HomeMy WebLinkAbout168 SYCAMORE AVE; ; CB994616; PermitCity of Carlsbad
12/14/1999 Electrical Permit Permit No:CB994616
Building 1 nspection Request Line (760} 438-3101
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
168 SYCAMORE AV CBAD
ELEC
2041210700 Lot#: 0
ELEC REWIRE HOUSE
Owner:
sta?;i~ 1MMJtm 0001 01
Applied: 12/14/19!m-PRMT
Entered By: JM
Plan Approved: 12/14/1999
Issued: 12/14/1999
Inspect Area:
WHITEAKER CONSTRUCTION ROGERS JAMES A&GAY A FAMILY TRUST 05-18-90
4706 REDLAND DRIVE
SAN DIEGO CA 92115
619-247-2861
Total Fees: $20.00
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
TOT AL PERMIT FEES
Inspector:
PO BOX 181
CLAREMONT CA 91711
Total Payments To Date:
0
0
0
0
$0.00
FINAL APPROVAL
Date: 2 · JO ·Z:V
Balance Due:
Clearance:
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$20.00
$20.00
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 \nformation 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 thelr 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 ou have revious\ been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otheiwise e ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carl-.bad, CA 92009 (760) 438-1161
02
20.00
FOR OFFICE USE ONLY
-PERMIT APPLICATION PLAN CHECK NO. 79 t;Q(:; •
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL _________ _
Plan Ck. Deposit,,__=--=-------
Validated By......,, ~'-¥-~--=-"T"-t-,f-7r-,7;:'".::';
Date __________ -,. __ _,,,,__ _ _,
~~:~~~~~··;~~i~~ -4 ~ ' ~~:4i...,-
c CL ., ~" r e (.) c~
Susin11SS Name (at this address)
Legal Dascription
Assusor's Parcel#
Lot No. Subdivitlion Name/Number
ExJ1ting Use
J-{'c_. ->_j
Unit No.
Proposed Use
T onl # at un,ts
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone#
t:~iffli~BIY~~:., · ~ l~~:;;.f;;;:0,::::;,; ,; · :, •' :;:;,;: .... , ..
(Sec. 7031.6 Business and Professii;,na Code: Any City or County wrich requiras a permit ti;, construct, stter, improve, dll~ollsh or repair any struct,ure •. prior to its
issuance, also requires the applicant tor such permit to file a signed statement that he is licenaad pursuant to the prov1s1ons of the Contractor s License Law
!Chapter 9, comm11nding with Section 7000 of Division 3 of the Busineu and Professlo~s Codel or. th11t he Is exempt therefrom, and the bas,s for the alleged
exemption. Any violation of Section 7031.5 by any applicant for II permit su}ltects !lie apphca. nt to a c1vll penatt_y oJ_not more than tive hundr'!.:' doll s ~~5001).
_ ___j,,_v~':...b.•i....· ..:C..~....:''.SL_;:~.,;_. ,--.f.._, --~c..a,,;~ .c....,;?::~·---....L...:::....7.::'L:..1) ~) --"(~ <,·s::;:""!...(~.,..:..,:;..-""'_r~"::-:-.t../~i(Z.~......;:;;~S;;:.....;~7.' ::::;,f{.~,.,_.,_9~r:;:1::J;:::--;::;--;{"c..(..._1_,L..;;;;;2_y .... · ._...=.,2.._._"' t, (
Name Address City State/Zip Telephone #
License Class __ ..c;Q;;;...._-__ ( ___ _ State License # City Business License # _______ _
Designer Name Address Cily State/Zip Telephone
State License #
4r;;.iW01iimul':.)C(;:. ;:;.:::,.,;::. ~=-;:;;;:. ;_;;;;o::.N;;;·,;;~;;_;:. ;;;;.,J!l'~.Af!::!ib;.,~~~~~~SE~';i?i",7tT'~~.,..~~=-c: ~~1: :".J..~;,•-:,: •.· ; · ·
Workers' Compensation Oeclaration: I hereby affirm under p11na1ty of perjury one of the following declarations:
0 I heve ■nd 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. ·
D I have and will maintain work11rs' companHtion, as required by Section 3700 of the Labor Code, for the performance ct the work for which this perm,1 1s
issuad. My worker's companHtlon insurance carriar and policy number are:
Insurance Company____________________ Policy No,____________ EJ<Piration Date _______ _
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
~ CERTIFICATE OF EXEMPTION: I certify ~at in th■ perfo.rmance 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' Compen111t1on Laws of California. . .
WARNING: Failure to se~ork~' ~ . covenige Is unlawful, and ,hen subject an employer to criminal pen111tias and civil fines up to one hundNld
thousand dollar• ($100,00_9).-lfi ,:ddltl!lfl t~j ~of compen111tion. damagn u provided for In S11ction 3706 of tM bor code, lnr4'8't and 11ttomey's faea.
SIGNATURE V :;..-,( /' DATE I ec . 9 ,:-,.._
·7-~~!>Wflet.\iUitrJmr11EcCA11A1foft~~~~-ci3~1:~~-•~-~#k;~~·~~~.~~z..4•i~',li~H~--1.~2·:;',,~;~~:;,-~~:r~-:'19~1~t~7:~'.·,-. ~·:<! ~·J• ~ ~ -~; ;:~·-
1 hereby affirm that I 11m eJ<&mpt from the Contractor's License Law for the following reason:
0 I, as owner of th11 property or my employees with wages as their sole compensation, will do the work and the structure is not intended or otfer.,d tor Hie
(Sec. 7044, Business and ProfeuiOM Cod•: Tha Contractor's UceMe L■w does not apply to an owner of property who builds or improves thereon, end who does
such work himself or through his own employees, provided that such improvements are not intended or ottered for sale. If, however, the building or improvement is
sold within one year of completion, the owner•buildar will have the burden of proving that he did not build or improve for the purpose of 111111.
D I, as owner of the property, am axclusively contracting with licen11111d contractors to construct the project (Sac. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of propertV who builds or improves thereon, and contrects tor auch projects with conttactortsl licensed
pursuant to th11 Contractor's Lic■nse lawl.
0 I am exempt under Section ______ Business and Professions Code for this r■ason:
, , I personally plen to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I th11ve I have not) aigned an application for• building permit for the proposed work.
3. I hava contracted with the following parson lfi,m) to provide the proposed construction !include name/ address I phone number / contractors license numberl:
4. I plan to provide portions of the work, but I have hired the following pi,rson to coordinate, supervise and provide the major work linclude name I address / phone number I contractors license numberl: _____________________________________________ _
5. I will provide soma of the work, but I have contracted (hiredl the following persons to provide the work indicated !include name/ eddress / phone number/ type of workl: ________________________________________________________ _
PROPERTY OWNER SIGNATURE
'C<i~+nt1ssicrro1tio1tN~_-
DATE ________ _
Is the applicant or future building occupant required to submit I buainns plan, acutely hH■rdoua materials registration form or riak management and prevention
program under Sections 25505, 25533 or 26534 of the Prnlev-T■Mer Hazardous Su~anca Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be c:Onstr\lcted within 1,000 feet of the outer boundsrv of e 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.
l;'1~t1'f.l~[~iA-~~~~t:.W•~~r;;;.;_;;~;¢':li~#;;;';;~.;:;;;;iA~•;~,\~:.,'.;.::::
I hereby affirm that there is a construction lending agency tor the partorm■nc1 of the work tor which this permit is issued (Sec. 3097(il Civil Codel.
LENDER'S NAME______________ LENDER'S ADDRESS. _______________________ _
!1~~;}~¢Aftt;QEifflA~N~~~~~-~~~~~:t::~~~~&¥*r<~~r::,•1:rp·:,,~:,· · ·• ·• '•·•7'. ·
1 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 ordinancas and St11te 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 s•o-deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buildlng Off · nder the proviaions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not c need hin 365 days from the data of such permit or if the building or work authorized by such perm,t is suspended
or abandoned at any time after thew~ is tor.~ period of 180 days !Section 106.4.4 Uniform Building Codel. /"I __
APPLICANT'S SIGNATURE _ _i.~~1-~8@s~:===~----------DATE ~~" 1 ? f
WHITE: File YELLOW; Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 2/9/2000
Permit# CB994616
Title: ELEC REWIRE HOUSE
Description:
Type:ELEC Sub Type:
Job Address: 168 SYCAMORE AV
Suite: Lot 0
Location:
APPLICANT WHITEAKER CONSTRUCTION
Inspector Assignment: DM ---
Phone: 6192472861
lnspecto" ~
Owner: ROGERS JAMES A&GAY A FAMILY TRUST 05-18-90
Remarks:
Total Time: Requested By: PAUL
Entered By: ROBIN
CO Description
39 Final Electrical
J/p Comments
~~-+~~~~.
Associated PCRs
lnsgection Histor;i
Date Description Act lnsp Comments
217/2000 39 Final Electrical co OM LABEL PANEL, STRAP PIPE, PATCH DRYWALL
2/4/2000 39 Final Electrical CA OM PER PAUL
2/3/2000 39 Final Electrical CA OM AS PER PAUL
2/1/2000 34 Rough Electric AP OM
1/31/2000 33 Service Change/Upgrade CA OM AS PER PAUL
1/28/2000 34 Rough Electric CA OM
117/2000 34 Rough Electric CA OM
1/5/2000 34 Rough Electric CA OM PER PAUL