HomeMy WebLinkAbout2501 LA COSTA AVE; MP; CB003762; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10/10/2000 Electrical Permit Permit No:CB003762
Building Inspection Request Line (760) 602-2725
Job Address: 2501 LACOSTAAVCBAD N\f
Permit Type: ELEC
Parcel No: Lot#: 0
Reference #:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
10/10/2000
JM
10/10/2000
10/10/2000
Project Tille: PAC BELL 200 AMP METER PED Inspect Area:
Applicant:
ROBINSON ELECTRIC
8871 TROY ST
SPRING VALLEY, CA 91977
619-697-6040
Total Fees: $60.00
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
TOTAL PERMIT FEES
Inspector:
Owner:
Total Payments To Date:
0
0
0
200
$0.00
0628 10/J..O/'JO OOOJ.. 01
Balance Due:
$10.00
$0.00
$0.00
$0.00
$50.00
$0.00
$0.00
$0.00
$0.00
$60.00
$60.00
~''?IRED PEF"r.,'.T
. ' • "f?:RED IN ACCORD/ . -~ ¼
FINAL APPROVAL
lC .
Date: _____ _ Clearance: ______ _
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 specffied 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 vou have nreviouslv been c iven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exnired.
02
60.,00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C/3 3 7 b ~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Depo
f:oie/! t ORMATION
Validated By_,__......,_ __ ~-+--+--
Date _______ ~~r-fr-H'--f,;H--
1.
~ :-½,e \ , , L. A
Address (include Bldg/Suite #) Business Name (at this address)
legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
) \.,0 ✓ a.7 Proposed Use
A¥-edrooms # of Bathrooms
Name
3 .
Name
4. :fR9t,,RU, OWNER •
fuc..L P, c.. ~ £..LL-
Name
Address
0 Agent .for Contractor
L.,<i:., LT {Z_ I (__.
Address
Address
6, CONTRA~TOR • COMPA~Y NAME
ST J
State/Zip Telephone# Fax#
City
,5 A r0 v i' ~Cao Cit
City State/Zip
(p LC/-5'7Lf-43JL
Telephone#
(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 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 ,Q.U')_dred dollars [$5001).
B,o{,?;,i[\)5c.,µ E.U:..c,1<....1c_ 8~')1 ""Tl2.-o ~ ..sr-, ..$PtZ.i i(J(, VA~ C--lt (p15-~q7-~0'fo
Name Address City State/Zil2,/ yilep~e #
State license # 4d s 5 'i s license Class C -I O City Business license # ,, io ~9 J q
Designer Name Address City State/Zip Telephone
State license # _________ _
6. WORKERS" COMPENSATION " 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 .
.IQ 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 Sttl<..L.i tv <;.i Policy No./\/W C OO?,o'+7-oo Expiration Date to\01 lo1
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
0 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 l aws of California.
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 dollars ( 00,000), a ition the 't(>St of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE_..,p..,....:.i2=....--\t"'=~c.JI~~~~::::....-------------DATE ft>-16 -0 6
~7. ~ t.
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 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).
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 builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's license Law).
0 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 O NO
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 BUl~DING PERMffS ON~---·
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? 0 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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 JS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING ~GENCY _ _.,,,_,....,._....,.,_
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 ________________________ _
9, AeJ'!,.lCANT CERTIFICATION
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' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building 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 co enced within 180 days from t e date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is com ced for a peri~ 180 days ction 106.4.4 Unilorm Building Code).
APPLICANT'S SIGNATURE , • \ l_ DATE / C> -16 -6. O
WHITE: File YELLOW: Applicant PINK: Finance
07/17/2000 12:55 7507529855 Au( (',..,_QtvT H~I SAN MARCOS
R_ . HCI SAN MARCOS
PAGE 02/02
PAGE 06/10
P. 0f;.t113 . J1!5-f2E,/2000 14: 21 760?5;2~8_5.~~ ............. ...---"'-'"t ,__ ELECTRIC METER ti SERVICE LOCATION
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""'"•r• IN!lll:i,Jlt~ :11 ~ re~df!y ,,ec;)c;~lbl0 2J t,O<Jr: ,er ~ly. Mc:trs must bJt
:nc:~:rr. Ir, H ~,11 .iirr.~ Hllf or l\ll:. r,<>te:,: .. 11¥ 1,.,,.~,cJ, ...,., ,,, 0•11JY-"'''" •1".''l<l~I""
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rnetsr rt>Om ;, prt>po,ed, c:on1ac1 die Ptarmsr M the r bt•9\1 $0<i&.! of(tce.
M,ter baffl "14 "1e1er "rilet lfll•~!IMCtt n'IUll ba lr-catad llt or lff'l~~ely
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.. ___ ... _,_._ ........ _._,.._.,.._ _____________________ ..
01/l!RHEAD SERVICES
FIROVIDE MINIMUM G~OUNO CLEARANClt OF:
___ 1111. •1 polr,t of a,t1ol'lma11t ol aemca 111ir,a
___ Ft. QVU drlvew•y or pat!dng ares
_ Ft. al ourer llmn of "6hleular trafflc ___ Fl. _____________ _
PFIOO!!OUIII! 1'0~ INSTAl.l.ATION
, ... ,r at! ma~,.., ',LIA., ~~l"l.101'111.! Cl NOT APPLICABLE
!. """"e SOGI\E ~~/2.3 worirlr,g oay11 pf1o,·to tl'llricl,lng to .urango
"'"" 11'1!\POClor and lnitlaro trenching procs£S.
3. PHON& D10 ALERT 1-800-4122."4153 AT LEAST TWO o,-VS PR!Olt TO TP.EMCM,
t!JG FOR ~OCATIOrt 01' UND!ROROUNO UTILITlr:.'"'1
◄. Exc~lfar• tta~.:r1. ,natall eondvlt anrt ~er,,loe ,r,ire "CO ,quipmsnl 111 me:er
loca1ion. CALL. ASOVE PHONE# FOR INEIP!ECT!Ot-1. 00 not co.,er conduil
wlTIIOOI l,u~ctc.r'• written appro .. :li 10 l>aokllll.
,. r.::it: i~-$p~c:ll~"'~I" ··tnr.1'11; t'tlC~Jll;•.J .,,td ourn~1e, lorin~pec:tlor, ri 3e:vi~
,r~treno11 t1'll,l;J."'•~I ls l11ola.lloc ofter i:.=ldlli. CA.!..J. AE)OVE P•l.'.:l>4G • "0~
11,.,.1. ~•~, , ... ,. _.,,,. , :,II'. .. '-'•J1r;~11a., .
o. Metrr w :11 oe set .a1l11r inspector nas aopr-o-nod ,n&Ja huon. including HMO&
~out:,m~nl, ~ .... o receipt of c:tJylc<:><JnCy/state• insl)e(:010~ cle;,..nce.
JT TR£:"1CH :::J:i,.9 C .,.11.co Oc;,,.rv I sEc i.t1G1-1T
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