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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