HomeMy WebLinkAbout1060 PALM AVE; ; CB063050; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
f0-23~2006 Electrical Permit Permit No: CB063050
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1060 PALM AV CBAD
ELEC Status:
Parcel No: 2051901200 Lot#: 0 Applied:
Reference #:
Project Title: YOUNG RES UPGRADE ELEC FROM
30 TO 100 AMPS
Applicant:
WIREMAN INC
STE 107
926 S ANDREASEN
ESCIBDUDI CA 92029
760-291-1430
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
70
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
YOUNG THERESA
1060 PALM AVE
CARLSBAD CA 92008
619-540-0763
ISSUED
10/23/2006
KG
10/23/2006
10/23/2006
$10.00
$17.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.50
Total Fees: $27.50 Total Payments To Date: $27.50 Balance Due:
Inspector:
FINAL APPR_Q_VAL
Date: //' / J -4? C 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 pemiit 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, gradlng or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f h. h h v i I N ·1 r hi r which h s of limit i n h I
PERMIT APPLICATION
FOR OFFICE USE ONLY ~
PLAN CHECK Nc/J3l)if}3(£2!::::!
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ______ _
Address (include Bldg/Suite #)
4~!ip.Y"' A,(I~
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
I Assessor's Parcel # Existing Use
I
# of Bathrooms
City S.tate/Zip Telephone#
(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 t e applicant to a civil pe alty f not more an five hund ed dollar $50 I
City Business License #
Designer Name
State License #
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
'f
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 ($100] OR LESS)
~TIFICATE 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' Co~ation Laws of California.
WARNING: Failur to secure workers' com),enaation coverage Is unlawful, and shall subject an employer to criminal peneltlea end civil flnea up to one hundred
thousand dollars ( 100,000), In addltl/o t cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
SIGNA TUR DA TE
U,.J,,._.., ....... 1;ffili JlD'[ll;~i;C~. TIQN, '~ . ~'t_\..,)~·-.;~;,;;;~. __ ;;:;;:;;:;;.;~i,;i;iii~
I heieb affirm hat I am exempt from the Contractor's License Law for the following reason:
0 I, s ner 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).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) 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 (include name / address / phone number/ contractors license number):
4. I plan 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 license number): ______________________________________________ _
6. I will provide some 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
igQ'MP~U!lCT10N..F.QrfliQ11°..::B.PmPffiTM.1JriJLPlNUlBM.lTli.9 ... I;! ·
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
Is the applicant or future building occupant required to 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 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 AND THE AIR POLLUTION CONTROL DISTRICT.
~,-, 9,,NU.B.YgI!QN:!,;fflQ!ijdJAggr{cvn:.;~,-· "'. .•• ~ .... ......At w, ',, _,til'.:....,...L.~......,:,,..~ , , , ,, .... ~~~m,&~\:•~~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME
fl'! , ~MIEfBim~ll.Q
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.
EXPIRATION: Every permit issued by the buildin Official under the provisions of this Code shall expire by limitation and become null and void If the building or work
authorized by such permit is not co enced withi 1 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 com need for a eriod of 80 Cl!l-==on 106.4.4 Uniform Building Code).
DATE __,jt.._.?1_~;;.....,,.3__., &..,_.,..~--
YELLOW: Applicant PINK: Finance
,
a ~
City of Carlsbad Bldg Inspection Request
For 11/01/2006
Permit# CB063050
Title: YOUNG RES UPGRADE ELEC FROM
Description 30 TO 100 AMPS
Type ELEC Sub Type:
Job Address: 1060 PALM AV
Suite: Lot 0
Location:
APPLICANT WIREMAN INC
Owner: CRUZ JOSEPH A&ANGELA J LIVING TRUST
Remarks:
Total Time:
CD Description
33 Service Change/Upgrade
a Comment
Inspector Assignment:
Phone 6198077593
Inspector: ___ _;__;z.__ e
Requested By: JAMES
Entered By: CHRISTINE
39 Final Electrical +----~
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments