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HomeMy WebLinkAbout2505 OCEAN ST; ; CB044519; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-15-2004 Electrical Permit Permit No: CB044519 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: _,si,5 :.W:,.OCEAN ST CBAD ELEC 0000000000 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: ARMY-NAVY ACAD REPLACE 200AMP METER AND 3 PANELS AT BOOKSTORE Inspect Area: ppl' ··--. SERVICE ELECTRIC INC STE H ~m-lel'J'T'i=ERRIPRISE ST 92029 760-291-1302 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 0 0 0 200 Owner: ARMY&NAVY ACADEMY PO BOX3000 CARLSBAD CA 92018 ISSUED 12/15/2004 KG 12/15/2004 12/15/2004 $10.00 $0.00 $0.00 $0.00 $50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 7709 12/15/04 0002 01 CGF" ---;;J_ Inspector: :t';/, FINAL APPROVAL '(,,/ Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese1Vations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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. NOR DOES IT APPLY to any /x in fwh'h TE i ilr owhihh fli ion h ·-···-·----------- 02 ,50,,00 PERMIT APPLICATION CITY OF .CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK Ncf.:_,6oLJt./sJ9 EST. VAL. _________ _ Validated Bv ~~ c:::::: Plan Ck. Deposit ~ .)5f>~ Date I 2-1 ':2--f>l.{ ~ _:_~_d,_:_?_:_~_:_~_:_~_0_1:_gR_/:_"A_~_:•_:_~-----~--•·------~---~--/Jc-i,.l_l:)_B_u_,t-.1._;,_.,_~_N_~_~_,_1_,_'~-h-;,_,_d_d_~_'~_l __ v _____________ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories II of Bedrooms # of Bathrooms PE~nt from applicant} Addrtiss City State/Zip i,\I -t,3o2..-2-"I \ -I 3c:q Telephone # Fax II D Agent for Co~oh ..... i;:::! Owner O f\9Bnt f • ~ l!).j I QC.l"IQSt:_ • "i.Tiil. t\ ' Ibo Q!.-.~~-~1 __ Z1~1_-_13o_~ __ 4, I\ ~OPE~T:,OWNER ,.,.._M,\j ~ IJw.l'J Address 5. CONTRACTOR~ COMPANY NAME . State/Zip Telephone# Telephone# / Name Address City State/Zip (Sec. 7031 5 Business and Professmns Code: Any City or County which requires~ permit to construct, alter, improve, demo!rsh or repair any structure, pnor to 1ts 1ssuan,;e, also requires the appltcant for such perrrnt to file a siyntid statement that he 1s licensed pursuant to the prov1s1om; of the Contractor s License law [Chapter 9, commending with Section 7000 of Division 3 of th8 Business and Professions Code] or that he 1s exempt therefrom, and the basis for the alleged exemµtio;l\t~ vio~ Se,cf r 7031 .5 by un~ica~iessu~Tt: t appli lt to a WJIOOlty ~ot mb.1 th· 1 five l#Orod utars_l $(!cZ- Name Address City State/Zip Telepho # State License # f,}~l 14'=> Lictinse Class C-\ D City Business License # ____N__e..,,,...,J Designer Name Address Citv State/Zip Telephone State License II _________ _ WOR~~RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: !·□· J have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of thu Labor Code, for the performance of the work for which this permit is issued. ',! ~ I have and will maintain workers' compensation, as requinid by Stiction 3700 of the Labor Code, for the performance of the work for which this permit is ued. My worker's compensation ~urance carrier and policy number are: losurnoce Compaoy :"Sr"ATE ~l> PoHcy No. C()j) ~1c?.-c3 Exp;,a,;o, Date l-Ol -l!>S' {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not ernpluy 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 an employer to criminal µenalties and civil fines up to one hundred ! thousand dollar $1~000bin additiqn ~ the cost of compensation, damages us provided form Section 3706 of the La:~_jlterest and attorney's fees SIGNATURE •I ' ~ ~ DATE_,)"'2,"-J./-,A~"'J-'~'--'---- 7. OWNER.BUILDER DECLARATION J hereby affirm that I am exempt from the Contractor's License law for the follow11g reason , D I, as owner of the property or my employees with wages as their sole cornp1msat1on, will do the work and the structl re 1s not mtended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License Law does nqt apply to an owner ot 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, how0ver, 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 pL1rpose of sa!e). 0 I, ris owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, ausiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or 11nproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt undtir 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. I (have I 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 l 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 indicatlld (include mime/ address/ phone number/ type of work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the aj)plicant or future building occupant required to submit a business plan, 1icutely trnzardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of thf:l Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the ,applicant or future building occupant required to obtain a pormit from the air pollution control district or air quality managem·mt district? 0 YES D NO ls the facility to be constructed within l,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MA'( 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for whicti this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDrlESS ___________________________ _ 9. APPLICANT 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 JCcurnto. l agree to comply with all City ordinances and State laws relating to building construction. l hereby authorize representatives of the Cit~ ot Carlsbad co enter upon the above montionod 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 AGAIN.ST 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 Ollidal under the provisions of thi5 Code shall expire by limitation and become null and void if the building or work authonzed by such permit 1s not commenced w1thm 180 days from the date ot such µerm1t or 11 the building or work authorized by such permit 1s suspended or abandoned vat any time after the work 1s c~menced I nod of 1~0 <f6YS (Section 106 4 4 Uniform Building Code) / _.,/ t .J1 APPLlCANT'S SIGNATURE "2-1 ~-DATE _\~-.L--~"""''l-0--'-'----- WHITE: File YELLOW: Ap;,licant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/28/2004 Permit# CB044519 Title: ARMY-NAVY ACAD REPLACE 200AMP Description: METER AND 3 PANELS AT BOOKSTORE Type: ELEC Sub Type: Job Address: Suite: Location: OWNER Owner: 2507 OCEAN ST Lot ARMY&NAVY ACADEMY Remarks: AM PLEASE Total Time: CD Description 33 Service Change/Upgrade 0 Act d!_ Comment Inspector Assignment: TP --- Phone: 7608022592 lnspector:J2___ Requested By: DAVID Entered By: CHRISTINE a_ ,'(J/1 fVd J(?µt,,f -3'f__ ,1/7 Associated PCRs/CVs lnsgection Histoty Date Description Act lnsp Comments 12/22/2004 39 Final Electrical NR TP SUB PNLS N/COMP. 12/21/2004 33 Service Change/Upgrade PA TP MTR PNL (NEED GRN. ROD) 12/21/2004 34 Rough Electric NR TP N/COMP.