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HomeMy WebLinkAbout1282 MARIPOSA RD; ; CB022374; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-15-2002 Electrical Permit Permit No: CB022374 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1282 MARIPOSA RD CBAD ELEC Status: Parcel No: 2122200500 Lot#: 0 Applied: Reference #: Project Title: Applicant: HOVBEY RESFOR FUTURE ELEC FOR SPA T LANGSTON CONSTRUCTION 701 POMELO DR VISTA CA 92083-6308 760 855-9583 Entered By: Plan Approved: Issued: Inspect Area: Owner: STANDARD PACIFIC CORP 5750 FLEET ST #200 CARLSBAD CA 92008 ISSUED 08/15/2002 SB 08/15/2002 08/15/2002 -'J. Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteralion per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Inspector: 0 0 0 0 FINAL APPR~VAL Date: ta_ I \ Jo'o,. Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 $20.00 NOTICE: Please take NOTICE that approval of your project includes the "lrriposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 days from the date this permit was issued to protest imposition of these lees/exactions. It you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and me 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. FOR OFFICE USE ONLY PERMIT APPUCATION PLAN CHECK NoCi>oi '2.'3 7-/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit---.,------- Validated By ___ ~~------- Date § -\ 5 -DZ.... Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Z~ Telephone# Fax# City State/Zip Telephone # c;'IIJJ,1~if:iJt1&.eri'M!wi:i:~~ilt;t,1.4'ti~a1.~M#;~~~~~r:W.tJ.:~11N!.M .. &lllilil!P. (Sec. 7031.6 Business an 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 he is exampt therefrom, and the basts for the alleged exemption. Any violat· n of Sec · n 70 .5 by an applicant for a p b·e th plicant to a civil penalty of not more than five hundred dollars ($600)1. License Class -..'B~-----1( ______ _ City State/Zip '? Telephone # City Business License # I 2 / .J ( C, l, +,, ... -'-~~=- Designer Name Address City State/Zip Telephone State License# _________ _ -~~~~J&UOCli'~1~Bf?;,:.£fffi~1£i:1/;ffH::~0_iJih#Y:'trJ:fS~:J;'ll8;:RW;~-\.\,C, :::,::,-:r/;/;}2:;)11: 0 ,,--;«,:_;;;x', ,~"01~;r;~:i i::<~t:;0,Jf{; 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 l 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 LESS) cd Ci!A,TIFICATE 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. WARNINQ: Failure to ucura worker.' compa atlon covaraQ!! la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ::::u uara~iooi.i0i0i0i10i1ni■idijdjH1oijnitoij~icoiotijoifli~Pii0itiloi~i·id~!!:imii•i:ii•ii:ii,•i•i.~ii·.~ii0i•,i::ij,~;:PiP:ii:r1i:i'if:~8_'.::~:ii:rtct~i0~•:~ii~~~~~~~;E::::.,::~,;::::::,~;;:.,.."•'! I hei-eby affirm that I am exempt 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 improve'1ents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ot,>roving that ha.did not build or improve for the purpose of sale). 0 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. 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) 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 hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ ,_flll._RWPRW~J,;iJ~M~f\Mtl'.lifW~~{fti/!ic1?~~~;:,~ L:;>,111:,~ .-1!1'i,;3~'+"4;J;;;:,,,-,J,yt;::¼¢-\~t~"ct:jk~<,r¥Ji1!:~¾f"~:: y;·;~%~'\< :t+;-:;;;·,;: :iJ_'£l:\91~1ild_,t{; ls 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 25606, 25533 or 25534 of the Presley-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. lli-NM:iitlllN.,_.__,!!'!"~':,;.iw;~:.••·i,••'·~'··;.1 •:.>··t?•'•'i,r,7,:c,".,:.:,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). 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. 1 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 ovar 5'0" deep and demolition or construction of structures over 3 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 pe it Is not commenced within 180 da s 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 rk Is need for a period of 1 days (Section 1 .4.4 Uniform Building Code). l d ,~ A APPLICANT'S SIGNAT DATEL)r b..-~U 2- PINK: Finance . ·-···--------- City of Carlsbad Bldg Inspection Request For: 08/19/2002 Permit# CB022374 Title: HOVBEY RESFOR FUTURE ELEC Description: FOR SPA Type:ELEC Sub Type: Job Address: 1282 MARIPOSA RD Suite: Lot 0 Location: APPLICANT T LANGSTON CONSTRUCTION Owner: Remarks: Total Time: Description Act Comments Inspector Assignment: SQ. Phone: 6199929583 Inspector: ,SQ_ Requested By: THOMAS Entered By: CHRISTINE CD 31 Underground/Conduit-Wiring ~-6~~~/~j -RM Associated PCRs/CVs Inspection History Date Description Act lnsp Comments