HomeMy WebLinkAbout262 DATE AVE; ; CB072142; Permit08-16-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB072142
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
262 DATE AV CBAD
ELEC
2060802500
CRESCENT DEL SOL
100 AMP TEMP POWER POLE
Lot#
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
LAGOON BREEZE DEVELOPMENT CORP
7237 SANDERLING CT
CARLSBAD CA 92011
ISSUED
08/16/2007
MDP
08/16/2007
08/16/2007
Owner
LAGOON BREEZE DEVELOPMENT CORP
7237 SANDERLING CT
CARLSBAD CA 92011
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
0
0
0
0
$1000
$000
$000
$000
$000
$000
$1000
$000
$000
$000
TOTAL PERMIT FEES $2000
Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICi/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 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 Imitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave Carlsbad CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
Building Permit Application
Est. Value
Plan Ck. Deposit
Date
'ITE#,'SPAC£l*''UMT#
DESCRIPTION OF WORK
<t OF LNITS t< BEDROOM:ROOMS TENAMT BUSINE iNSTR TYPE OCC GROUP
1 k?} 2^ 3k ftccfe /We, GuVs\><x_2> <lv\ c^oo^l
EXISTING USE PROPOSED USE GARAGE (SF)
1 CONTACT NAME (If Different Fom Applicant)
'• ADDRESS
|CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME • «Q IN xfl Jk-
ADDRFSS V)
CITY . ".v STATE * ZIP
PHflNF FAXnto ^/g-ooiz. -7 to 918-19^^
EMAIL ..— . -
! UJ b"XS<) ^)} CA.OWC -C£>l/Vr^
; ARCH-'DESIGNER NAME * ADDRESS STATE LIC #
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES O NO D YES D NO D
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE ! FAX
EMAIL
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE 1 FAX
EMAIL
STATE LIC # CLASS CITY BUS LIC #
Sec 703 1 5 Business and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure, prior to us issuance also requires the applicant for such permit to file a signed statement that he isicensed pursuant to the provisions of the Contractors License Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Codi'} or that he is exempt therefrom and the basis for the alleged exemption Any violation ofSection 703 1 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
•.."••j-^..*:>.- yi:,4cx^,.v^o:.J ' '':\ /;':..•,; -"•--;;-.-'. ;
:-:"":":vfe:'':;v:-;i;;:::: "j^ffo "' :&•.•'?: : "•-..
Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
LI I have and will maintain workers' compensation as required by Section 3700 of Ihe Labor Code for Ihe performance of the work for which this permit is issued My workers compensation insurance carrier and policy
numberare Insurance Co Policy No Expiration Date
This section need not be completed if the permit 15 for one hundred dollars ($100) or less
O 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 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 (£100,000). in
addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attorney's fees
j£!> CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractors License Law for the following reason
O I as owner of Ihe property or my employees with wages as their sole compensation will do the work and the structure >s not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s
License Law does not apply lo an owner of property who builds or improves thereon antl who does such work himself or through his own employees provided that such improvements are not intended or offered for
sale If however Ihe building or improvement is sold wthm 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)
A I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Pro'essions Code The Contractors License Law does not apply to an owner of
property who builds or improves thereon and contracts 'or such projects with conlraclor(s) licensed pursuant to Ihe Contralto's License Law)
L~l I am exempt under Section ...Business and Professions Code for this reason
1 I personally plan to provide the mapr labor and materials for construction of the proposed properly improvement n Yes L~l No
2 I (have / have not) signed an application for a building permit for the proposed work
3 I havo contracted with the following person (firm) to provide Ihe pronosed construction (include name address / phone / 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 / contractors kense number)
5 I will provide some pf the work but I have con!racied (hired) the following person? !o provide the work indicated (inriurlo name / address / phone / type of work)
JS*> PROPERTY OWNER SIGNATURE
I Is Ihe 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 Act7 G Yes n Mo
! Is the applicant or future building occupant required to obtain a permit from Ihe air pollution control district or air quality management district' O Yes 3 No
Is Ihe facility to be constructed within 1 000 feet of the outer boundary of a school site7 D Yes fl No
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lenders Name Lenders Address
^^^ '•.'••'•':.~>;.^>ixx&8™ii®iii^^..
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 |
Uiereby authorize representative 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 stones in height
180 days from (fie date of such permit onf Die building or wort fwittyized by such permit is suspended or abandoned at any time after the wo* is commenced for a penod of 180 days (Section 10644 Unifotm Building Code)
u^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 08/22/2007
Permit* CB072142
Title CRESCENT DEL SOL
Description 100 AMP TEMP POWER POLE
Type ELEC Sub Type
Job Address 262 DATE AV
Suite Lot 0
Location
APPLICANT LAGOON BREEZE DEVELOPMENT CORP
Owner
Remarks
Inspector Assignment
Phone 7605059090
Inspector
Total Time
CD Description Act Comments
32 Const Service/Agricultural
Requested By FRANK
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
KEYMAP
SCALE: 1° =60'