Loading...
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'