HomeMy WebLinkAbout2850 RANCHO DIAMONTE; ; CB011342; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04/10/2001 Electrical Permit Permit No:CB011342
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
C.B. SHEA
Building Inspection Request Line (760) 602-2725
2850 RANCHO DIAMONTE CBAD
ELEC
2218112800 Lot#:
SILVERMAN RES-GAS & ELECT TO
BBQ-GAS TO FIRE PIT
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
SILVERMAN TIMOTHY J&LORRI
300 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
858-509-4963
2850 RANCHO DIAMONTE
CARLSBAD CA 92009
Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00
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
Additional Fees
TOTAL PERMIT FEES
Inspector:
0
0
0
0
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$27.00
$0.00
:::\
1PIRED PfftM!T
. -":'!RED IN ACCORD/, , · ~ 1• ·• · ,,;,4
lQ.-14:QI SIGNATIJR-: e,wJ
FINAL APPROVAL
Date: Clearance:
,.. .. ,
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 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 tmely 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired.
✓sotpl.t:>
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1.
Legal Description
Asse&'.'s Parcel #L Je
Description of Work # of Bathrooms
2. CONTACT PERSON (If different from applicant)
Telephone # Fax#
Telephone#
4 . PROPERTY OWNER
LIM "'-I .Jt u r2. L b .;51 i..,VG/2 fi1 fl lu .
Name Address
c~1tf2lfJ3'ftDCfl 9Joo9 01q-241,-W(..]
State/Zip Telephone II
6. CO.NTRACTOR .• 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 than live hundred dollars ($500)).
6 Llf}G. De # I · ~d:l R 'Ir '/J Q o-h 7-
Designer Name Address City State/Zip Telephone
State License # _________ _
6. 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 sell-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 c~mpensation insuran7e carrier and policy number are: _ DO l.j U. _ /-D '2
Insurance Company s+-m Cort...p I n.s -Fund Policy No. L//,,, 7 OI D() d.3 Expiration Daul _____ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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: Failure to aecure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred
thousand dollars 1 in ad 'tio to th cost of o en ation, damages H provided for In Section 3706 of th abor code, interest and attorney's fees.
DATE -/0-SIGNATUR.__...c...-+JJ.....S.-4'""--"""',._""==':i.-::ci..c.>,::::__:...J.-"""'-=:.J~------------
7. OWNER-BUILDER DECLARATION
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).
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 w ith 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 tor 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): _________________________________________________ _
5. 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 ______________________ _ DATE ------------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY , ,._
Is the applicant or future building occupant reciuired 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 Act7 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.
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. 3097(i) 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 AGA JT S~A'VIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required fo'.)' a sti~~e? ~-de ~; e · on I onstruc;ion of structures over 3 stories in height.
EXPIRATION: Every permit issued t,,fthjro~df'na-· fal.oo e-provis· is ode shall expire by limilalion and become null and void if the building or work
aulhorized by such permil is not c,oi,;m c~~ 1 .lJ!e::;:~<f"frcur~ed '"''"""'-'"' ,my r ii the bu~zed by such permit is suspended or abandoned
at any time after lhe work 1s commen ys ~ •. lTOrm tliiigCode). J-/ }
APPLICANT'S SIGNATURE -::7"'r:a~,,..C--S.,r.C-$Jr,,<:--yC..,6,L....L.._____________ DATE -/ 0-0 _
PINK: Finance J.1, ()0
City of Carlsbad Bldg Inspection Request
For: 09/19/2001
Permit# CB012462
Title: SCERBO RESIDENCE
Description: 2 PATIO COVERS,546 SF W/ELECTRIC
Type:PATIO Sub Type:
Jcib Address: 2866 RANCHO DIAMONTE
Suite: Lot 0
Location:
APPLICANT C.B. SHEA
Owner: TOLL LAND XXIII LTD PARTNERSHIP
Remarks:
Total Time:
Act Comments
Inspector Assignment: PD ---
Phone: 76129/0
Inspect~---
Requested By: LORI
Entered By: KAREN
CD Description
15 Roof/Reroof Co &o-r oq & p/lfrJ t)/2,,
___ / -~/ ---
Associated PCRs
lnsgection Histo01
Date Description Act lnsp Comments
07/26/2001 11 Ftg/Foundation/Piers AP PD
07126/2001 31 Underground/Conduit-Wiring AP PD