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HomeMy WebLinkAbout2557 TOWN GARDEN RD; MP; CB044218; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-23-2004 Electrical Permit Permit No: CB044218 Building Inspection Request Line (760) 602-2725 Job Address: 2557 TOWN GARDEN RD CBAD Mf Permit Type: ELEC Parcel No: Reference #: Project Title: BRESSI RANCH 100 AMP METER PEDESTAL Applicant: BRESSIGARDENLANELLC 1525 FARADAY AVE CARLSBAD 92008 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 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: BRESSI GARDENLANE LLC 100 0 0 0 1525 FARADAY AVE CARLSBAD 92008 ISSUED 11/22/2004 MOP 11/23/2004 11/23/2004 $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: $0.00 Balance Due: $35.00 6166 ll/23/04 0002 Ol CGr.::, Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the '"Imposition" of fees, dedications, reseivations. or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 seivice fees in connection with this project. NOR DOES IT APPLY to any iven a NOTI E similar t this or • • • ex ired. PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. --------- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 32008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ______________ _ 1. PROJECT INFORMATION ·• . z ss7 row N o./l&OEN fl..oAJ) ______ __,.----------- Address {include Bldg/Suite #) Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assess or's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 11v < P('c: fco,J CA ie.-v z. · • CONTACT PERSON :llf different from 11pplicBritl • Name Address .fi:5~ State/Zip □ .. Agent for Contractor City 0 Owner D Agent for Owner l t"' A.JV l'i 7-S-F-At/04-Y STE ;_rc,o c,1.<![S81lt1 Name Address City State/Zip 04 Name Address City State/Zip .6L • CON.T.RACTbR•.,c::ciMPANY NAME • Telephone# Fax II Telephone # (Sec. 7031.5 Business and Professions Cade: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, 6Iso 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 Code] 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 penalty of not more than five hund1ed dollars [$50011. Name Address City State/Zip Telephone# State license # _________ _ License Class _________ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State license # _________ _ 6; •• · WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affi,m under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure far 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 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 manr1er so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compens1 ,ion coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll6rs ($100,000), in addition to the coH of compensation, damages as provided for in Section 3706 of the Labor code, interest and ettomey's fees. SIGNATURE~--------~---------------------DATE _________ _ 7. ; oWNERiBlirt..DEll DEClARATIOlll lheieby 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 who does such work himself or through his own employees, provided that such improvements are not intended or offered for salB. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, 6S 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. 0 YES ONO 2. I {have / have not) signed an application for a building pe1mit for the proposed work. 3. r have contracted with the following person (firml to provide the proposed construction {include name / address I phone number / contractors license number!: 4. I plan to provide portions of the work, but I have • ~ following person to coordinate, supervise and provide the major wo1k (include name / address / phone number/ contractors license numberl: ____ -7",-----t--,'---------------------------------------- 5. I will provide some of the work, but l ha ired) the following persons to provide the work indicated !include name / address / phone number / type of wotk): _____________ -+---~~......,.-----------------------c-""2"""-.._ _____________ _ DATE \( J\7 PROPERTY OWNER SIGNATURE __ __:_::,,,,,e::'!l",-.....!;""----~------------- COMPLETE THIS SECTION .FOR N()f(-RESIDENTIAL rnroNLY Is the applicant or future 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 0 YES D NO Is the applicant or future building occupant requirnd 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 ftlet of the outer boundary of a school site? 0 YES D NO JF 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8: CO.NSTRl,ICTION LENDING AGENCY I hereby affifm that there is a construction lending agency for the performance of the work for which this permit is issued [Sec. 3097[.) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS -------------~-----------~ 9. APPLICANT.C::E.F!TU'ICATION' • 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 Jaws relating to building construction. I hereby authoriw representatives of the Cit\' 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 EXPIRATION: Every permit issued by the build' g Oflicia authorized by such permit is not commenced wi in 180 d at any time after :he work is commenced for a eri·d APPLICANT'S Si '1ATURE 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 the building or work om the date of such permit or if the building or work authorized by such permil is suspended or abandoned days (Section 106.4.4 Uniform Building Code). ,. / DATE \ l : l ~ _o_4-~~- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request F~ 08/02f:2005 Permit# CB044218 Title: BRESSI RANCH Description: 100 AMP METER PEDESTAL Type: ELEC Sub Type: Job Address: 2557 TOWN GARDEN RD Suite: Lot 0 Location: APPLICANT BRESSI GARDENLANE LLC Owner: Remarks: Total Time: Inspector Assignment: PC Phone: 7604122598 Inspector: L Requested By: LUPE Entered By: CHRISTINE CD Description Act ~ommm=--. • 1uJ ~ Ondergr1mndmenduit-Wlrhrg ~ ___ _,,___, ~ ~-~S~_ ~---_____ c:Wl -- 'j6[ ------f-v~i~ rcR;1~rr ----------------- Inspection History Date Description Act lnsp Comments 07/29/2005 32 Const. Service/Agricultural CO PC NO CARD ON SITE OR PERMIT/PLAN .. ~ I I I I l2 SEVER (/.S(HEI-/T 3~ ,10 P£J ◄' C 11.C mrl or nm UB1Nn BRESSI RANCH BACKBONE J6 1000 PCJ s•tw EXTEN ION l-DB2' STUB 6l PRJH/\RY CONDUIT ______ 33l2·2B SERVICE HANiiHOLE REQUIRED BY CUSTDHER 1-DBJ' SERVJC( CDNDi l INSTALLED BY CUSTO 3/0,¢ 45' --~ ., I-EB5' II. 1-DBl' b ' PRJI-IARY CONDUIT ~/Y Aiff \ \ \ I \ \ I I I P! I I I-~ i I I I I I fi I I fl I ~ I ii I I I I t 1~ :!!• [All I I I 1 -f! I I I t Hl22066 3316 HANDHOLE it !! STA 108+35 2-5' L 1-4' 7S PRIMARY CONDUIT l-DB4' PRJMARY CONDUIT l-DB4' STU:B 95 PRJHARV CONDUIT l·(BS' --------, 72 PR!j,•~Y CONDUIT CJP 3672 TO END or IMPROVEMENT 1-EBS' &. L-DB4' 62 PRIMARY CONDUITS l-DB3' SERVICE CONDUIT 1 INSlALLED BY CUSTOMER llJS0/140' ... 5 l-DB3' SER 1•.:c CONDUIT fNSTALLED BY CUSTDHER M350/l2S 56 57 58 , \901 A 757-354~ 25 NDS ~ 161977) e STA 23+75 U~'61-'&· @ STA 18+.le· 22965 SE'E SHEET 7 FOR ENLARGED PLAN I-DB2' PRIMARY 92 CDNDl,.liT . 1-llill!' STUB 60 PR7«'AAY CllNDUIT ~12' STU, ~-rfr-:.23 16 HANDHOLE' @ STA 18+00 u RIHARY CtllDIJlT 2-DB4' 4' i!./0 CC!l PRIM~RY CONDUIT 1-◄• l!/0 PtJ .e (1112.20,6:S, Dll ◄' 2/0 CDll 5' tDll 1-3' STUB FUTURE SCADA 757-'19 757-50 17+88 - PMC-10 .. u '------,71 757-395 757-396 PME-10 Dl601'14 le STA 11 CDl60i 4◄J <Sr:t ST,t,NnARD PAGE 3◄23,2) A B C D 0 0 30 0 o oeo o • ·SIDNM.I( , 17+72 CMPT 12 I I I I -+-I-D85' STUB ,, I CH122068, All I 1-t!S' I 1}-4------3' STUB . <FUTURE SCADA All1 CHNA> . C◄' FROH P,._D> H:JS' STUl 7l • PRl~RY COITTJUll NdRTH PRIW.RY COMDUIT 7Ji----. I C [1{)22066, ,t,ll '--..;.;._~..t...,;;.;.;c..:-'-'-- §] Hl22064 3523 CJP ST,._ 9,.2!! ~--~ "'-~· "v ".y {.~ I 60 59 ---r 2' RY DUIT STA 7:57-328 1-50 NDS t,Dl60-;l02l 91 ~ STA 26-+50 61 ♦B ~,_ LO~ • 95.6X !o A lR ! 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