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HomeMy WebLinkAbout2718 Inverness Dr; ; CB053656; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 10-24-2005 Electrical Permit Permit No: CB053656 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2718 INVERNESS DR CBAD ELEC 2081124300 Lot#: SPARKS RES-ADD NEW RECEPTICAL FOR MICROWAVE 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/24/2005 LSM 10/24/2005 10/24/2005 SPARKS DOROTHY S TRUST 04-20-05 Applicant: JOSEPH A MEEHLS SONS CO 2717 VANCOUVER ST CARLSBAD CA 92008 729-3056 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 3453 DON CARLOS DR CARLSBAD CA 92008 $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: Inspector: FINAL APP,RO AL D 27 dS:-Date: Clearance: $0.00 at 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 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 seivice fees in connection with this project. NOA DOES IT APPLY to any V PERMIT APPLICATION c·1TY O'i= CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONL V PLAN CHECK NO. 4(.;, b -S?:k:J::,.p EST. VAL.--------- Plan Ck. Deposit In__) Validated By. ___ ~ ..... ~~--=--- Date l<'O (2)..':f:) OS- Address (include Bldg/Suite #) vv1y, c:;oqq a?,..;-Business Name (at this address) Legal Description 7-oS-/(Z-43-cO Assessor's Parcel # Name State License # Designer Name State License # Lot No. Subdivision Name/Number Existing Use License Class ---"-"-------- Address Unit No. Phase No. Proposed Use City State/Zip Telephon II City Business License I I Z...../ I f!3 :6 7 City State/Zip Telephone hereby affirm under penalty of perjury one of the following declarations: Total II of units 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) ~RTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, J shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fal ecure workers' compenaatlon coverage la unlawful, and ahaU subject an employer to criminal penalties and civil fines up to one hundred I ddltlon t the coat of c~ena~, damages aa provided for In Secdon 3706 of the Labor code, interest end attorney'• fee~. SIGNATURE /l,_..-"~ ~ DATE I hereby affirm that I am exempt from license Law for 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. 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 bulld or improve for the purpose of 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). 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 improvement. O YES ONO 2. I (have I 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 I address I phone number I 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 J address I phone number I contractors license number):·------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name I address I phone number I type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE ml Is the applicant or future building occupant required to submit a business plan, l!lcutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES O 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 ls 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 AND THE AIR POLLUTION CONTROL DISTRICT. 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 LENDER'S ADDRESS"------------------------ IWffll&!IR}INafl,BJlf~i1,~~Jw~~i(i1Ndrllq'.dti0~~RftfGf@l[\~'.iii5~~~j'0~~A~~G)~:~;itffl\l~0%!;gf~*1;1iiltJ!itV0.il±iJ~JmlTh8~&J,l}~~ff,t"~~ffi~~1fil/~~~~1 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 Stete 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 5'0" 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 no menced 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 mmen ed f period of 180 dayscf.cto 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR DATE ;v/2--r /o.s~ 1 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/27/2005 Permit# CB053656 Title: SPARKS RES-ADD NEW RECEPTICAL Description: FOR MICROWAVE Type: ELEC Sub Type: Job Address: 2718 INVERNESS DR Suite: Lot 0 Location: APPLICANT JOSEPH A MEEHL$ SONS CO Owner: SPARKS DOROTHY S TRUST 04-20-05 Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 7607293056 Inspector: ---- Requested By: JOHN ANEAN 34 Rough Electric ~~~~~~~~~~ Inspection History Date Description Act lnsp Comments