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HomeMy WebLinkAbout2620 GATEWAY RD; MP; CB090764; Permit05-08-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB090764 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2620 GATEWAY RD CBAD St: MP ELEC 0000000000 Lot #: TIME WARNER: 100 AMP MET. PED Status: ISSUED Applied: 05/08/2009 Entered By: JMA Plan Approved: 05/08/2009 Issued: 05/08/2009 Inspect Area: Applicant: TIME WARNER CABLE Owner: 760-438-7741 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 100 0 0 0 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspsi FINAL APPROVAL Date: If ^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 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 limitations has previously otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check No.£>7 Est. Value Plan Ck. Deposit Date JOB ADDRESS . CT/PROJECT It . LOT It ' PHASE # # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ^AvisA// /CO ftn\$ CATl/" /fl-el-or /2*//r» EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ^AffpAen £>C/\S ADDRESS ' 5.79O £/£</WM3 /Q-eoA CITY .,, j STATE ZIP- _ PHONE _ FAX "?U> 4& 77V/ EMAIL PROPERTY OWNER NAME / ADDRESS / 1 / CITY STATE flSlW PHONE . FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # SUITE#/SPACE#/UNITf( APN ((BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP / / PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRF. SPRINKLERS YES D # NO D YES D NO D YF:5 G NO D APPLICANT NAME — . , /) / j ' / //)") ( A/*? f /) Cf^ ( rf /} if ADDRESS f__ . ^ . CITY /"> ] i • STATE tyy. O^ // f 1 2> /? & t\ \' /^cX/o "^tfVJtf- ^7V/ ™ EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.ft • CLASS CITY BUS LIC.# lily or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant lor such permit to Tile a signed statement that he islor's license Law {Chapter 9, commending with Section 7000 of Division ) of the Business and Professions Code} or that he is enempt there from, and the basis for the alleged exemption, Ar,) iolation o(Sec. 7031.5 Business and Professions Code: Any City orlicensed pursuant to the provisions of the Contractor's License Law {Chapter V, commending with Section /UUU ot Division j ot the BuSection 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars {5500}). Workers' Compensation Declaration: / hereby affirm under penalty ot perjury one of the following declarations: G 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. O 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 workers' compensation insurance carrir snd policy number are: Insurance Co. : Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. ffl Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation La\\v of California. WARNING: Failure to secArk workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&10G DM), in addition to the cost of compensation, frtr\ages as provided for in Section 3706 of the Labor code, interest and attorney's fees. £$ CONTRACTOR SIGNATURE / hereby affirm that I am exempt from 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). XJ 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 1 property who builds or improves thereon, and contracts lor such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, n Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): J& PROPERTY OWNER SIGNATURE 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? D Yes ^^Jo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quajity management district? O Yes jtfNo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes jSfNo 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 Or 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). Lender's Name Lender's Address 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 co"s!ruction. I hereby 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'ff deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by tU 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 withir, \ 80 days from the date of such permit oil Me building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform But'i if Code). x^TAPPLICANT'S SIGNATURE DATE <%'-^ Unscheduled CARLSBAD Building 'nspecti°n DATE: t.-^.fA INSPECTOR Building Department 1635 Faraday Avenue Carlsbad CA 92008 '760-602-2700 ,'"' / /-> —&-—" L-y---^-^t--""- / PERMITS QQC^f/^ CONTACT: PHONE #: JOB ADDRESS: l/fl-^> (^^o>o»~~M ft\> DESCRIPTION: ^ CODE DESCRIPTION AC"^ ?f f~ i d f*"L~ /K/ COMMENTS / Bldg Inspection Form Page 1 of 1 Rev. 06/09 8o3 £o Ii 2 CD CO Oo s Z g I 00 !•* ~' Sf o o mrmo 90 O> Hm COLT PL ro ro ll aaassss Si'5s ssssssssss 53 0t»« fl *" s-J~i--l~* If ll« S3SS p| i 5°3§r-b gj m g I1 ro 9ro II!. ,i II2 y ot 0m si~*o¥i>s CAT) J? < 8*< o ti < •"5 c m m >i> o °> 5 oSi i °s 23 s> BiP*Z - -n O -< - s g £ » 5 S £ I g, „ W ? 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