HomeMy WebLinkAbout1911 SWALLOW LN; ; CB023117; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-18-2004 Electrical Permit Permit No: CB023117
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
1911 SWALLOW LN CBAD
ELEC
Lot#: 0
Project Title: WEST BLUFF NORTH-ADD & REPLACE
SPOT LITES-POOL AREA&LIGHTSTANDARDS
Applicant:
JOSEPH A MEEHLS SONS CO
2717 VANCOUVER ST
CARLSBAD CA 92008
729-3056
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: $30.00
0
0
0
0
Owner:
Total Payments To Date: $20.00
Inspector: /3. j},o,!J;,t,ye>
FINAL APPROVAL
Date 3-//p-05
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/15/2002
RMA
10/15/2002
03/10/2003
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$10.00
$0.00
$30.00
Balance Due: $10.00
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 capacity
changes, nor planning, zoning, grading or other similar application processir,;i or service fees in connection with this project. NOR DOES IT APPLY to any
f es/ acti n of wh·ch ou h ve r viou I been iven NOTI E si ilar his r as whi h h stat f Ii it ti n h r viou I th i x ired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.C/3(,? b £/ / 7
EST. VAL. __________ _
Plan Ck. Deposit ~
Validated By _ ~ 4 -
Date / 0 / I _ -Zl o fr v<...
_/ll;; . . N{{ '7'-<-'-. (
f
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
cL Proposed Use
Name Address City State/Zip Telephone#
1,,t;,:l;/CQNTl!AdT~li:,Jt!iM~l(fl'l';:t,1)!1!111;1;1,;,,: ;,•,;1x'.:
(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 Codel or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any apP1icant for a permit subjects the applicant to a civil penalty of "!Pt more than_ five hundred dollars $500l). ·-
:::!",:.,¥ t 1'1 et i .v 1 o _ 77/ l 9 ,ccc«1...of~ ,rT cl. ,ii, h-Cl C,??,t,B --· f :!,C>b(..
Name Address City State/zy· Telephone
Statelicense#b11C-~4:,.31 license Class a City Business license# 'Z.--1/B.5 7
'a "' (
Designer Name Address City State/Zip Telephone
State license # _________ _
~-, i;J/iJQRK~li~l'i:Qi\lPE!l.!11> TLON; ;,.';,:;c;J,.· ,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one the following declarations:
0 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,
0 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)
B' 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.
, thousand doll s 1$10 , ), ln addl to ~on, damages 111 provided tor in Se lo 3706 of the Labor co~erest and attorney's fees. WARNING: Fa secure worke.rs' co·mp· en.satlon coverag. e is.unlawful, and shall subject a.n .•m~lo •. to criml.nal penalties and civil fines up to one hundred
'I ~~~;ruilEl!!Blll~P -;p~lll!l\'!ll!;Tllilil';"""'''";! :;,:;,,,,·;92/!;;,11Y;;;,0:,;;,15•j:ij/;',;i//;.~1},;,;,:vs''iJ'': :; ,11•:;; • ;;;~,?~~ ./.; ', , , / t, -D L. ,
I hereby ftirm th am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the propertv 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 improver-tents 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"'PTOVing that he 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 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). '
0 l 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. 0 YES ONO
2. I (have / have not) signed an application tor 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 1 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 l have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
C<>MPLl;Tl;,l'~l!!'SEC'i'l(!N'FQll'NON'i/./fS/DENT//lfBl'll~Piilli:PERM!T!!'Oil~'/;;:;,:;'_ /'!CJ/· DATE,;::-,;::-~~,;::-,;::---:;
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 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
8;;; -iCONSTRU.GTtON'LEI\IDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _
9;;,X Al'l'(ICANTCER'[lflCATIQN,
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 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 of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become nun and void if the building or work
authorized by such permit is no mmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
" /anytime after the work is omme tor a peri d of 180 days).g,ection~6.4.4 Uniform Bu1\d1ng Code) {DATE A APPLICANT'SSIGNAT ~ /0 --/6--0 L
WHITE: File YELLOW: Applicant PINK· Finance
City of Carlsbad Bldg Inspection Request
For: 03/16/2005
Permit# CB023117
Title: WEST BLUFF NORTH-ADD & REPLACE
Description: SPOT LITES-POOL AREA&LIGHTSTANDARDS
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
1911 SWALLOW LN
Lot 0
l/').7t!5
APPLICANT JOSEPH A MEEHL$ SONS CO
Owner:
Inspector Assignment:
Phone: 7607293056
Inspector: /3, /J,
Remarks: PLEASE COME AFTER 11AM -WILL BE WAITING '" ~q__c\ ""'='v-..-,.c\.r1'v'
Total Time:
CD Description Act Comment
Requested By: JOHN
Entered By: CHRISTINE
34 Rough Electric _/l{2_ ___________________ _
_j__L j11,<JJ!l ______ ___Pii} __ _
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Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments