HomeMy WebLinkAbout1200 SALTAIRE WAY; ; CB091916; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-17-2009 Electrical Permit Permit No: CB091916
Building Inspection Request Line (760) 602-2725
Job Address: 1200 SALTAIRE WY CBAD
ELEC Permit Type:
Parcel No: 0000000000 Lot #: 0
Reference #:
PC#:
Project Title: SALTAIRE: 15FT SOLAR POWERED
LIGHT POLE
Applicant:
W&S ELECTRIC INC.
1050 PIONEER WAY
#K
EL CAJON 92020
619-447-8785
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
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/17/2009
JMA
11/17/2009
11/17/2009
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
Inspector:
FINAlf PPROVAL
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 "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 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
I i ii r h Ii i I h i x .
\
~-~-~
~ CITY OF
CARLSBAD
JOB ADDRESS
JOO Sc~/
Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
760-602-2717 J 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUJTE#/SPACE#/UNIT#
Plan CheckNo.CB09 ( q l '=>
Est Value
Plan Ck. Deposit
Datell 11 D
APN
CT/PROJE T # #BATHROOMS NA.NT BUSINESS NAME CONSTR. TWE OCC. OUP
DESCRIPTION OF WORK: , Square Feet
7 ta:...'.Q ;S'
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING ARE SPRINKLERS
NOD YES □ NO □ YES O NO □
CONTACT NAME tH Different Fom Applicant)
ADDRESS
CITY ZIP ZIP
o;;i O
PHONE FAX
SI
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP TATE
C'.-4
PHONE FAX PHONE IR I 'i 'fl/ 7-
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
(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 ls 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 exemptlori. Any vlolatlon of Section 7031.5 by any appllcanffor a pennit sub)ects the applicant to a civil penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
Workt,11 Compensation Declandlon: I hereby affirm under p&nBlty of petjuly one of the following declarBlions:
0 I have and wll maintain a certificate of consent to ulf-lnture for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this pennlt Is Issued.
0 I have and wll maintain wo:-re• cOIJlpenlltion, as requirejl. by Section 3700 of the Labor Code, for lhe perfoonence of lhe work for which lhis pennil is issued. My workers' compensation ipsur,noe carrier encl policy
""""" ,,., 1...,,..,,. Co. . D :f'./ P > S.., , . (.',,._,, pa" 'f Po;cy No. 0 I I> KR l" I ~ I) OS: 'I 7 / &pira'°" Da~ / / / // 0 ~,
This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of lhe work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Wori(era' Compensation Laws of
Ca~lomia. WARNING: Failure to secure workers' compensation conrage 11 unlawfu~ and shall 1ubject an employer to criminal penaltin and civil fines up to one hundred thouund doUars~&100,000), In
addhlon to the cost of compensation, damagts II provided r« ln Sect 3781 of the Lab r e, lnlwtst and attorney"s fHL
_6S CONTRACTOR SIGNATURE
I hereby afflrm thBt I am exempt from Contractor's License Law for /he following 11ason:
□ I, as owner ol lhe property or my emplovees 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 lher900, and who does such wor1c himself or through his own employees, provided Iha! such improvements are not intended or offered for
sale. If, however, the bulldlng or Improvement ls sold within one year of completion, the <Mner-builder will have lhe burden of proving Iha! he did not build or improve for the purpose of sale).
□ I, as (Mlltr of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlracb's License Law does not apply to an owner of
property who buffds or improves thereon, and contracts for such projects with coolraclor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt lllder Section ____ Business and Professions Code for this reason:
1. J pe,sonally plan to provide the major labor and materials for construclion of lhe proposed property Improvement. D Yes □ No
2. I (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with Iha follll'Mng person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the wort, but I have hired the following person to coordinate, supervise and provide lhe majorworil: {include name/ address f phooe / conlracilrs' license oomber):
5. I will provide some of the work, but t have contracted (hired) the rotkrNing persons to provide the work indicated (include name J address / phone f type of wcrl:):
,fS PROPERTY OWNER SIGNATURE □AGENT
COIVIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is lhe applicant or future bulldog occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under &doos 25505, 25533 or 25534 oflhe
Presley-Tanner Hazardous Substance Account lv:;(l □ Yn □ No
la tie applicant or luhre building occupant required to obtain a permit rrom the air pollution cootrol district or air quality management thlrict? □ Yes □ No
Is fie facility lo be constructed within 1,000 feel of Vie outer boundary d a school site? □ Yes □ 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.
I certify lhat I haw 188d tha appllcation and state that the alxwe Wormation ls com,ct and that the Information oo the plans Is accuiate. I agteeto comply with all Qty onHnances and Stale laws llllatlngto bul6dln&constndon.
I hel8by auhl!ize rep18Sri11M! ol ... City olCansbad l:>enter ~ ... aboYe menti0ned property for r,spadiJn pi.Wp088S. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN AN'f WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTNG OF THIS PERMIT.
OSHkAA OSHAparmilo 18Qlndilrexcavalons-50' deepand-ocCIJl1Slruciionolslrudlm<:NOr3-il toiglll
EXPIRATION: Every permil i8Bued bylhe Buicling Olfdal under the prMioroolll'i& Coda l!haN axpie by-and becorro nul and void I ... bulding oc--by such parmilo rd~-
180days tan ... dalaof sudl permilocl ... bu!ding oc-lll#lorimd by such parmil • ~ oc abandoned at any line after ... -•~ for a period of 180days (Section 1116.4.4 lhilrm a.iding Coda).
A$' APPLICANT'S SIGNATURE /{/4 I"{_ . / ' _ / .L V p . DATE / 0 -cl7-0 '/
City of Carlsbad Bldg Inspection Request
For 04/20/2010
Permit# CB091916
Title: SALTAIRE: 15FT SOLAR POWERED
Description: LIGHT POLE
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
1200 SALTAIRE WY
Lot:
APPLICANT W&S ELECTRIC INC.
Owner:
Remarks:
Total Time:
0
Inspector Assignment:
Phone: 6194478785
Inspector:
Requested By: JACK
Entered By: CHRISTINE
CD
32
39
Description tr_1 Comments .
Date
Const. Service/Agricultural
Final Electrical I
f6 /.5 Iv:« >
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Description Act lnsp Comments