HomeMy WebLinkAbout2709 MATEO PL; ; CB012788; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-27-2001 Electrical Permit Permit No:CB012788
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2709 MATEO PL CBAD
ELEC
2162513300 Lot#:
APPLEGATE RES-ELECTRIC UP TO
CODE IN KITCHEN
0
Applicant: Owner:
NEW LIFE CONSTRUCTION
APPLEGATE THOMAS&CARLA REVOCABLE TRUST 03-09-95
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/27/2001
RMA
08/27/2001
08/27/2001
8502 08/27/01 0002 01 02
8340 VICKERS ST
SAN DIEGO CA 92111
858-277-8075
2709 MATEO PL
CARLSBAD CA 92009
CGP 20.00
Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00
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: /LIM e,,~
0
0
0
0
FINAL APPROVAL
Date: /l/lS-/o I
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the Mlmpositionff of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.ff You have 90 days from· the date this permit was issued to protest imposition of these fees/exactk>ns. lt 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 Ca~sbad 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 specrried fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any
fees'exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nrevious'" otherwise eimired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. C/Cf}I L?)?J,
EST. VAL. _________ _
Plan Ck. Deposit if.
Validated By '.': ~
Date cf°,/ 2 7/tJ. ,
Business Name (at this address)
Legal
Assessor' P' reel #
Description of Work
2. CONTACT PERSON ~•rent from appll:=?// /lJ0,,.,} /..., C-€.. (._o../J 7": 6:? L (;
Name Address
3. APPLICANT pcontractor D Agent for Contractor
Name Address
4. PROPERTY OWNER
{c,,y\
Name
6. CONTRACTOR -COMPANY NAME
/It l /<?u·
0 Owner
,S"+. s.o.
City
0 Agent for Owner
City
City
Unit No. Phase No. Total II of units
II of Bathrooms
C::,. 92 n C f'Sd-) 2 77-Jid-z.r-
state,zip Telephone I Fax ,
State/Zip Telephone II
a. f-zo,:;9 (71, o) P,f/q-~s f'
State/Zip Telephone I
(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 viojption of Section 7031.5 by any applicant for a permit subjects the applicant II civil penalty of not more than five hu~ed dollars ($5~~ L £e __, --rzve"t<.n...-' · ;p · :,;> r I C.FIJ' .t. -7,_s-
Name
State L;conso • _./2.c,,D'e..<.y_· ·_7_._7..:...._'7 __
Address City
License Class M ..J.,'-'-_..L. ____ _
State/Zip
City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WOR~ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~ 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.
,Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ct the work for which this permit is
fsSlled. My worker's compensation insurance c rrier apd policy number are: ! /4
Insurance Company 6" U~--1' Policy No. 00¥'2--f? Expiration Date &/!J?J .OL--1 J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to ucure won.era' compenHtion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($ ddltion to the coat ompenutlon, damages aa provided for In Section 3706 of the L~ ~ode, Interest and attomey'a fees.
SIGNATUR.~;:;;:~cc._ __ ::::::::::1e:::..-~..JC..::::c::::'J..."""=-----------D~TE d-/2~ /
7. OWNER·BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law tor 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, end who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. 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 ct sale).
0 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(s) licensed
pursuant to the Contractor's License Law).
D 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 improvement. 0 YES ONO
2. I (have/ have natl signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide tha 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. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work),,_------------------------------------------------------
PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 26534 of the Presley•Tanner Hazardous Substance Account Act7 O 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 site7 D YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit ls issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
l certify that l 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. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 ovar 5'0" 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 commenced 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 ed for a eriod of 180 days (S ·on 106.4.4 ·term Building Code).
APPLICANT'S SIGNATUR"(_ __ ,::::: _____ _:L-=.. __ ..l,.L_ __ ..,.=:::e,,_ ______ _ DATE __._J;<..L;/2_2_7,'-"1/<_d.,__I __ _
WHITE: File YELLOW: Applicant PINK: Finance
{ /t/1 G,-1-
City of Carlsbad Bldg Inspection Request
For: 11/13/2001
Permit# CB012788
Title: APPLEGATE RES-ELECTRIC UP TO
Description: CODE IN KITCHEN
Type:ELEC Sub Type:
Job Address: 2709 MATEO PL
Suite: Lot 0
Location:
APPLICANT NEW LIFE CONSTRUCTION
Owner: APPLEGATE THOMAS J&CARLA A
Remarks: please inspect between 1 and 2pm
Total Time:
Inspector Assignment: RCB
Phone: 6195207958
Inspector: B l8
Requested By: PAUL
Entered By: CHRISTINE
CD Description Act Comments
33 Service Change/Upgrade A-P ~ ~
Associated PCRs
lns11ei;;tiQn Histo(¥
Date Description Act lnsp Comments
09/05/2001 17 Interior Lath/Drywall AP RC OK TO TAPE DRYWALL
09/04/2001 17 Interior Lath/Drywall CA RC
08/29/2001 14 Frame/Steel/Bolting/Welding AP RC
08/29/2001 24 Rough/Topout AP RC
08/29/2001 34 Rough Electric AP RC OK TO INSULATE
08/28/2001 34 Rough Electric co RC SEE NOTICE ATTACHED