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HomeMy WebLinkAbout1251 BASSWOOD; ; CB073076; Permit12-12-2007' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB073078 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1251 BASSWOOD AV CBAD ELEC 2051122600 Lot# ORTH ELECTRIC FOR SUMP PUMP AT REAR OF PROPERTY Status Applied Entered By Plan Approved Issued Inspect Area Applicant ORTH GREGORY FAMILY TRUST 04-26-05 1251 BASSWOOD AVE CARLSBAD CA 92008 ISSUED 12/12/2007 JMA 12/12/2007 12/12/2007 Owner ORTH GREGORY FAMILY TRUST 04-26-05 1251 BASSWOOD AVE 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 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 CACHED Inspector Clearance NCHCE 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 'nfomnation with the City Manager lor 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 fscs/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fa\- 760-602-8558 * Building Permit Applicotion Plan Check No Est. Value Plan Ck. Deposit Date JOB ADDRESS Q * CT/PROJECT 1 LOT * PHAJE # # OF UNITS * BEDROOMS SUITE*»/SPACEf»/UNIT# APN H BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK ., / EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL 'PROPERTY OWNER NAME t A / /*) <-/•/ ADDRESS . t-' CITY ~ STATE ZIP PHONE FAX EMAIL . ARCH/DESIGNER NAME/, ADDRESS w 1 STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE YES D # APPLICANT NAME AIR CONDITIONING FIRE SPRINKLERS NOD YES D NOD YES D NO D ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME ADDRESS CITY STATE ZIP PHONE F EMAIL STATE LIC # C AX LASS CITY BUS LIC # ec 703 1 5 Business1 and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure, prior to IB issuance also requires the applicant for such permit to file a signed statement that he iscensed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending vmh Section 7000 of Division 3 of the Business and Professions Code} or that he is eiempt therefrom, and the basis for the alleged exemption Any violation of Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O 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 O 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 workers compensation insurance carrier and policy number are Insurance Co Policy No Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less n 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 civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees ^CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractor s License Law for the rollowmg reason Cl I as owner of the property or my employees with wages as their c;ole 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 j »^!e 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) Itr I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (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 proiects with contractor(s) licensed pursuant to the Contractor s License Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the mapr labor and materials for construction of the proposed property improvement Cl Yes G No 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) to provide the proposed construction (include name address / phone / contractors license number) 4 1 plan to provide portions of the work but I have hired the fcllowing person to coordinate supervise and provide the major work (include name / address / phone / contractors license number) 5 I wilLefOV|f]\6 Sffipey fie work but I have contracted (hired) the following persons lo provide the work indicated (include name / address / phone ' type of work) ^PROPERTY OWNER SIGNATURE DATE | Is the applicant or future building occupant required lo submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the i Presley Tanner Hazardous Substance Account Act7 D Yes Cl No | Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 d Yes O No • Is the facility to be constructed wilhm 1 000 feet of the outer boundary of a school site7 D Yes n No I IF ANY OF THE ANSWERS ARE YES ' EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I 1 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lenders Name Lenders Address 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 thereby auttronze representative of the City of Cadsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl IT OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 stones 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 authonzed by such petmit is not commenced within 10 days from the date of such permit or if the buijjing^ork ajithonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 1 80 days (Section 10644 Uniform Building Code) /^^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 04/15/2008 Permit# CB073078 Title ORTH ELECTRIC FOR SUMP PUMP Description AT REAR OF PROPERTY Inspector Assignment PC 1251 BASSWOODAV Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT ORTH GREGORY FAMILY TRUST 04-26-05 Owner ORTH GREGORY A Remarks a m please Phone Inspector Total Time CD Description 39 Final Electrical Act ., Comment Requested By N/A Entered By KATHY Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/14/2008 31 Underground/Conduit-Wmng AP PC