Loading...
HomeMy WebLinkAbout1549 TAMARACK AVE; ; CB090015; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-05-2009 Electrical Permit Permit No: CB090015 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1549 TAMARACK AV CBAD ELEC Parcel No: 2071302600 Lot#: 0 Status Applied: Reference #: PC#: Project Title: RICE RES-REPLACE 90 AMP PANEL W/NEW 200 AMP PANEL Applicant: SMITH ELECTRICAL CONTRACTORS PO BOX 7996 92167 619 758-9829 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 0 0 0 110 Entered By: Plan Approved: Issued: Inspect Area: Owner: RICE FAMILY TRUST 04-18-90 1549 TAMARACK AVE CARLSBAD CA 92008 ISSUED 01/05/2009 RMA 01/05/2009 01/05/2009 $10.00 $0.00 $0.00 $0.00 $27.50 $0.00 $0.00 $0.00 $0.00 $0.00 $37.50 Total Fees $37.50 Total Payments To Date: $37.50 Balance Due: Inspector: FINAL APPRZVAL Date: ot /-zc 0 ~ Clearance: $0.00 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 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 "1nd sewer connection fees and capacity 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/Px;:ictions of which vou h;:ive nrPvio11slv been oiven a NOTICE similar to this or ;:is to which the statute of limitations has nrPviriu"I" ritherwise exnired City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) # OF UNITS # BEDROOMS Plan Check No. Est. Value Plan Ck. Deposit Date SUITE# /SPACE#/UN IT# APN # BATHROOMS TENANT BUSINESS NAME OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#~ NOD AIR CONDITIONING YES O NO □ FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP Cl PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # {~ec. 7031.S Business and Proftssiom (ode: Any City or County: which requires a permil 10 construcL alter/ improve, demolish or reeair any Wucture, prior to ill iuuance, also requim tht ap.9licant for such permit to tJcenstdJ)ursuant to !ht provisions of the Contractor's License law {Chapter _9, commending with ~ection 000 of Divi1ion J of the Businm and Promsion1 (ode} or th.it ht is mmpt thert li'om, and the bnis for I lection 7011.S by any applicant for a permit sub~CII the applicant to a cml penalty of not more than five hundred dolla~ {$500}). _, ''W08KflR$' <:OMPflNSATION ' 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, !or the performance of the work for which this permit is issued e-I have and will maintain workers' compensation, as required by Section 3700 ot the labor Code, for the performance of the work for which this permit is issued. My workers' compensatio number are: Insurance eo_£ftcvr~ JU.; 1\$.JrMU Ctlfp. ul -AME:'ffcA Policy No. W€NOO 17$ 2z o2, Expiration Date ~21-u+.sc,~~~-- This section need not be completed if the permit is for one hundred dollars ($100) or less 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 to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and cMI tines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, da ges as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ~ COITTRACTOR SIGNATUR I hereby affirm rhat I am exempt from Contractor's License Law for the following reason: D 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 ol proving that he did nol build or improve for the purpose ol sale). D 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 contrac1or(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section _____ ,Business and Prolessions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D No 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 address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ 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/ type of work): 2$ PROPERTY OWNER SIGNATURE DATE ls 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? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I certify that 1 have read the application and state that the above Information Is correct and that the information on the plans ts accurate. I agree to comply with all Clfy ordinances and State laws relating to bull ding construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properfy for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 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 demolltion 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 null and void tt the building or work authorized by such permit is not commenced within 180 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 work is commenced for period r 180 days (Section 106.4.4 Un form Building Code). £S APPLICANT'S SIGNATURE ·--~ DATE 1 , --/~ 9 City of Carlsbad Bldg Inspection Request For: 01/16/2009 Permit# CB090015 Title: RICE RES-REPLACE 90 AMP PANEL Description: W/NEW 200 AMP PANEL Type: ELEC Sub Type: Job Address: 1549 TAMARACK AV Suite: Lot: 0 Location: OWNER RICE FAMILY TRUST 04-18-90 Owner: RICE FAMILY TRUST 04-18-90 Remarks: Total Time: CD Description 33 39 Service Change/Upgrade Final Electrical Act Comments Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 6196479302 Inspector: fv(G- Requested By: JAVIER Entered By CHRISTINE