i:r" •**.:••??•-*::r~- -1 = -w • •:.-.. , •• ~ -a^- .,;• ' -^ »• >••• •• i ^ : I certify that I have read the application and state thdt 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 City 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 byine bu/ldiiig 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 comnjencedLwitmnj 180 days from the date of such permit or if the building or work authorized by such p;ermit is suspended or abandoned at any time after the work is commencfell (0/a period of 180d€tys~(dectidnHp64 4 Uniform Building Code) APPLICANT S SIGNATURE //\J^-~-"^^ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/14/2002 Permit# CB021705 inspector Assignment Title PALMATEER RES-OVERHEAD TO Description UNDERGROUND ELECTRIC-100 AMP PANEL Type ELEC Sub Type Phone 7604702860 Job Address 2497 OCEAN ST Suite Lot 0 Location Inspector APPLICANT MULLEN CONSTRUCTION Owner PALMATEER KATHERINE R PRINCIPAL RESIDENCE TRUST Remarks Total Time Requested By TIM Entered By CHRISTINE CD Description Act ^Comments 31 Underground/Conduit-Wiring 34 Rough Electric Associated PCRs Inspection History Date Description Act Insp Comments 31 '0£ 08 42RM MCNflMftRH PUHP^ELECTRIC McNAMARA PUMP & ELECTRiC P O Box 1989 • San Marcos, CA 92079-1989 t20N Pacific St Suite A 2 • San Marcos CA 92069 (760) 744.189S • (858) 454-1686 • Fax (760) 591 3808 License NO 75706.! P 1 j2 88 45flM MCNRMfiRH PUMP&ELECTRIC P 1Licsnsa No 757062 McNAft/iARA PUMP & ELECTRIC P O Box 1999 • San Marcos CA 92079 1989 120M Pacific St .Suite A 2 • San Marcos CA 92069 (760) /44 1895 • (858) 454 1686 • Fax (760) 591-3808