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HomeMy WebLinkAbout1302 PINE AVE; ; CB100909; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-24-2010 Electrical Permit Permit No: CB100909 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1302 PINE AV CBAD ELEC 2050204100 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: DANNA: 100 AMP TEMP POWER POLE Inspect Area: Applicant: DANNA ARMANDO&DORA E 1302 PINE 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 TOTAL PERMIT FEES 0 0 0 0 Owner: DANNA ARMANDO&DORA E 1302 PINE AVE CARLSBAD CA 92008 ISSUED 05/24/2010 JMA 05/24/2010 05/24/2010 PD $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Fl NAL?PPROVAL Date: · .2 .. / () Clearance: $0.00 NOTICE: 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 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 fees/exactions of wh·ch 1ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF EXISTING USE CONTACT NAME (If Different Fom App/leant) ADDRESS CITY PHONE EMAIL ROPERTY OWNER NAME /<... /1. (/ EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS STATE ZIP CITY FAX PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE UC.# STATE UC.# Plan Check No. CB\ 00 Est. Value Plan Ck. Deposit Date 5 V{ { rD APN CONSTR. TYPE OCC. GROUP FIREPLACE YESD #_ NOD STATE FAX STATE FAX CLASS AIR CONDITIONING YES D NOD ZIP ZIP CITY BUS. UC.# FIRE SPRINKLERS YES D NOD (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 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 [$500)). Workers' Compensation Declaration: I hereby affirm under penalty of peryury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers1 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 do ''rs ($100) or less. D Certificate of Exemption: I certify that in the performance f th ark 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 worker 'comp s • rage 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, damage pro ed lo ction 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: •D 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 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). 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). • D 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. D Yes D No 2. I (have I 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 propose onstruction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following P, 'on to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have cont led (hire th wing persons to provide the work indicated (include name I address I phone I type of work): I / PROPERTY OWNER SIGNATURE 0AGENT DATE 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acl? D Yes D No Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districl? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize represen1ative of the City of Carlsbad to enter upon the ove mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS f;;, EXPENSES H)GH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavation~ve 'O' deep and d oliti or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buildin;rut 1al unde e io f this Code shall expire by limi1alion and become null and void W the building or work authorized by such pennit is not commenoed within 180 days from the date of such pennitor if the jtoild' or work orize uch pennit is suspended or abandoned at anytime after the work is commenoed for a pe~od of 180 days (Section 106.4.4 Unifonn Building Code). ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/01/2010 Permit# CB100909 Title: DANNA: 100 AMP TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1302 PINE AV Suite: Lot: 0 Location: OWNER DANNA ARMANDO&DORA E Owner: DANNA ARMANDO&DORA E Remarks: Total Time: Inspector Assignment: PD --- Phone:~ Inspect~ ---- Requested By: DIRADONNA Entered By: CHRISTINE CD 32 Description Act Comments Const. Service/Agricultur:~ If '{f f -::_~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments