HomeMy WebLinkAbout2629 LA GRAN VIA; ; CB013249; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-12-2001 Electrical Permit Permit No:CB013249
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2629 LA GRAN VIA CBAD
ELEC
2162503600 Lot #:
RICE RES/ UPGRADE 100 AMP TO
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
RICE STEVEN R&JEANNE A RICE STEVEN R&JEANNE A
ISSUED
10/12/2001
CB
10/12/2001
10/12/2001
2629 LA GRAN VIA
CARLSBAD CA 92009
760-436-3649
2629 LA GRAN VIA
CARLSBAD CA 92009 2011 10/12/01 0002 01 02
Total Fees: $35.00
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
Inspector: I
Total Payments To Date:
0
0
0
100
$0.00
FINAL APPRO AL
Date: ~ 'c:1'2-
Balance Due:
Clearance:
$10.00
$0.00
$0.00
$0.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
CGP 35 .. 00
$35.00
NOTICE: Please take NOTICE that approval of your project includes the ~Imposition• of fees, dedications, reseivations, or other exactions hereafter collectively
referred to as '1ees/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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl othe1Wise e ired.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NOC/f;rJ/32..4-C/
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit~--------
Validated By_._c ...... RPc,_ _____ _
Date /()~("2,--0 /
Address (include Bldg/Suite #) Business riame (at this a~dress)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # •
l O () ft:'.,.·-t. ~00 Existing Use
n-, .,.;_ "'-. ll <> 11
Proposed Use
_)
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City
·,APPL1CANt:. :g_:;Cqn~r•:ctOf,;-. ;:EJ?AQJllt:to_t:¢Olltra'~O'r,:;:~i,t)~n&f (?EJ::A~ei\t:'.(9ti0W~t<' s
Name Address City
4, . PBQPE~lY:CllN!t!W'
Name Address City
,&.•· ·•· ,¢.ONWO:\".O!Mi¢Qt,1lil!,~Yi•NA!>lf"
State/Zip Telephone# Fax#
State/Zip Telephone#
S.tate/Zip Telephone#
(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 Contractor's 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 ($5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business license # _______ _
Designer Name Address City State/Zip Telephone
State license # _________ _
li · 'i!N'Ollktl\$1:.C:OM~i!I\ISATION:.:· ..
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 _____________________ _ Policy No. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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 worker•' compensation coverage I• unlawful, and shall subject an employer to criminal pen■ltles and clvll fines up to one hundred
thouHnd dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
;:,~~~;;~R!i!e-uuii1tDOU~··~:OD·~~C;l:.A;;;. ~•iti;;,;.itl~Qi;;Nf,-------------:-----:;-;:-;:;;--------------------==----===--:-DATE_,.-----------
1 hei'eby affirm that I am exempt from the Contractor's license Law for the following reason:
D 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).
~ 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 property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvemen~ YES ONO
2, I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ 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 number/ contractors license number): ________________________________________________ _
5. l will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name I address / phone number / type
of work):. ___________ .,._+----~--~~-----------------------~----~---------
PROPERTY owNER SIGNATURE JI;;,_, ll /2..,,:.. DATE ~to~--'_2...._-_0_1_
•COMiicli:TJi;'\J'ftlSIS,ctiON'Fba•·li.bNitiESJbENT!lfl::s1111;d1i.illl'iiilMi1'.$'Qr,ity:,09.:;;
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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
·J,: .:,t!fi)!llrffll,/~:m)r,itl,~ PING·;,;.(l~N¢Y:. •; •}·'>:• ..
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _
lll.:t:.',i,;.~!lrAN;i:•dE~Tlfld'i(!ttOI\I· •
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. l hereby authorize representatives of the Cit\-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 5'0n 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 c need within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned
at any time after the work is com d for a period o_f 180 day}75pction 106.4.4 Uniform Building Code).
APPL!CANT'S SIGNATURE_.d~~~=--.!'.!.-"---...l!.(,t:.,,,u,~~:___________ DATE J<J ~ / 2.. -d I
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 01/08/2002
Permit# CB013249
Title: RICE RES/ UPGRADE 100 AMP TO
Description:
Type:ELEC Sub Type:
Job Address: 2629 LA GRAN VIA
Suite: Lot 0
Location:
APPLICANT RICE STEVEN R&JEANNE A
Owner: RICE STEVEN R&JEANNE A
Inspector Assignment: NF ---
Phone: 7604363849
Inspector: -----
Remarks: EARLY AM PLEASE -1ST STOP OF THE DAY PL
Total Time: Requested By: STEVE
Entered By: CHRISTINE
CD Description
33 Service Change/Upgrade
AfComments
Associated PCRs
lns~111,tion Histo01
Date Description Act lnsp Comments
12/26/2001 33 Service Change/Upgrade Pl PY METER ALREADY SET
12/18/2001 33 Service Change/Upgrade PA RB EMRONLY
12/18/2001 34 Rough Electric PA RB NOT COMPLETED
12/11/2001 21 Underground/Under Floor WC RB
12/11/2001 31 Underground/Conduit-Wiring co RB MISSING GROUNDING WIRES TO BRANCH CIR.
12/11/2001 33 Service Change/Upgrade co RB
11/19/2001 31 Underground/Conduit-Wiring co NF SEECN
10/19/2001 33 Service Change/Upgrade NR NF NOT STARTED