HomeMy WebLinkAbout2718 GLASGOW DR; ; CB090569; Permit.. •, City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-19-2010 Electrical Permit Permit No: CB090569
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
NATURAL ENERGY
TED MOUNT
2718 GLASGOW DR CBAD
ELEC
2081120200
HOPPER: ROOF MOUNT. PV
147 S VINEWOOD ST 92029
760 7 43-6400
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
Status:
Lot#: 0 Applied:
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HOPPER FAMILY TRUST 12-20-05
2718 GLASGOW DR
CARLSBAD CA 92010
ABANDOND
04/06/2009
JMA
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$110.00
$0.00
$120.00
Total Fees: $120.00 Total Payments To Date: $0.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$120.00
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 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 Garlsbad 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 tees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fe8s in connection with this project. NOR DOES IT APPLY to any
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. ' . ' City ~f Carlsbad
1635 Faraday Ave,, Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
JOB ADDRESS . 71 '6
CT/PROJECT# # OF UNITS # BEDROOMS
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
SUITE# /SPACE# /UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GRoiJp
0,
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS
NO • YES • NO • YES O NO •
CITY STATE ZIP
PHONE FAX FAX
, i:-o :7l{:) -{, L(oo
EMAIL EMAIL
CONTR
'7::>1. ADDRESS ILt7 2)0, V,yVWJGC(A
STATE
CA
ZIP
;2(516 STATE
C.A
ZIP 9zoz9
FAX FAX
"7(,0 ,. rL( 'J, OJ-'-/)
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CITY BUS. UC.#
lj \,S--10 (2.2-3<,,g/
/lee. 103 I .5 Bu1in,1s and Profmions (ode: Any City or County: which requim a permit to consrmct, _alter/ improve, demolish or reP.air any structure, prior to in issuance, also requires the ap_plicant for such permit to filt a signed 1tatemen1 that he is ticenstdJ)ursuant to the prov11ions of the Contractor's license law {Chapter 9, commending with Section 000 of D1vis1on 3 of 1he Business and Pro1e11ions Code} or tha1 he is exempt there from, and the bnis for the alleged mmption. Any violation of ~ection 7031.5 by any applicant for a ,:>trm1t subjMn the applicant to a civil ptnalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: I hereby affirm under penalfy of perjury one of the following declarations·
D 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.
~ve and will maintain wor
number are: Insurance Co.
' cqmpensatlon, ~ by Se~lion 3700 of the Labor Code, for the _performance of the work~ wh~ ~ permit is issue My workers' compensa!ion suran carri_;r and policy
'\l.....-\--c,. , ,-n)""'cJ PohcyNo. -~ 1'-{_)-z._.oc Exp1rat1on •ate I \. <l,J'a:-,1 t1 _
This section need not be completed ii the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided f Ion 3706 of the Labor code, interest and attorney's fees. <
2$ CONTRACTOR SIGNATU l!l!!:11 .,----
/ hereby affirm that I am exempt ftom Contractor's License Law for the following reason:
• 1, as owner of the property or my employees with wages as their SOie 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 lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply 10 an owner of
property who builds or improves thereon, and contracts tor such projects with con!ractor(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 construction of the proposed property improvement. • Yes • No
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 I phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired !he 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 I type oi work}
_g PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a perm rt from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • 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.
l certify that I have read the application and state that the above information is correct and that the information on the plans Is acrurate. I agree to comply with all City ordinances and State laws re1atlngto building construction.
I hereby authorize representative 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 MAY IN AtfY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 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 limrtation and become null and vcid ij the building or work authorized by such permit is not commenced within
180 days from the date of such permrt or if the building or work authorized 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 Unijoon Building Code).
£5 APPLICANT'S SIGNATURE DATE 1.(c,c
CB090589 2718 GlASGOW OR
HOPPER: ROOf?' MOUNT, PV
~ FEE PD.
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