HomeMy WebLinkAbout2880 LOKER AVE E; TP; CB060736; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-29-2006 Electrical Permit Permit No: CB060736
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2880 LOKER AV EAST CBAD -rl'
ELEC Status:
Parcel No: 2090832200 Lot#: 0 Applied:
Reference #:
Project Title: TEMP POWER FOR 5900 SEA LION
Applicant:
LUSARDI CONSTRUCTION COMPANY
1570 LINDA VISTA DRIVE
SAN MARCOS, CA 92069
619-744-3133
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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
WESTERN SALT CO
C/0 H G FENTON CO
7577 MISSION VALLEY RD
SAN DIEGO CA 92108
ISSUED
03/16/2006
LSM
03/29/2006
03/29/2006
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
Inspector: Date: 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 'iees/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 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMAT:zJ?
FOR OFFICE USE ONLY
PLAN CHECK NO. ~Ob0?~"7
EST. VAL.----------
Plan Ck. Deposit __ __..:;l..., J?,-....,.,,...-k-_,,..---rr'\01 V'= Validated By ______ ......,. ___ _
Date. _____ £..-1-/ .:.../ ....;;;<o::..,1,-.;/06=-=:;.__-
Address (include Bldg/Suite #) ~ 8: 80 LO'<-ve..
:!f?4?9 -Business Name (at this address)
c:;
Legal Description Lot No. Subdivision Name/Number
~1-0B-3-Unit No. Phase No. Total # of units
Existing Use Proposed Use
SQ. FT, • #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (H different from applicant) .
..Jb/-1.-/ ~/Lkr?:?S /57& .L/NPA-)/(5-1-,,4 114 s.g,
Name Address City
3. APPLICANT O Contractor ~gent for Contractor O Owner D Agent for Owner ~~2==:
cA PQ)? ~-f't'2-S733
State/Zip Telephone # Fax #
State/Zip Telephone#
Name dress City
'5. CONTRACTOR • COMPANY NAME
(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 the 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 tharJ,!!Y, hundred dollars ($5001). ~
t?:U..t,4rt.<J I u:9yJ+-L.~"2<2 LL6//2A: v?JJ-4-p £,, ~& q..2~L 14#-@z-p3~
Designer Name Address City State/Zip Telephone
State License # -~,£._ ______ _
6. WORKERS' C
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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. ~ 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: "/ J / "'7
Insurance Company ~4"ft./ 1//-l((}r/ Hll,.6/f.l C Policy NoJW: / ~ .JZ?'?tJ Expiration Date _ -_ -2a:J L
(THIS SECTION NEED NOT BE COMPLETED IF THE ;&MIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage 11 unlawful, and sheN subject an employer to criminal penalties and civil fines up to ona hundred
thousand dollars ($ 000), in I · to the co of compensation, damages as provided for in Section 3706 of tha Labor coda, Interest and attorney's fees.
SIGNATURE DATE -2~-:.Lt_.,f#=~ 0~~0..,,c_--::..._ _____ _
7. OWNER-BUI
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 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 the purpose of sale).
D I, as owne of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's Licens does not apply to an owner of property who builds or improves thereon, and contracts for s rejects with contractor(s) licensed
pursuant to the Contractor se Law).
0
1.
2.
3.
proposed property improvement. 0 YES ONO
4. I plan to provide portions of the..w r , but I have hired the following person to coordinate, su
number I contractors licens,umbe.r):. ________________________ .....:.::::::......,. __________________ _
5. I will provide so~f the work, but I have contracted (hired) the following persons to provide the work indica
of work):._~---------------------------------------...:,, _____________ _
PROPERTY OWNER SIGNATURE DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO PERMITS ONLY
Is the applicant or future building occupant required 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 Act? 0 YES O NO
g..,....,...._t .. o obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the o~u:te~r~b:o~u:n:a~r::::::~~~ii~~;::~
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY M IS SS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TH LLUTION CONTROL DISTRIC .
8. CQ~NST!IUCTION LENDING AGENCY
ency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S ADDRESS~~~--~-----------~------~ LENDER'S NAME _____________ _
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 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIR.ATION: Every pen:1it 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 perm1t 1s 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 lime after the work is co c for eri f 180 d s (Section 106.4.4 Uniform Building Code). ! 6
APPLICANT'S SIGNATURE DATE '3=-tr..a V
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/06/2006
Permit# CB060736
Title: TEMP POWER FOR 5900 SEA LION
Description:
Type: ELEC Sub Type:
Job Address: 2880 LOKER AV EAST
Suite: Lot 0
Location:
APPLICANT LUSARDI CONSTRUCTION COMPANY
Owner:
Remarks:
Total Time:
CD Description
39 Final Electrical
Inspector Assignment:
Phone: 7608025133
Inspector:
Requested By: JOHN
Entered By: CHRISTINE
--~·----------------------------------
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments