HomeMy WebLinkAbout2747 OCEAN ST; ; CB100484; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-19-2010 Electrical Permit Permit No: CB100484
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2747 OCEAN ST CBAD
ELEC Status:
Parcel No: 2031402400 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
HAVENS RES-UPGRADE ELECT
PANEL FROM 100 TO 200 AMPS
CURTIS CONSTRUCTION
3420 DONNA DR
CARLSBAD, CA 92008
Electric Issue Fee
0
0
0
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
100
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HAVENS FRED Z JR TR
2139 ARCHDALE ST
RIVERSIDE CA 92506
ISSUED
03/19/2010
LSM
03/19/2010
03/19/2010
$10.00
$0.00
$0.00
$0.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
FINAL APPROVAL
Date: 3 ~-/t> Clearance:
$0,00
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 pem,it was issued to protest imposltion 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 service fees in connection with this project. NOR DOES IT APPLY to any
f Ix in f I h v r n iv n N Tl E i i r hi r t hi h flimi i r vi sl th rwi
-~-~-------------
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-~ 'c I TY OF
CARLSBAD
oc::.e
Building Permit Application
1635 Faraday Ave .• Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
c:,T.
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No. Q8 I O O'-J:<",stf
Est. Value
Plan Ck. Deposit
Date $ ~ tO, (0
APN
LOT# PHASE# # OF UNITS # BEDROOM # BA TENANT BUSINESS NAME CONSTR. TYPE GROUP
EXISTIN8USE PROPOSED USE GARAGE (SF) PATIO (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NOD YES O NOD YES O NOD
CONTACT NAME (If Dl"9Nnt Fom Appllmnt) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE CITY BUS. UC.# I 7-0"Z.<:al
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or r~lr any structure, prior to Its Issuance, alSo ~utres the appUcant for such permit to file a s~ statement that he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of OMSIOn 3 of the
Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged eicemption. Any violation of Section 7031.5 by any eppllcant for a permit subjects the appltcant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Worbrl' Compenution Declaration: I hereby affllm under penalty of perjury 008 of the following dedslaloos:
□ I have and will mafntul • c:ertlftcate of c:onHfll to Hit-Insure for workeni' compensation as p-ovided by Section 3700 of the Labor Code, for the performance ol lhe wont for which this pennil Is issued.
'1-,uiave and wll melntaln workers' c:ompenutlon, as r-red by Section 3700 of the Labor Code, for the performance ol lhe wo,i; br which lhis pennil is issued. My wcrurs· compensation Insurance carrier and policy
oumberare:lnsuranceCo. ~Tt'iI'E:.. 't..J,J P PolcyNo. 'Z3A; •t:n';,L..3'"12 &p;rationOalo {• /' I/
This section need not be competed if the permit is for one hundred dollars ($100) or less.
D Certllicale of Exemption: I certify that in the performance ol lhe work for 'M'lich lhis pem1it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Fllkn to HC:Urt workers' compenudon covtrlgt Is unlawful, and shall subject an employer to criminal penaltlq and c:lvll finN up to one hundred thousand dolll'I (&100,000), In
addition to lhe cost of c:ompensatlon, d■magff u providld for in S Ion 370G of the Labor code, lnlel'Nt and attorney's fHs.
A! CONTRACTOR SIGNATIJRE C
I hereby lllflrm that I am exempt from Confnlctor's Uamse Law for the following ,uson:
□ /, as 0'MMtl' of the property or my employees with wages as lheir sole compensation, wiN do the work and the structure is nol intended or offered for sale (Sec:. 7044, Business and Protessions Code: The Contractor's
license Law does not apply lo an O\W\81' of property 'Mk) builds or improves thereon, and who does such WOO( 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 yea' of completion, the owner-builder WII have lhe burden of proving that he did not build or improve for the purpose of sale).
□ l, as owner of the property, am exclusively contracting wilh licensed conlractoni to conslruct lhe pro;ect (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply lo an owner of
property who bu~ds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Conlractor's license Law).
□ I am exempt under Seciion ____ Business and Professions Code for this reason:
1. I personally plan lo provide the ma;or labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building p«mit for the proposed WOOi.
3. I have contracted 'Nilh the fdlowing person (!inn) lo provide the proposed cooslruction (include name addl'8ss /phone/ conlraclors' license number):
4. I plan lo p-ovide porlions of the WOO(, but I have hired lhe following person to coordinate, supervise and p-ovkle the major WOOi (include name/ address/ phone/ conlrachn' license number):
5. I will provide some of the work, but I have contracted (hnd) the following persons lo provide the work indicaled (include name/ address/ phone/ type of work):
.,15 PROPERTY OWNER SIGNATURE □AGENT DATE
···-~---_______ ,. ...........
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mura building occupant required to submil a business plan, aculely hazardous materials registration form or risk management and prevention prO!Jam under Sections 25505, 25533 or 25534 of lhl
Presley-Tanner Hazartlous Substance Account hfl □ Yes □ No
Is the applicant or future building occupanl required lo obtain a pennil from the air pollution control disbict or air quality management district? □ Yes □ No
Is lhe facility to be constructed within 1,000 feel of the oulei bounday of a school site? □ Yes □ No
F 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 OFACE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROt. DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction tenchng agency for the performance of the work this pennlt 1s issued (Sec 3097 (i) CMI Code)
Lender's Name Lend8f's Address
APPLICANT CERTIFICATION
I catffythat I haw IUd the applcatton 1111d stale lhal the above information is coned and that the lnrormltlon on the plans Is accurate. I ae,ae to ~with al Otv o«llnlncal and Stallt ... reladnC 1D bolldlnC conslnlcdan.
lhen!by---cl ... Ciycl~l:>enter..,.,., ... aboverronlilrodJJOP811YunspedilnJ111POSOS.IALSOAGRfETOSAVE.INOEMNIFYNIDKEEPHARMl.£SSTl£CITYOFCARLSBAD
AGANST ALL LIABUTIES, JUDGMENTS, COSTS AN> EXPENSES WHICH OMY IN /WY WAY ACCRUE NJAINST SAil CITY IN COOSEOUENCE OF THE GRANTNG OF THIS PERMIT.
05HA:AA OSHA pemilisl8(J.nd ilre,u:avaionsrmr5V'deeplnl_or_cls>ucinsrmr3 silr'esi1 toi!1t
EXP1RATKJN: E....ypemilissuedby ... Bliknlg0tilltmer ... pl1J'IW1SOfltisCodeshale,pnbyliniaionlnlbecornenullnl-=iidl ... buidngorwod<a.floriz8dbysudlpemilisnolC011111Wl<8Cf-
100days tom ,.. dalll cl sud1 pemil orw ... buidng orwod< autlorized by sud1 pemil is .._-oedg-at111Y time after ... wod< isC011111Wl<8Cf iJr a period cl 100 days (Sedill 106.4.4 "1iilrm liitfiv Cade).
~ APPLICANT'S SNlNATURE ::.,{ C • 4" DATE ~-l Cf ~ l b
«'~ ~ CITY OF
CARLSBAD
DATE: ~8,--+-f ""-O---'+'-l l_.__t De,____ , 1
PERMIT#: I vb 4, ~L/
Unscheduled
Building Inspection
Building Department
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
I l-j1et25e
INSPECTOR: __ s:p-l....-.C'-----
CONTACT: ~cl
PHONE #: r / 5 -cPi LtC) '
JOB ADDRESS: dllt.f: 7 ~ ±:
DESCRIPTION: __________________ _
CODE
c-19
8?2
Bldg Inspection Form
DESCRIPTION ACT COMMENTS
!t-
Page 1 of 1 Rev. 06/09