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HomeMy WebLinkAbout2677 ECHO AVE; ; CB062208; Permit08-03-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Pernait No: CB062208 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2677 ECHO AV CBAD ELEC 2131620700 Lot#: MAMESHIN RES-ELECT TO JACUZZI BBQ&FOUNTAIN.GAS TO BBQ & FIREPIT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: MAMESHIN IGOR&DIONNE 2677 ECHO AVE CARLSBAD CA 92009 Owner: MAMESHIN IGOR&DIONNE 2677 ECHO AVE CARLSBAD CA 92009 ISSUED 08/03/2006 RMA 08/03/2006 08/03/2006 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $27.00 Additional Fees $0.00 TOTAL PERMIT FEES $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: JlJJJ^l Clearance: NOTICE: Piease tai(e NOTICE that approval of your project includes the Imposition' of fees, dedications, reseivations, or other exactions hereafter collectively refened to as "fees/exactbns." 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 Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely foilow that procedure will bar any subsequent legal action to attacic, 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTiCE similar to this, or as to which the statute of limitations has previousiv othenivise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTIViENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Mm 1. PROJECTINFORMATION ^ i A ^ \ \ H „ ^ 9-^7-7 Ave. Car\%had . CA 3zoo.'f Address [indude BIdg/Suite#) , —> r\ . D Z ..BusinessName (at this arfdress) ^, . TVo Legal Description I. Subdiyision/lame/Number / Unit No. Phase No. . Total # of units Assessor's Parcel # ,. l Existing JJse v j, ' Proposed Use , j Description of Work ^ ~ SQ. FT. # of Stories # of Bedrooms # 2. CONTACT PERSON (if different from applicant) City State/2 # of Bathrooms Name 3. APPUCANT 1^ Address "T City State/Zip Telephone # • Contractor • Agent for Contractor ^Owner . • Agent for Owner Fax# Name 4. Address City State/Zip Telephone # PROPERTY OWNER city State/Zip Telephone # ^ Name Address 5. CONTRACTOR - COMPANY NAME (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 Ucense 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 agplicant for a permit sulsects the applicant to a dvil penalty of not mojE than five hundred (tollars „ -.^ i /O 1 Name rtuuress ^ ^. State License # G-2 t ~ ^ 8 W 02 O License Class L^«^ / Adoress <_y City State/Zip City Business License #. , _ \ Teleptione # Designer Name State License # Address City State/Zip Telephone # 6. WORKER'S COMPENSATION — Workers' Compensation Dedaration: I hereby affirm under penalty of perjury one of the following dedaratlons: • 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. • I have and will maintain worker's 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 [$100] OR LESS) 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 tliousand dollars($100,000), in addition to the cost of compensation, dainages are provided for in Section 3706 of the Labor Code, interest and attomey's fees. SIGNATURE ^'X'^ <?91t?'/>t ^ij^/Oy DATE &/ '3./ 0€ 7. 0WNER-BUILDEM)ECLARA710N I hereby affirm that I am exempt from the Contractor's License Law fbr the following reason: • I, as owner of the property or my employees with wages as their sole compensation, will d 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). pa:^ I, as owner of the property, am exdusiveiy 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 projeds with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construdion of the proposed property improvement. • YES ^ NO 2. I (havejjave not) signed an application for a building permit for the proposed work. 3. I hajifi,contraded with tha followingAerson (firmVto provide the proposed constnjction (indude name / address / phone number / contractors license number)-l^mma UKyi^c^pin9. C-2i-igMozo s\ecAir\o oo~Tg>y^7^ 4. I plan to provide portions of the wori<, but I Slave hiitcMhe following person to coordinate, supervise and provide the major work (indude name / address / phone numtier / /ontractors license numtjer): 5. I will provide some of the work, but I have contraded (hired) the following persons to provide the worit indicated (indude name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance ' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? • YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distrid? D YES • NO Isthefadlity to be construded within 1,000 feet of the outer boundary of a school site? • YES DNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the peiformance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPUCANT CERTIFICATION I certify that I have read the application and state that the above information is corred and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constmdion I hereby authorize representatives of the City of Cartsbad 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 UABIUTIES, JUDGEMENTS, 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 of S'O" deep and demolition or construdion of strudures over 3 stories in height. EXPIRATION: Every permit issued by the building Offidal 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 within 130 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 commenced for a periodof 180 days (Section 106.4 4 Uniform Building Code). APPLICANT'S SIGNATURE (j-^i^O- DATE Sf % j WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For: 01/04/2007 Permlt# CB062208 Title: MAMESHIN RES-ELECT TO JACUZZI Description: BBQ&FOUNTAIN.GAS TO BBQ & FIREPIT Inspector Assignment: PY Type: ELEC Sub Type: Job Address: 2677 ECHOAV Suite: Lot 0 Location: APPLICANT MAMESHIN IGOR&DIONNE Owner: MAMESHIN IGOR&DIONNE Remarl^s; Phone: 8582297358 Inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Act Comment Comments/Notices/Holds Requested By: EDGER? Entered By: JANEAN Associated PCRs/CVs Original PC# Inspection Historv Date Description Act Insp Comments 08/07/2006 23 Gas/Test/RepaIrs AP PY 08/07/2006 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY 08/07/2006 34 Rough Electric WC PY