The URL can be used to link to this page

Home My WebLink About2700 OLYMPIA DR; ; CB091015; Permit' ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-19-2009 Electrical Permit Permit No: CB091015 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2700 OLYMPIA DR CBAD ELEC Status: Parcel No: 1674411500 Lot#: 0 Applied: Reference #: PC#: Project Title: MANZOLA RES INSTALL NEW 100 AMP PANEL@ EXISTING LOCATION Applicant: 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: MANZOLA HENRY 2700 OLYMPIA DR CARLSBAD CA 92010 760-720-9955 ISSUED 06/19/2009 KG 06/19/2009 06/19/2009 $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: Inspect . Clearance: $0.00 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 pennit 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 seNice fees in connection with this project. NOR DOES IT APPLY to any hv rvi n ivn N I hi r whihh flimi in ' City of Carlsbad 1635 Fara~ay Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 . Fax: 760-602-8558 www .carlsbadca.gov Building Permit Application JOB ADDRESS "tJ!ftlcJ LOT# DESCRIPTION OF WORK: Include Square Feet of Alfected Area(s/,_ xcho.09<=-0141t1 & ec± Plan Check N Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME box EXISTlliG u"'•"•-----------,r.•"•"o"POS="ED"°"u"'s"E _____ "G""A"R"A"G"'E"'("S"'F)-r.P"A~T"1o"'S"'(S"F"J--,r.D"E"C"K=s7,(S"F""J--,..,F"1R"E"P~LA"C"E----rA"1=R"C"O"N=o~1T"IO"N~IN"G~r.F~IR"E~S"P"R"IN"K""Lr.E"R"'s- YES □# __ NO □ YES O NO □ YES □ NO □ CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ~\DDRE~ ------------------------------+.A"'D~D"R"E"s"'s-----------------------------~ CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPEF!:l\' OWNER NAME CONTRACTOR BUS. NAME ADDRESS ZIP CITY STATE ZIP 12-0. PHONE FAX EMAIL EMAIL A Mc e-/-e{j), ,oa.cJtOy'J/Jt.r, C. M ARCH/DE'.fa'•,"NE"'R'N"A"M"E,y"AD"D"R"E"s=,-~------~----;,,.T~A~T,~LIC~.-.-~----+-,~,.",=,-,",c".,-----------~-c-LAS=s---~~c,=rv=su"s'.'Ll=c-.,-------- ~ec. 703U B(•;i, es1 ·and Professions Code: Any City or Count): which requiru a permit to construct, alter/ improve, demolish or reP.air any structure, prior to in iuuance, also rt11uire1 the ap,Plicanl for such permit to file a signed statement that he is rtcemd _P.ursui~t •.o the provi1ions of the Contractor's licuse Law {Chapter 9, commending with Section 000 of 01vi11on 1 of the Busineu and Proressions Code} or that he is mmpl 1here rrom, and the basis for the alleged exemption Any violation of Sec1ion 7031.S ~\ any applicant for a permit subjects the applicant to a civil penalty of not more than fivt hundred dollars {$500}). · W q,_i, I! R $ ' C O M P I! N S A T I O N Worker,· Co1npensatlon Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: 0 I '.live ana wi11 maintain a certificate of consent to se1f-tnsura fOf wrnkers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. 0 I have and wm maintain workera' compensation, as required by Section 3700 of the Labor Code, for the per1ormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. _______________ Expiration Date __________ _ This section need not be completed if the permit is for one hundred do!lars ($100) or !ess. D Certificate of Exemption: I certify that in the pertormance 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 Califcrnia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand 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 tees. £S CONTRACTOR SIGNATURE DATE I hereby ao/i.•m that I am exempt from Contractor's License Law for the following reason: □ I, ai, ow'ler of the property or my employees with wages as their sole compensation, will do the work arid the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's lic3nst 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 sa:e. It, 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). □ r, as ol\'ner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:~ Contrall,or) 4cen1e Law does not apply to an owner of prope1Y who builds or improves thereon, and contracts for such projects with contracto«s) licensed pursuanl to the Contractor's license law). -...J IJY-\ IVt"/;, f!... I am exempt under Section _____ ,Business and Professions Code for this reason: ·, I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No ~-I (have/ have not) signed an application for a building permit for the proposed work. 3. have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I i;!an 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. I 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): Is the app!.r.:,,nt 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-Ter·,er Hazardous Substance Account Act? □ Yes □ No Is the app:icant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the faciht\ to be constructed within 1,000feet of the outer boundary of a school site? □ Yes □ No IF ANY or ''·'-IE ANSWERS AAE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGE~:l.Y SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I r1ave read the appllcatlon 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. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properfy for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGA(NST PL UAB(UTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY (N AWi WAY ACCRUE AGA(NST SAID C(TY IN CONSEQUENCE OF THE GRANTING OF TH(S PERM(T. OSHA: An '.JSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Eveiy permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void W the building or work authorized by such permit is not commenced within 180 davs from the date of such permit or~ ~ilding or work authOlized 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 Un Worm Building Code). 2$ APPUCANrS SIGNATURE • J:1---<_~ C,. ~ DATE . {.,,,.... ) q-lJt{ . City of Carlsbad Bldg Inspection Request For: 06/23/2009 Permit# CB091015 Title: MANZOLA RES INSTALL NEW 100 Description: AMP PANEL@ EXISTING LOCATION Type:ELEC Sub Type: Job Address: Suite: 2700 OLYMPIA DR Lot: 0 Inspector Assignment: Phone: 7608898385 Location: Inspector: OWNER MANZOLA HENRY Owner: ROBERTS JEWELL A TR Remarks: PLEASE INSPECT 1PM Total Time: ----- CD Description Act Comments ---- Requested By: JIM NOBLE Entered By: CHRISTINE 33 Service Change/Upgrade ----------'t!::!~- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ' . .. 1 3 C, ~ (0 70 (O 30 ~fl Jo (l Jo (70