HomeMy WebLinkAbout2625 PARADISE RD; ; CB072355; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-12-2007 Electrical Permit Permit No: CB072355
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2625 PARADISE RD CBAD
ELEC Status:
Parcel No: 2131411300 Lot#: 0 Applied:
Reference #:
Project Title: ROLLINSON: ELEC. TO FOUNTAIN
Applicant:
KEONI LANDSCAPES
1052 KNOWLES AV
CARLSBAD CA 92008
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
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ROLLINSON AUGUSTIN W&SARAH 0
2625 PARADISE RD
CARLSBAD CA 92009
ISSUED
09/12/2007
JMA
09/12/2007
09/12/2007
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" fees, dedications, reservations, or other exactions hereafter collectively
referred to as ·tees/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
f /ex in fwhih hv rviol TIEsimilr hi r hi flimii I
City of Carlsbad Plan Check No. Ceor 2-'3S:S--
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax: 760-602-8558
Building Permit Application
EXISTING USE PROPOSED USE
CONTACT NAME /If Different Fom AppUcant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS
ZIP
STATE UC.#
GARAGE (SF)
Est. Value
Plan Ck. Deposit
Date q / 1 ~ I O 7
SUITE#/SPACE#/UNITN APN
# BATHROOMS TENANT SU INES NAME
PATIOS (SF) DECKS (SF)
APPLICANT NAME -:x,
CITY
FIREPLACE
YES □#_ NOD
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES D NOD
(l,c. 703 I.I Businm and Professions Code: Any City or County which requires a permit to con11rucl alter1 improve, demolish or rtP.air any structure, prior to iu issuance, also requires the applicant for such permit to file a signed !tat!ment that he is
ficensed J11rsuant to the provisions of the Coniractor's licens, Law {Chapter 9, commending with Section 000 of Division J of the Business and Pro,mions Code) or that he is mmpt thm~om. and the bam for the alleged exemption. Any violation of lection 70) I.S by any applicant for a permit subjecu the applicant to a civil penalty of not more than five hundred dollars (SSOO)).
Workers' Compensation Declaration: r hereby affirm under penalty of perjury one of the foUowing declarations:
~ have and will maintain a certificate of consent to self-Insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain worker,i compensal' n, as re<j_Uired by Section 3700 of the Labor Code, for the performa~~ of the work!£! which this ~rmil is issued. My wor1<ers' compensalio insu nee carrier and policy
number are: Insurance Co. IJ ('-0 '(\ (o Policy No. t_ c:€>0 :5 D 0 P · c_ lo ID I Expiration Date ( .{)cQ
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify 1hal in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subjec1 lo 1he Workers' Compensa1ion Laws of
California. WARNING: Failure to secure workers' co nsation 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 cos1 of compensation, d ded for in 706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I, as owner or lhe properly or my employees wilh wages as their sole compensation, will do the work and lhe slructure is not inlended 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, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, lhe building or improvemenl is sold within one year or completion, the owner-builder will have lhe burden of proving that he did nol build or improve for the purpose or sale).
D I, as owner of the properly, am exclusively contracling wilh licensed conlractors lo conslrucl the projecl (Sec. 7044, Business and Professions Code: The Contraclor's License Law does not apply lo an owner of
properly who builds or improves !hereon, and contracts for such projects with contraclor(s) licensed pursuant lo the Contraclor's License Law)
D I am exempt under Section _____ Business and Professions Code for this reason:
1. I personally plan to provide lhe major labor and malerials for construction or lhe proposed property improvement. D Yes D No
2. I (have I have nol) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide lhe proposed construction (include name address I phone I contractors' license number):
4. I plan lo provide portions of the work. but I have hired the following person lo coordinate, supervise and provide lhe major work (include name/ address I phone I conlraclors' license number):
5. I will provide some or the work. bul I have contracled (hired) lhe following persons lo provide the work indic~led (include name I address/ phone/ lype or work):
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupanl required to submit a business plan. acutely hazardous materials regislration rorm or risk management and prevention program under Sections 25505. 25533 or 25534 or the
Presley-Tanner Hazardous Substance Accounl Act? D Yes D No
Is lhe applicant or fulure building occupant required to obtain a permit from the air pollulion conlrol dislricl or air quality management district? D Yes D No
Is the facility to be conslrucled within 1.000 feel or the ouler boundary or a school Sile? 0 Yes O 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.
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to com ply with all City ordinances and State laws relating to building construction,
ihereby authorize representatNe 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 f>MY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perrntt is required for excavations ONer 5'0' deep and demolttion or construction of structures CJ,1er 3 stories in height.
EXPIRATION: Every permit issued by the Buildi Official under provisions of this Code shall expire by limitation and become null and void~ the building or work authorized by such permit is not commenced l'<ilhin
180 days from the date of such pennit or · or u~orized by such penntt is suspended or abandoned at any time after the workDisATcommenE ; for~/ riod of 180odays ~ 106.4.4 Un~onm Building Code).
Jl5 APPLICANT'S SIGNATURE // / • ,/
@ "
. City of Carlsbad Bldg Inspection Request
For 03/07/2008 .
Permit# CB072355
Title ROLLINSON: ELEC. TO FOUNTAIN
Description:
Type: ELEC Sub Type:
Job Address:
Suite
Location:
2625 PARADISE RD
Lot: 0
OWNER ROLLINSON AUGUSTIN W&SARAH 0
Owner ROLLINSON AUGUSTIN W&SARAH 0
Remarks:
Total Time:
CD
39
Description
Final Electrical
~omments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
09/14/2007 31 Underground/Conduit-Wiring AP PC
Inspector Assignment: PC ---
Phone: 7608075845
Inspector:
Requested By: JOHN ROSS
Entered By: BINSPECT