HomeMy WebLinkAbout2741 HIGHLAND DR; ; CB060595; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-11-2007 Electrical Permit Permit No: CB060595
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2741 HIGHLAND DR CBAD
ELEC
1561205800
Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
Project Title: COLLIS RES REPLACE ELEC PANEL
INCREASE TO 200 AMP,SUBPANEL IN GAR.,G&E TO BBQ
Applicant:
COLLIS TERRY R
2741 HIGHLAND DR
CARLSBAD CA 92008
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
Owner:
COLLIS TERRY R
2741 HIGHLAND DR
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
03/06/2006
KG.
03/06/2006
03/06/2006
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$47.50
$0.00
$82.50
Total Fees: $82.50 Total Payments To Date: $82.50 Balance Due:
Inspector:
FINAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of es, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to rotest 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 test and any other required information with the City Manager for
processing in accomance 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.
PERMIT APPLICATION
FOR OFFICE USE Q!lll Y
PLAN CHECK NOC f[fr/)5q f;
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit --~=-="7"'" __ _
Address (Include Bldg/Suite I)
";;} 7 1.{ / H::i' S h\ &Iv~ D~. Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. T pt al I of units
Assessor's Parcel I , Proposed Use
I of Bedrooms
Name
' ; r ii
Name Address City State/Zip Telephone I
" . ~ 1"l'I" ~~ ~
Name Address City S.tate/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 tha 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
N1m1 Address City State/Zip Telephone I
State License I ________ _ License Class ________ _ City Business License I _______ _
Designer Name
State License I
Address City
" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is lasued, I shall not employ any person In any menner so es
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to -. work ... c:omptnAtion coverage la unlawful, and ahllll l&ibject an employer to crlmk1al penaltlN and clvll ftnu up to one hundred
thousand doUars ($100,000), In addition to the cost of compensation, damagu u provided for In Sactlon 3708 of the Labor code, lnterut and attorney'■ fNs.
SIGNATURE DATE ________ _
... m; • I hereby affirm that I am exempt from the Contractor's License Law for 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 -■le
(Sec. 7044, Business ■nd Profession■ Code: The Contractor's License Law does not apply to en owner of property who builds or Improve■ thereon, and who does
■uch work himself or through his own employees, provided thet such Improvements ere not Intended or offered for -■le. If, however, the building or Improvement ls
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 a■le). ~~ I, H owner of the property, em exclusively contrectlng with licensed contrector■ to construct the project (Sec. 7044, Bu■1n ... and Professions Code: The ~r■ctor'■ License L■w does not apply to an owner of property who build■ or Improves thereon, and contract■ for ■uch project■ with contractor(s) licensed
pursuant to the Contrector'·s Llcen■-Law).
0 I am exempt under Section ______ Bualneas end Professions Code for this reason:
1. I personally plan to provide the major labor and m■terlals for construction of the propoHd property Improvement. gsit'. YES ONO
2. I (have / have not) signed an appllcetlon for a building permit for the proposed work.
3. I have contracted . with the following person (firm) to provide the proposed construction (include name / addrese / phone number / contractor■ license number):
4. I plan to provide portion■ of the work, but I have hired the following person to coordinate, supervlae and provide the mejor work (Include name / addreJS / phone number / contractor■ license number):. ____________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include neme / addres■ / phone number / type
of work):. _______ -:::::::====;----:;::,-:::;;.-;-::::;::~.----------------:::;--;---::--::;:---------
PROPERTY OWNER SIGNATURE DATE 3 -6 ,-0 ?,
R ~ianl'MiiB .
I• the applicant or future building occupant required to submit a business plan, acutely hezardoua materials registration form or risk management and prevention
program under Section■ 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
11 the applicant or future building occupint required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be con■tructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
-~-' I ,,,·:. ,, •. ,...ti.ii.,~r.i;~,~· -'·•• -~
I hareby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Codel.
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above Information is correct and that the information on the plens 11 eccurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 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 llmitatlon 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 commenced for a period ~180 ~s (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ~ .~~ DATE 3: 6-0 b
WHITE: File YELLOW: Aoolicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 01/17/2008
Permit# CB060595 Inspector Assignment: PC
Title: COLLIS RES REPLACE ELEC PANEL
Description: INCREASE TO 200 AMP,SUBPANEL IN GAR.,G&E TO BBQ
Type: ELEC Sub Type:
Job Address:
Suite:
2741 HIGHLAND DR
Lot
Phone:
0
Location: Inspector:
OWNER COLLIS TERRY R
Owner: COLLIS TERRY R
Remarks: Can you final? Or want Exp. Ltr sent?
Total Time:
----
Requested By: CHRISTINE
Entered By: CHRISTINE
3~o ~i::~':,::~ric~ f( i)l Comment ~
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
08/3012007 39 Final Electrical
Act lnsp Comments
PA PC EMR called in