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HomeMy WebLinkAbout1226 LAGUNA DR; ; CB042648; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB042648 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1226 LAGUNA DR CBAD ELEC Status: Parcel No: 1561642500 Lot#: 0 Applied: Reference #: Project Title: SUNTER RES 30 AMP TO 100 AMP ELEC UPGRADE Applicant: SUNTER CHERYL A 1226 LAGUNA DR CARLSBAD CA 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 70 0 0 0 Entered By: Plan Approved: Owner: SUNTER CHERYL A 1226 LAGUNA DR CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 07/06/2004 SB 07/06/2004 07/06/2004 $10.00 $17.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.50 Total Fees: $27.50 Total Payments To Date: $0.00 Balance Due: $27.50 5993 07 /06/04 0002 Ol Inspector: Clearance: NOTICE: Please take N 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 f x i n f whi h ou h ve revi u I n iv n N Tl E imil rt thi r a i h h f limitations has revio I o 02 27 -50 PERMIT APPLICATION FOR OFFICE USE O~ PLAN CHECK NO.{}__po '-/Z.6C/8 CITY OF CARLSBAD BUILDING DEPARTMENT , l-535'F'araday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit Date Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel II Existing Use Proposed Use # of Bathrooms Name Address City State/Zip Telephone# Fax II l!!Ii:i!M~~•iii111;1l!J~mmql/ir,lltiml/M'!l!tf!i1llililiililiiitll\iliO,J:ivl~jtfi",1GEA\i~nt'(9r.o,,~er• Name Address City State/Zip Telephone I Na a Address City Telephone# te.iilCdtitUIAot~OMMNWlMM"~::2:·~~j~rtf4~,·~~~-'."~1.~U'i'.'.;i': 1-'~f;?¢'.~;:,,t,r,: ; '.•:\:;" c-:,.~• .. ,:;,,.::-·;:·, •'.t' i'tJ~I)'.,,:,\>::;~>':."' "· •:;••:{<' {• i ,;,:;,'-:jc;;~~~• (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 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 ha is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$6001). Name Address City State/Zip Telephone II State License I _________ _ License Class _________ _ City Business license II _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ~womu,~0MemMt10U~i;,,:;)..{\~;,i~,uI4i,t•: ,:,,~tit: ,,;r:::t ~"":i~ ·) ; ~-. 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. 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 _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 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 10 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure work.,.. compen1ation coverage ll unlawful, and shall subject an employer to criminal penalties and clvU fine, up to one hundred thousend dollll'li ($100,000t, In addition to the cost of compensation, damage• u provided tor In Section 3708 of the Labor code, Interest and attomer's fees. ~:.U,,-~a,,r·1r1awm .._$ilbfi.i'al~:\~~~iR:~~~:t~-~rt;:1~~~~s.,,,.,:..''#.f.;~~:G-:~1':\.·r.'~:·_::-;_:;~,,;.;'.0:¥1\.~r.tc;.::,:·,J;~, ;·-': I hareby 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 build• 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 solyithin 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). (9' I, H owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, and contract& for such projects with contractor(&) 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 permit for the proposed work. 3. I have contracted with the following person (firm) t6 provide the proposed construction (include name / address / phone number / 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 I address / phone number/ contractors license numberl=----=-------------------------------------------- 6. I will provide soma of the work, but I have c tad (hired) the following persons to provide the work indicated (include name / address / phone number I type \ of work): ----\-PROPERTY OWNER SIGNATU . .... · -~ · ·· DATE t), • (!, <. ~ <) ~ ii.OMi!l:mllrltl$")-t!i:ltPft'!'<!lll.W"""ff/PEN~.liiOJNllll'RMttlll!l'l~~~lti~.ien:i.1"'"'"''1I,i,:ii1',1,,S,h' .,;,; ;,,•i ,,· ,1•.•1.I11 : ,J ,i,\.!Ll' '1 Is 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 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? " D 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 D NO Is the facility to be constructed within 1,000 feet of tho outer boundary of a school site? 0 YES O NO IF /i.NY OF THE ANSWERS ARE YES, A FINAL CERTIFICATi: OF OCCUPANCY MAY NOT DE: lf:SUED UNLESS THE APPLICANT HAS MET OR IS MEETl~.CG THE REQUIREMENTS OF THE OFACE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ~f::g'.Q.~_$1:RJJ.<alQ.~Ul#.O!t.~l.fflQlS~.ifd~?t.::,:<eq,e~-•,~if:,1i~'!L~t9d~t.i::;L;:'.:~~::·. '.:~~_,,.;;,_.:,~,:::.-....... ::; .. ; .. ->.:~,..;.,, _ ~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 30971i) Civil Coda). LENDER'S NAME _____________ _ I certify that I have road 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 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 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 3 stories In height. EXPIRATION: Every permit issued by the building Offlcial 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 da 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 co enced tor a period of 1BO (Section 106.4.4 Uniform Building Code). ~PPLICANT"S SIGNATUR =~s;;;~~~~~~~~~~~;;;:::___ DATE it> , -o (.,, · o v WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/25/2004 Permit# CB042648 Title: SUNTER RES 30 AMP TO 100 AMP Description: ELEC UPGRADE Type: ELEC Sub Type: Job Address: Suite: Location: 1226 LAGUNA DR Lot APPLICANT SUNTER CHERYL A Owner: SUNTER CHERYL A Remarks: or 949/235-7575 Total Time: 0 Inspector Assignment: Phone: 7607521005 Inspector: ---- Requested By: ROB Entered By: CHRISTINE CD Description 33 Service Change/Upgrade ¥-comm~ cS~ 'h.!) i~ ? Associated PCRs/CVs Inspection History Date Description Act lnsp Comments