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HomeMy WebLinkAbout1325 SHOREBIRD LN; ; CB001293; PermitCity of Carlsbad 04/06/2000 Electrical Permit Permit No:CB001293 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: ALLSCAPE INC PMB403 1325 SHOREBIRD LN CBAD ELEC 2157911200 Lot#: CHANG RESIDENCE INSTALL ELEC. CIRCUIT & GAS LINE 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 760 480-4041 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/06/2000 MOP 04/06/2000 04/06/2000 3560 04/06/00 0001 01 02 C-PRMT Total Fees: $47.00 • ",T~Payments To Dale:. $0.00" .~ceDue: $47.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP . Three Phase 480 Per AMP • i , . Remodel/Alteration per AMP: '· Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Inspector: -rL > • H 0 0 0 .o FINAL AP Date: ~ I RC VAL :, \ cO "$10.00 . , • ._$0.00 •• $0.00 •. $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $47.00 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 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 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 aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 47-00 , FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. c:::.Q-) c... 9 5, CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ 1. PROJECT INFORMATION 1325 Shorebird Lane Address imclude Bldg/Suite #J Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. T otat # of units Assessor's Parcel # See attached page for four Existing Use items to be Proposed Use immectea. Descnpt,on ot Work sa. FT. #of Stories # of Bedrooms II of Bathrooms 2. CONTACT PERSON (If different from -,,plicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT n Contractor □ Agent for Contractor D Owner O Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER Fu Chang, 1325 Shorebird Jane, Carlsbad CA 92009, 760 931 5336 Name Address City State/Zip Telephone I 5. CONTRACTOR • COMPANY NAME (Sec. 703 l. 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 allegld exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the apphcant to a civil penalty of not more than five hundred dollars ($500)), ~2069 Mark A. Smith, Allscape Landscape & Design, Inc. ,629 S.Rancho Santa Fe Rd.#403, San Marcos, CA Name Address City State/Zip Telephone '760. 480. 4041 State License# 714004 License Class C-27 Citv Business License I 1203114 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: 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 tor which this permit is issued. es I have ano will maIntam 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 earner and policy number are: Insurance Company Faurer' s Insurance Policy No. N2008J965 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNOREO DOLLARS ($1001 OR LESS) Expiration Da€Qptj OJ]Ql]S D 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 o secure workera' compens tion coverage is unlawful, and •hall subject ■n employer to criminal penalties end civil fines up to one hundred , 001, In. addition to th st f mpen,ation, damages a• provided for In Section 3706 of the la code, lntare■t and attorney'■ fee■. DATE ---,'--""---~,..::IJ--0'--"'--- 7. OWNER-BUILDER DECLARATION I hereby affirm that l am exempt from the Contractor's C cense 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 ha 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 Profession's 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 I 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 I address/ phone number/ contractors license number): 4. I plan to provide port'1ons of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone number 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 / address / phone number / type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future bu1ld1ng 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a perm'1t from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 ANO 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. 309701 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS ANO 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 ot structures over 3 stories in height. EXPIRATION· Every permit issued by the Building Off1c1al 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 n commenced within 365 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 o k is commenced for a per of 1 0 vs (Section 106.4.4 Uniform Building Code).L / /. ~ APPLICANT'S SIGNATURE · ~ DATE -...,. -v -~-~------------ : Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 8/29/2000 Permit# CB001293 Title: CHANG RESIDENCE Description: INSTALL ELEC. CIRCUIT & GAS LINE Type:ELEC Sub Type: Job Address: Suite: Location: 1325 SHOREBIRD LN Lot APPLICANT ALLSCAPE INC Owner: CHANG FU S&JENG Remarks: Total Time: CD Description Associated PCRs lnsgection Histo[ll Date Description 417/2000 21 Underground/Under Floor 417/2000 23 Gas/Test/Repairs 417/2000 31 Underground/Conduit-Wiring 0 Act AP AP AP lnsp Comments TL TL TL Inspector Assignment: TL --- Phone: 7609315336 Inspector: Requested By: FU CHANG Entered By: ROBIN