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HomeMy WebLinkAbout1020 BUENA PL; ; CB002769; PermitCity of Carlsbad 4 $?+ 2-3 j";l O%+ 04/11/2001 * 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Electrical Permit Permit No:CB002769 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 07/28/2000 Entered By: JM Reference #: Plan Approved: 08/03/2000 issued: 08/03/2000 Project Title: DANIELS CABLEVISON Inspect Area: PD 1020 BUENA PL CBAD 100 AMP METER PED FOR CATV Applicant: DAN I ELS CABLEVISION P.O. BOX 344 CARLSBAD, CA 92008 438-7741, X Owner: 6304 04/ll/Ol 0002 01 02 CGP 60.00 Total Fees: $95.00 Total Payments To Date: $35.00 Balance Due: $60.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 100 0 0 0 $1 0.00 $25.00 $0.00 $0.00 $0.00 $0 .oo $0.00 $0.00 $60.00 $0.00 $95.00 FI NALjPPROVAL I . ispecto I&& Date: f-, Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collecfvely referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to fmely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specifid feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION A CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION Address (include BldglSuite #I Business Name EST. VAL. Plan Ck. Depo@t/ Date /& Validated By 4- * 1 :this address) Lot No Unit No. Phase No. Total X of units inn om$ m4 kr Pprt ~-\b \ Assessor's Parcel # Existing Use Proposed Use Description af Work SQ. FT. #of Stories X of Bedrooms I of Bathrooms YL I City Statelzip Telephone # Name Address 6. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed stetement 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 Code1 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 hundred dollars ($5001). Name Address city Statelzip Telephone X fid1e/ Lrl. ,%/a A,r om- t LkfArlde f'P 4CJOS(/ ?&: - State License # L 7P 9 L/ 2 License Class C City Business License X // qfk py"/ Designer Name Address City Statelzip Telephone State License X" 6. WORKERS' COMPENSATION dorJms' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. iss Insurance Company (b/7/i'/?~~l fQ5LitlItj .I)&. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 131001 OR LESS) (7 to become subject to the Workers' Compensation Laws of California. 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 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 d. My worker's compensation insurance carrier and policy number are: Policy No. dCte9 fLLjJQi3 Expiration Date A - / E)/ 8h 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 WARNING: Failure to secure workers' compensation coverage Is unlawful. and ahall subject an employef to criminal penalties and clvil fines up to one hundred thousand dollars 16100. SIGNATURE dLJL-.-- DATE 7-&)T-(r\r, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n to the cost of compensation, damages as provlded for In Sectlon 3706 of the Labor code, Interest and attorney's fees. 7. OWNER-BUILDER 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 sale. If, however, the buildingor 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). , , 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(4 licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license numberl: 5. r' I am exempt under Section I personally plan to provide the major labor end materials for construction of the proposed property improvement. 0 YES ON0 1 (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated linclude name I address I phone number I type Business and Professions Code for this reason: Is the applicant or future building occupant required to submit e business pian, 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quelity management district? 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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 perf LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT 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 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 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 demolition or construction of structures over 4 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 if the building or work authorized by such permit is not commenced within 180 days fmm the date of such permit or if the building or work authorized by such permil is suspended or abandoned at any lime after the work is commnced for e period of 180 days (Section 106.4.4 Uniform Building Code). rk for which this permit is issued ISec. 3097Iil Civil Code). .. - APPLICANT'S SIGNATURE /LT / DATE 7-a7a 9 \Y WHITE: File YELLOW: Applicant PINK: Finance Daniels Cablevision Inc. P.O. Box 344 'Carlsbad, CA 9201 8-0344 July 7, 2000 City of Carisbad Building Department Dear Sir or Madam: - This letter is to inform you that Todd Threw, Jeff Threw and John Howard with Coastal Communication are authorized to act as agents for Daniels Cablevision Inc. and may obtain any and a.ll permits pertaining to the installation of meter pedestals in the city of Carlsbad. . If you should have any questions or need any additional information please contact me, Sincerely, Randall Starkey Construction Project Supervisor Daniels Cablevision. Inc. Carlsbad, CA 92008 Voice: 760-438-7741 ext. 466 Fax: 760-438-846 1 . Business Office (760) 438-7741 Customer Service (760) 931-7000 a Fax (760) 438-8461 5720 El Carnino Real a Carlsbad, California 92008-7298 City of Carlsbad Bldg Inspection Request For: 04/23/2001 Permit# CB002769 Title: DANIELS CABLEVISON Description: 100 AMP METER PED FOR CATV Type: ELEC Sub Type: Job Address: 1020 BUENA PL Suite: Lot 0 Location: AP PL CANT DANIELS CAB LEVIS ION Owner: Remarks: POWER SUPPLY IS UNLOCKED inspector Assignment: PD Phone: 6199214991 Inspector. 425 Total Time: Requested By: ED WILLIAM ~ CD Description Entered By: CHRISTINE Act Comments + 39 Final Electrical Associated PCRs InsDection Historv Date Description Act lnsp Comments 04/12/2001 39 Final Electrical CO RB MISSING GRNDING ELECTRODE CONDUCTOR 04/11/2001 32 Const. Service/Agricultural NR RB ND REINSP FEE BEFORE INSP. 04/11/2001 39 Final Electrical NR RB 04/05/2001 39 Final Electrical CO PD REINSPECTION FEE DUE 03/30/2001 39 Final Electrical CO PD NOACCESS 03/23/2001 32 Const. Service/Agricultural CO PD NOACCESSS City of Carlsbad Bldg Inspection Request For: 04/12/200 1 Permit# CB002769 Title: DANIELS CABLEVISON Description: 100 AMP METER PED FOR CATV Type: ELEC Sub Type: Job Address: 1020 BUENA PL Suite: Lot 0 Location: APPLICANT DANIELS CABLEVISION Owner: Remarks: RE-INSP FEE PAID Inspector Assignment: PD Phone: 6199214991 Inspector: R7L3 Total Time: Requested By: ED CD Description Act Comments Entered By: ROBIN 39 Final Electrical u9 M;5$;49 aa +t( -iN Associated PCRs InsDection History Date Description Act lnsp Comments 04/05/2001 39 Final Electrical CO PD REINSPECTION FEE DUE 03/30/2001 39 Final Electrical CO PD NOACCESS 03/23/2001 32 Const. Service/Agricultural CO PD NOACCESSS k City of Carlsbad Bldg For: 04/05/2001 Permit# CB002769 Title: DANIELS CABLEVISON Description: 100 AMP METER PED FOR CATV Type: ELEC Sub Type: Job Address: 1020 BUENA PL Suite: Lot 0 Location: APPLICANT DANIELS CABLEVISION Owner: Remarks: BOX WILL BE UNLOCKED Total Time: Inspection Request Inspector Assignment: PD Phone: 0000000000 Requested By: NA Entered By: CHRISTINE CD Description Act Comments 39 Final Electrical Associated PCRs Inspection Historv Date Description Act lnsp Comments 03/30/2001 39 Final Electrical CO PD NOACCESS 03/23/2001 32 Const. Service/Agricultural CO PD NOACCESSS NOTICE (7601 602-2700 *+ b CITY OF CARLSBAD BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE TIME CALL (760) 602-2725. RE-INSPECTION FEE DUE? /.E? YES \ PHONE CONTACT 2 - 2 7 L'b @ BUILDING INSPECTOR CODE ENFORCEMENT OFFICER FRCY : THREW ENTERPRIS :5lPM P3 h -7 JEFERSON ST. 2: "I I-