HomeMy WebLinkAbout2535 TOWN GRDEN RD; MP; CB043839; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-22-2004 Electrical Permit Permit No: CB043839
Building Inspection Request Line (760) 602-2725
Job Address: 2535 TOWN GARDEN RD CBAD N\ ~
Permit Type: ELEC
Parcel No:
Reference #:
Project Title: BRESSI RANCH
100 AMP METER PEDESTAL
Applicant:
BRESSI GARDENLANE LLC
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
Lot#: 0
100
0
0
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/13/2004
MDP
10/13/2004
10/13/2004
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
\
Inspector: Pu FINA:e~~Q.~Ay
Date: '0\ • 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 and 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/exactions of whir:h vou have oreviouslv been aiv~n a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
163'5 Faraday Ave., Carlsbad, CA 32008
1. PROJECT INFORMATION 62 L '1 FtC/01/IITc R,C> ~1)
FOR OFFICE USE ONLY
PLAN CHECK NO. ____ _
EST. VAL. __________ _
Plan Ck. Deposit _________ _
Validated By ___________ _
Date _______________ _
Address !include Bldg/Suite Ill Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work
IN~ F'(.:"C --Ceo,./
2.
C.t\R.-V
CONTACT PERSON {if different from applicent)
SQ, FT.
/=c:5f2,-
#of Stories # of Bedrooms
1>\.(C(""e'e, ~ (:"'"o-t'".C--C./1 L-
II of Bathrooms
Name
3. '
Address City
D Owner D Agent for Owner
State/Zip Telephone II
0 Agent for Contractor
l ~ /\,,IV' '1 I ZS-F4Atl01f J'T(;-JOO cJ'1-<?{S6"10
Name Address City State/Zip
04
Name Address City State/Zip Telephone II
5. CONTRACTOR • COMPANY NAME
{Sec. 7031.5 Business and Professions Code: Any City or County which requires a permlt to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant !or 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 Protessions Codel or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penij,lty of not more than five hundred dollars [$500)).
Name Address City State/Zip Telephone II ,
State License II _________ _ License Class ----------City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License II _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of 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.
D 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 [$100] OR LESSI
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' compens11ion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,0001, in addition to the co~t of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ______________________________ _ DATE _________ _
7, OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License 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 whD 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)l"ithin one year al completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
~ 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 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. O 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 lfi,m) to provide the proposed construction (include name /address/ phone number / contractors license number):
4. I plan to provide portions of the work, but I have following parson to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number): ____ 7"''-t---t-7'----------------------------------------
5. J will provide some of the work, but I ha ired) the following persons to provide the work indicated (include name / address / phone number / type
of work): _______ ~------t----,~;...-r----------------------"7"--,..----,,--------------
PROPERTY OWNER SIGNATURE __ __::,,,,:~-.-'ll(,---~-------------
,COMPLETE THIS SECTION FOR NON~RESIDENTIAL fTSONLY
Is the applicant or luture building occupant requir ,d to s bmit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 the resley-Tanner Hazardous Substance Account Act? 0 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? 0 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.. .CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which th'is permit is issued ISec. 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 Cit1' 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 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,,.,.,.--..,,..,
EXPIRATION: Every permit issued by the build g Officia
authorized by such permit is not commenced wi in 180 d
ep and demolition or construction of structures over 3 stories in height.
the provisions of this Code shall expire by limitation and become null and void if t11e building or work
om the date of such permit or if the building or work authorized by such permit is suspended or alxmdoned
at any time after 111e work is commenced for a eri d days (Section 106.4.4 Uniform Building Code).
APPLICANT'S S,· ,JATURE DATE
YELLOW; Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 02/24/2005
Permit# CB043839
Title: BRESSI RANCH
Description: 100 AMP METER PEDESTAL
Type: ELEC Sub Type:
Job Address: 2535 TOWN GARDEN RD
Suite: Lot 0
Location:
APPLICANT BRESSI GARDENLANE LLC
Owner:
Remarks:
Total Time:
CD Description Act Comment
Inspector Asslgnment:
Phone: 6195041086
Inspector:
Requested By: PETER
Entered By: CHRISTINE
32 Const. Service/Agricultural
~~-~~~~----.,'-1~----=._-f-i'
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
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FAX NO. 858 756 5391
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' PRl CONDUITS
Nov. 11 2004 01:35PM P6
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?ROJ filBR JOB ~R JOB TYPE AND DESCRIPTION
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239-708 07~; UH UG ELECTRIC MASTBR SERV ORDER
GAS/ WR ELRC NBR LdI' ADDRRSS CITll'
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PAGE 3
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