HomeMy WebLinkAbout2725 GALICIA WAY; ; CB081882; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-b3-2008 Electrical Permit Permit No: CB081882
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2725 GALICIA WY CBAD
ELEC Status:
Parcel No: 2162201200 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: HASLER RES UPGRADE ELEC PANEL
FROM 100 TO 200 AMPS
Applicant:
HASLERJOHN&KAREN
2725 GALICIA WAY
CARLSBAD CA 92009
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
100
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HASLERJOHN&KAREN
2725 GALICIA WAY
CARLSBAD CA 92009
ISSUED
10/03/2008
KG
10/03/2008
10/03/2008
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
Inspector:
FINAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" off , 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 win 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 service fees in connection with this project. NOR DOES IT APPLY to any
i I h
' City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No.C,&, '?-f ~
Est. Value
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
JOB ADDRESS "21~-S-
Plan Ck. Deposit
SUITE#/SPACE#/UNIT# APN / ~,0-2.?..0
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDR MS # BATHROOMS CON TR. TYPE OC . GR UP
\ s F-
DESCRIPTION OF WORK: Include Squere Feet of Afrected Aree(s) r /utf:}t o0 ~P
EXISTING USE " . ~ 1=-1c_
PROPOSED USE
CONTACT NAME (If D"'9rent Fom Applfcent) s /) M_
ADDRESS
L6.C./ fl\. ti/ L-
GARAGE (SF) PATIOS (SF)
ZIP
AIR CONDITIONING
YES • NO D
FIRE SPRINKLERS
YES • NO •
CITY STATE STATE ZIP '-A . C\~oc
FAX
PROPERTY OWNER NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.#
/Ste. 7031.S Bu~nt1s and Professions Code: Any City or County which rtquim a pmnil 10 cot111ruct, aller1 imprO'lt, dtmolilh or rtP,air any sl1'UCturt1 prior IO iu i11H1Kt, abo rtquirts die applianl for such J)tl;lllit 10 file a signed s111emen1 Iha! he is rKensed .l4!nuan1 to the pnmsions of 1he Contmtor's license ~w {Chapter 9, commending wilh Section 000 of DiYilion 3 of the Business and Pn,,.,sions Code) or that ht ii exempl thtrttom, and die bas11 for 1he altl'd mmption. Ally violation of Section 7031.S by any applican1 for a permit 11bjecu die applicant to a cm pet1alty of no1 mort lhan five hulldl!d dollan {$S00)).
WORKERS' COMPENSATION
Workers' Compensation Decla'atlon: I hereby affirm under penalty of perjury one of the following dec/arattons:
D I have end will maintain a certificate of consent to sell-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.
D 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 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 dollars ($100) or less. D Certtticate 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 la unlawful, and shall subject en 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 for In Section 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
f hereby affirm that I am exempt from Contractor's License Law for the following reason:
• 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, 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 lhe purpose of sale). ✓ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto~s License Law does not apply to an owner ol
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlractor's License Law).
• I am exempt under Section _____ ,Business and Professions Code for this reason:
1. f 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, bu ave hired the following person to coordinate, supervise and provide lhe major work (Include name/ address / phone/ contractors' license number):
5. I will provide some of the work, b hav c tracted (hir ) the following persons to provide the work indicated (include name/ address/ phone I type of work):
Is the applicant or future building occupant requ· ed 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-Tanner Hazardous Substance Account ct? • Yes • No
Is lhe applicant or future building occupant requ ed to obtain a permit 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 boundaiy of a school site? • Yes • No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfonnation Is correct and that the lnfonnation on the plans Is accurate. I agree ID comply with all City olt!lnances and State laws relating ID building construction.
I herell'y' aulhorize representatwe a the City a Carlsbad to enter l4JOO the aooie mentmed property for ilspecfun purposes. I Al.SO AGREE TO SA VE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: AA OSHA perml is requi'ed for excavati· 5'0' deep and dmlollm or coostructm a structures Oler 3 stores n heght.
EXPIRATION: Eveiy perm~ issued b'f the i I lllder the pl'Oliso,s a this Code shaH expi'e b'f initatm and becane nul and voo r the buildng or \\OIi< authorized b'f such perm~ is na corrmeoold \Whn
180 days from the date of such perm~ or~ 1· · I\Oll<authorized b'f such perml is suspended or abandooed at any tine after the \\OIi< is amneoced for a period of 180 days (Sectm 106.4.4 Un~orm Buildng Code).
~ APPLICANT'S SIGNATURE DATE \ C) I ~ / c> ~
rl . " City of Carlsbad Bldg Inspection Request
For: 10/29/2008
.
Permit# CB081882
Title: HASLER RES UPGRADE ELEC PANEL
Description: FROM 100 TO 200 AMPS
Type:ELEC Sub Type:
Job Address:
Suite:
2725 GALICIA WY
Lot: 0
Inspector Assignment: JM ---
Phone: 6199873000
Location: Inspector: ----
OWNER HASLER JOHN&KAREN
Owner: HASLER JOHN&KAREN
Remarks: FLASHING AND FINAL
Total Time:
Acy Comments
Requested By: JOHN
Entered By: CHRISTINE
CD
14
39
Description
Frame/Steel/Bolting/Welding
Final Electrical £(__ ___________ _
-----~· ----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
10/21/2008 33 Service Change/Upgrade AP JM 200 AMP CWB & GRND ROD