HomeMy WebLinkAbout152 REDWOOD AVE; ; CB041049; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-30-2004 Electrical Permit Permit No: CB041049
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
152 REDWOOD AV CBAD
ELEC
2042520600 Lot#:
GRIFFING DUPLEX-REPLACE 60 AMP
PANEL W/NEW 100 AMP PANEL-2 METERS
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Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/30/2004
RMA
03/30/2004
03/30/2004
SOMARC CONSTRUCTION GRIFFING FAMILY DECEDENTS TRUST 10-02-91
2417 APPIAN RD 92008
760 434-9665
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
Total Fees: $20.00
Inspector:
40
o
o
o
2408 SONORA CT
CARLSBAD CA 92008
Total Payments To Date: $0.00
FINAL APPROVAL
Date: /?-IJ..,? ~ef
$10.00
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
Balance Due: $20.00
8701 03/30/04 0002 01.
CGP
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. 1f 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
f sle i s f whi h o hav r vi I b n iven N TIC i ii rt hi r which h tat f limi i n h
02
20 .. 00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. (lS04 J 04. ~
EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ----...,;r:::i-----~:::":Zu m Jfk
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Name _____ Address
&Es:t:c,u Gr&,11-f-lt->Cle 'Lio
~ t,
(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
exeml)tion. Any violation of Section 7031 .5 by any applicant for a permit su j cts the a icant to a civil penalty of not more than fiv undred dollars ($5001).
Sow-. -Z't I A , · 7"' ,~ ~,,r-
Name Address
License Class ---~-'--------
City State/Zip
City Business License # ___ {_l,~--~-
Designer Name
State License #
[6,-WOBK!;R$ .. -:, -===::::::::::~;:;;;:;;-::-
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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.
D 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 ($1001 OR LESS)
~ 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' co pen111tlon coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars 00 , In addltlo t the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE~s~~~~~~~~~~~::=::;:;;;;;;;:;;:-::-;;:-;;_;;;;;=;;;-;;;;;;;;--:;;---:;;;;;;,;:;;;;;;-: DATE 3 -~a -o 'i [?_._OW~BUILQD~t:ARA ;;:;;;:;;::==:=-::::::-:;:;:::::!::;;.;;;;;;::::;,...,.,...,......,,....,,.,,, • .....,....,._
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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 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).
D 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. D 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):. ______________________________________________ _
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 ______________________ _
[CQMfl,llU!:!JU!~gJ!.9fi FOR N()N.:!!.fSIDENnAfdo BJ,ll!.DINQ,f.E_RMJTUID.,Y,........,.,._,._-..1,.... ...
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 26534 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 beci'onstructed within 1,000 feet of the outer boundary of a school site7 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.
CONSTl!!,!QIIQJti-£tilQ.ltfiL_~~~-
he performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
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 building Official under the provisions of lhis Code shall expire by limitation and become null and void if the building or work
aulhorized by such permil is not commenced within 180 daY.S 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 commen a period of 1 days (Section 106.4.4 Uniform Building Code).
2
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APPLICANT'S SIGNATURE -1--~~~~:!!:::~~-~~~~~-----------DATE _v~---"-+----1---------
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 12/16/2004
Permit# CB041049 Inspector Assignment: RB ---
Title: GRIFFING DUPLEX-REPLACE 60 AMP
Description: PANEL W/100 AMP-152 & 154 REDWOOD-2 METERS
Type: ELEC Sub Type:
Job Address:
Suite:
152 REDWOOD AV
Lot 0
Phone: 7608452015
Location: Inspector: ----
OWNER GRIFFING FAMILY DECEDENTS TRUST 10-02-91
Owner:
Remarks: METER CHANGE OUT RECHECK
Total Time:
CD Description Act Comment
Requested By: CARLOS
Entered By: CHRISTINE
II;,:.,,?---------------34 Rough Electric L!...L_ -3-t-_____ l
Date
06/23/2004
06/15/2004
Associated PCRs/CVs
Inspection History
Description
33 Service Change/Upgrade
33 Service Change/Upgrade
Act lnsp Comments
PA RB EMR OK ON 152 & 154
NR RB NEED BRANCH CIRCUITS INSTALLED