HomeMy WebLinkAbout2805 LUCIERNAGA ST; MP; CB003659; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09/29/2000 Electrical Permit Permit No:CB003659
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
2805 LUCIERNAGA ST CBAD
ELEC
DANIELS CABLEVISION
100 AMP METER PED
FISHEL COMPANY, THE
666 AIRPORT ROAD
OCEANSIDE, CA 92054
619-967 -6930
"t./\ p''
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/29/2000
JM
09/29/2000
09/29/2000
,:)023 J9 /F\ /;' ;JU(<:.
·?Fd.,,:·,·
Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00
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
TOTAL PERMIT FEES
Inspector:
0
0
0
100
FINAL APPROVAL
Date: , ' -l,1, -o
$10.00
$0.00
$0.00
$0.00
$25.00
$0.00
$0.00
$0.00
$0.00
$35.00
Clearance: ______ _
NOTICE: Please take NOTICE that pproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter co!lectively
referred to as "fees/exactions.' You have 90 days from the date this permtt 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 Ca~sbad 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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. {½?;Y&r:;1
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 9200~
EST. VAL. _________ _
Plan Ck. Depos-;:itA..,_ _______ _
Validated By__::,::_c:::,~~-/4....,,......f;,.-.,-
1. 1!(19,JECT INFORMATION ,._J_['\os:: 1 i 1< w co,., j ,r, <:~.-·, t
Date
Address (include Bldg/Suite II Business Name (at this addre5sl
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No.
Asst?\or's _Parcel I
UC ,Ner-l<Y>
Efisting Use
f\roP Mt'-v1 ~e"f'::. W.
Proposed Use
Description of Work SQ. FT. #of Stories I of Bedrooms
2. C ACT PERSON (If dlfl•r•nt from awpUcant)
<---:
Name Address City State/Zip
Total I ot units
# of Bathrooms
3. ~PPLIC~NT •□ Contrac_tor D ~~~n~ for Co~uactor □-owner_. Q,~9ent for owner
\ . .)c_,__"' ,.e\:::, Cl!,,.\c,,.\e\f, ,.,on"::,, 57ci0 C: l '-°'""-···~o ~,._\ C11 ( / o, ha.t I NI· 9Jcn'? 7io{J·'/~-,74
Name Address City State/Zip Telephone #
4. PROPERTY OWNER
Name Address City State/Zip Telephone#
6, CONTRACTOR• COMPANY NAME
(Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alte,, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that ha Is licensed pursuant to the provisions of the Contractor's License Law
!Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Coda! or that ha 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 I $600Jl,
Tli I,, r tl,r , ·I , c I} 9,¥.,'6<.f 7to · q1., 1 b13CJ
Name State/Zip T aleph one #
State License I __________ License Class__________ City Business License # / / q:&, 1q8'-J
Designer Name Address City State/Zip Telephone
State License II~----------
&. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Lsbor Code, tor the performance
of the work for which this permit is issued.
0 l 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 Cnl\\-, f\e!\\i>-\ Co\;}Q,),·V-1 'Io',· Policy No. LJ(.1'3'l I t.oo:iD& Expiration Date /,_7• /·Of
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$1001 OR LESS)
0 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: Fell r~to secure workers' compensetlon cover■ge la unlawful, ■nd aheN aubject an emplover to crlmlnel peneltlea end civil finea up to one hundred
thousand dollars . 00,000), In addition to the co_!!.,91..compenaatlon, damages H provided for In Section 3706 of the L~or code, lntereat and attorney's fees.
SIGNATURE • DATE 7 ·c')7·0)
7. !1-DE1:LARATION
I hereby affirm that am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my amployaas 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 Cod11: 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. 11, 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).
O I, as owner of the property, am exclusively contracting with licensed contractots to construct the project (Sac. 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 contractorls) 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. 0 YES ONO
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 linclude name/ address/ phone number/ contractors license number):
4. I plsn to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors licenst. number): _______________________________________________ _
5. \ will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/ type of work): _____________________________________________________ _
PROPERTY OWNER SIGNATURE ____________________ _ DATE ________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILOINO PERMITS ONLY
Is the applicant or future building occupant required to submit a businass 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? 0 YES O NO
Is the applicant or future building occupant required to obtain a petmlt from the air pollution control district or air qualitY management district? D YES O NO
Is tha facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309701 Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 State 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 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 6'0" deep and demolition or construction of structures ovJu ~ stories in height.
EXPIRATION: Every permit issued by the building Official under Iha provisions ol this Code shall expire by limitation and become null and void ii the building or work
authorized by such permit is not mmenced within 180 days trom the date of such permit or ii the building or work authorized by such permit is suspended or abandoned
et any time after the work is com ced !or a period of 160 days (Section 106.4.4 Uniform Building Code). C) 1 .c:.· DATE I J'J-oO APPLICANT'S SIGNATURE
YEUOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
Permit# CB003659
Title: DANIELS CABLEVISION
Description: 100 AMP METER PED
For: 11/21/2000
Type: ELEC Sub Type:
Job Address: 2805 LUCIERNAGA ST
Suite: Lot
Location:
APPLICANT FISHEL COMPANY, THE
Owner:
Remarks:
Total Time:
CD Description
0
Act Comments
Inspector Assignment:
Phone: 7607570352
'"'-'~
Requested By: RON
Entered By: ROBIN
39 Final Electrical ~ G~o,_,,
Associated PCRs
Inspection History
Date Description Act lnsp Comments
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ASPHALT cur IN STREET CROSS SECI10N
(NOT TO SCALE) * MATCH Ellll'III PAVDmn' + t'"
Underground Service Alert
Coll: TOLL FREE
1-800
227-2600
1WO WORKING DAYS BEFORE YOU DIG
LEGEND
S.W. • SIDEWALX
G.B. • GREENBaT
A.C. •ASPHALT CUT
P.T. = PUNCH THRU
D.T. • DIRT TRENCH
ll1I =VAULTS
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TRENCHDATA
ASPHALT CUT 87'
DIRT TRENCH 12'
PUNCH THRU----8'
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•
I rorAL: 105' I
RAR SIDEWN..K 50 SQ. FT.
:: L 1fc/J S I _J
. EXIST. CATV PED
EXIST.SDGIE
SEC. HANDHOLE
2807
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(:J~'";)· 3355 MISSION AYE I'~ DATE: 09-12-00 CARLSBAD -~INC.
C Oaea.718ide CA. 92054 V =•~54-8240
Phana# ( 760 ) 754 -9240 • PRO.ECl'UNOLOCAT10N: CB 32 01 MDCII I
Fa:1:# ( 780 ) 754 -9299 -
1
CONTACT PERSON -TODD THREW 2805 LUCIERNAGA ST.
ntOIIAII BAOS. PA<&:
1127-HS
C0NSTRIJCTION 8UPERVISOR:
RANDALL STARKEY
SHEET:
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