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HomeMy WebLinkAbout2510 NAVARRA DR; MP; CB001193; Permit/(0 City of Carlsbad 0329/26W0 Electrical Permit Permit No:CB001193 Building Inspection Request Line (760) 602-2725 Job Address: 2510 NAVARRA DR CBAD MP Permit Type: ELEC - Status: ISSUED.. Parcel No: 2161705114 Lot #: 0 Applied: 03/29/2000 Entered By: GMF Reference #: ' Plan Approved: 03/29/2000 Issued: 03/29/2000 Project Title: INSTALL METERED PEDESTAL Inspect Area: Applicant: Owner:....,., /7_SENINl ROBERT 10 02 2799 03/29/00 0001 01 '02 C—PRIIT . 2000 èL(SBAWCA926b9 Total Fees: $20.00 / afe '' Pal Pyments fo $0.00 ce Due: $20.00\ I / *:1 Electric Issue Fee $0.00 Single Phase per AMP $0.00 $10.00 Three Phase per AMP $0.00 Three Phase 480 Per AMP 0.00 $ Remodel/Alteration per AMP 0.00 I Remodel Fee I Temporary Service Fee INCORPORATED $0.00 195 Test Meter Fee $0.00 / Z Other Electrical Fees $0.00 TOTAL PERMIT FEES © $20.00 FINAL APPROVAL Inspector: Date: 1'9i oZ 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 Carisbad 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 Name (at this address) PERMIT APPLICATION CIT'/OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Address (include Bldg/Suite if) FOR OFFICE USE ONLY PLAN CHECK NO.coU4S EST. VAL. Plan Ck. Deposit Validated By _.i7' Date 1121(01t1 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total if of units Assessor's Parcel if Existing Use Proposed Use 1D4,%( /00 4flP &1_EC77/C /?ETC# flCS7?L Description of Work SO. FT. #of Stories if of Bedrooms if of Bathrooms Name Address City State/Zip Telephone if Fax if AfrLlDái3tvaotori foOWhri MN/ELS c19&cV/Si&V 'PD. & 34/#/ OAALSA,109A c Q2OOt 76 D 413/ 7741/ Name Address City State/Zip Telephone if aE(IPftV1bWN 'I7V 'j fl'i P,1"'i9 ;" tT7fl' ?)AA'//aL.S CflAL vJciO,'/ i-W. fii 34W CA 9200.' -76 o -'(3 -7 7W Name Address City State/Zip Telephone if .............................. (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 Contractors 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 iS 500)). 1SJIL e49ft131VY 1,44 AJA'P.4T?. LW 720S'/ 76-0 -ft-7-6 -7-30 Name Address City State/Zip Telephone if State License if License Class R AC 7 City Business License if ____________ Designer Name Address City State/Zip Telephone State License if Workers' Compensation Declaration: I hereby affirm tinder penalty of perjury one of the following declarations: 0 I have and will mdintain a certificate of consent to self-instire for workers' compensation as provided by Section 3700 of the Labor Coda. for the performance of thvork 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 0.4',9 Policy No. wcn/z417g2/ Expiration Date 5'.' 1- 00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 11111001 OR LESS) o CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued. I shall riot 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 an employer to criminal penalties and civil fines up to one hundred thousand dollars 10100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE DATE i i--ow BUICDEA b&Ahh1'rlbp.fl. "1 Y'tVii P 4ç' 4 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 on 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 Coda: 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 Cone for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (hove / 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 / phone number I Contractors license number): 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 I contractors license number): 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 TillS %ECTIOI'I FOR NOAPRESIDENflA,RUlLDlNO 1'ERMITIONL'V'\i1 I Ct, hJ if!jt.j r,tn v r v 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 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 constructed within 1.000 feet of the outer boundary of a school alto? 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. pfip GENC gg 1 i I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(il Civil Code). LENDER'S NAME LENDER'S ADDRESS__________________________________________________________ - I certify that I have reed the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comely with till City ordinances and State Iowa relating to building construction. I hereby authorize representatives of the CltV 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 commenced within 365 days from the date of such permit or if the building or work authorised by such permit is suspended or abandoned at any time after the work is earn ,nnced r a poriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE 14L. - DATE .3 2-9 '-eD WHITE. He YELLOW: Applicant PINK: Finance Inspection Request 4'Lo City of Carlsbad Bldg For: 9/18/2000 Permit# CB001193 • Inspector Assignment: Title: INSTALL METERED PEDESTAL Description: TypeELEC Sub Type: Phone: Job Address: 2510 NAVARRA DR • • Suite: • Lot 0 • Location: • Inspector • OWNER • SENINI ROBERTJ • Owner: CITATION BOX&PAPER CO Remarks: Total Time: Requested By: HEATHER Entered By: CHRISTINE• CD Description • Act Comments 32 Const. Service/Agricultural t17 • 39 Final Electrical • ( • Associated PCRs Inspection History • Date Description Act Insp Comments • Assessors Parcel #: P.S.Address:__CAMINO ALVARO SDG&E Service Order #:___ VICINITY MAP (NOT TO SCALE) 21 f' 4 NOT SCALE - / T.B. Coords: Pg. 1147 H 3 Cablevision Mop # ...L-..A2. L0C91 QUANTITIES ABBREVIATIONS LEGEND. REVISIONS 01y. CARLSBAD t- -% - CHANGES T " '' ,' I CONCRETE R&R = 8625O sq ft :- 190 DIRT TRENCH: - CE /--/-- 1EV tc -w DAN CAR IwT 99058 BORE/PUNCH THRU j__• tT vAULT VAULT -7E,:;COMMUNICAVRONS 1/21/00 BW I TOTAL FTG= 45 -1RENHUNE --- ::::::::::::::::: :::4::TE F NONE CB 03-01