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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