HomeMy WebLinkAbout1560 SANDALWOOD LN; ; CB080987; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-27-2008 Electrical Permit Permit No: CB080987
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1560 SANDALWOOD LN CBAD
ELEC
2051304300 Lot #:
JACKAM RES UPGRADE POOL PANEL
AND REPLACE PUMP
0
Owner:
Status:
Applied:
Ente,:ed By:
Plan Approved:
Issued:
Inspect Area:
JACKAM RICHARD C JACKAM RICHARD C
741 PLUMOSA AVE
VISTA CA 92081
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
741 PLUMOSAAVE
VISTA CA 92081
ISSUED
05127/2008
KG
05/27/2008
05/27/2008
PD
$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:
lnspecto · 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 pennit 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 infonnation 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 •~lld 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
NTI imilr h' h
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602:2717 / 2718/ 2719
·Fax: 760-602-8558
Building Permit Application
L T # PHASE#
DESCRIPTION OF WORK: Include Square Feet ot A"9cted Anta(s)
\)?<;'R :o~ Pt=\wtZL-A
EXISTING USE PRO ED USE
CONTACT NAME (If Qlfrerant Fom """1bnt)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
-JAC "" S <=\\,cDt=\l.)J)e:ot)
'°'ID STATE Cc:>.
5 \~C&,5 FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS
WORKERS COMPENSATION
Plan Check No
Est. Value
Plan Ck. Deposit
Date ,S--2 7-cY
APN
# F UNITS TENAN U IN NAME
GARAGE ( F) PATIOS ( F) DECKS (S ) FIREPLA E AIR CONDITIONING
YESCI #_ NOD YES □ NOD
APPUCANT NAME
ADDRESS
ZIP CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
LPi ""'2 ADDRESS
o.e..&,e, CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.# STATE LIC.# CLASS CITY BUS. UC.#
W<Nten' Comp,ooatlon _, I hereby atrfnn under penalty« pe,/ll'f ooe « ft>o k>l~wlng doc,.,_,,
FIRE SPRINKLERS
YES □ NO □
□ I have and wlll m1kdaln • c.utlcatt of consent to 111f-ln1ure for workers· compensatloo as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit ts Issued.
□ I have and win malntltn WOften' compenNllon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is ISSued. My workers' compensation insurance carrier and policy
numberae: Insurance Co. ___________________ Policy No. _____________ Expiration Date ________ _
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 the work for which this permit is issued, I shall not employ any person in any mMner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure lo secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines upto one hundred lhou11nd dollars (&100,000), In
addition to the cost of compensation, damages II provkled for In Section 3706 of the Labor code, Interest and attomey'1 fees.
,15 CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the fo/k:Nfing reason:
LI I, as owner of the property or my employees with wages as their sole compensation, wilt do the work and the structure is not intended or offered for sale (Sec. 7044, Business aid 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 ae 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 OOild or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with Ucensed 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).
LI 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. LI Yes LI No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (flnn) to provide the proposed construction (include name address/ phone /contractors' license number):
4, I pla1 to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I 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 I address/ phoile I type of work):
Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven!IOn progran under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr? □ Yes □ No
Is the appricant or future building occupant required to obtain a permit from the air pollution conlrol district or air quality management district? 1:1 Yes LI No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LI Yes LI 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,
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I c:erttrylhat I haYe read the appllcaUon and statelhatthe above lnfonnatton Is correct and that the Information on lhe plans Is accurate. I agree to comply with all CIC)' on:ffnances and State laws relallng ID building construction.
I helOby aulhorize --of lhe City of Galsbad to enter upon !he above mentioned propei!yfor r,speclon puposes. I ALSO AGREE TO SAVE, INDEl,f;IFY AND KEEP HARM..ESS THE CITY Of CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN f,Nf WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
OSHA: AA OSHA pem,it Is iequied for excavations <Mlf 50' deep and demolition or coos1ruclioo of stucms CNOf 3 stores i1 height
EXPIRA:e: Eve!y pennil issued by lhe EIJilding Ollk:ial underlhe proYisions of~• Code shal exp;e by-and bec:olre nul and void Ille bti~i,g or-aulhOlized by such pennil i; nota:m1e1ced oilh'1
180 days r• lhe dale of such pennilor I uidi,g or-. such permit is suspended or-.ed al 111)' line after lhe I\Olk is ro111~iced for a period of 1 days (Section 106.4.4 Uniform Buildi,g Code).
/lP LICANT'SSIGNATURE • DATE cs 08
m City of Carlsbad Bldg Inspection Request
. For: 06/13/2008 .
Permit# CB080987
Title: JACKAM RES UPGRADE POOL PANEL
Description: AND REPLACE PUMP
Type:ELEC Sub Type:
Job Address: 1560 SANDALWOOD LN
Suite: Lot:
Location:
OWNER JACKAM RICHARD C
Owner: JACKAM RICHARD C
Remarks:
Total Time:
CD Description
0
Inspector Assignment: PD ---
Phone: 7~4~
lnspe~---
Requested By: RICHARD
Entered By: I
53 Electric/Conduit/Wiring L I !Comments
55 Fence/Pre-Plaster
---------------
Comments/Notices/Holds
Date
06/06/2008
06/03/2008
0512912008
Associated PCRs/CVs Original PC#
Inspection History
Description
53 Electric/Conduit/Wiring
34 Rough Electric
53 Electric/Conduit/Wiring
Act lnsp Comments
AP JM POOL PANEL OK-WLL CALL TO PREPLASTER WHEN READY
CO PD clearance @ panel
AP PD PANEL MUST BE ROTATED