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