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HomeMy WebLinkAbout1354 MALLARD CT; ; CB004522; PermitCity of Carlsbad ·• 11/30/2000 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB004522 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: ALLSCAPE INC PMB403 1354 MALLARD CT CBAD ELEC 2157901700 FERN GAS & ELEC LINE 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 760 480-4041 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: FERNANDEZ SPENCER M ISSUED 11/30/2000 JM 11/30/2000 11/30/2000 1354 MALLARD CT CARLSBAD CA 92009 5585 11/30/00 0002 01 CGP Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 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 TOTAL PERMIT FEES Inspector: 0 0 0 0 FINAL APPROVAL Date :> I \ S'Jcl Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $47.00 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 tmely 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 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. 02 47-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. uslf 57.f]/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PRQJECT INfOMIATION 1354 Mallard Court Carlsbad EST. VAL. _________ _ Plan Ck. Deposit ________ _ Valid•led By __________ _ Date _____________ _ Address linc:lude Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Existing Use Description of Work for portable spa ,a... .CONTAC.T.PiR,ON (If 11111,rent lrom •pplleentl Name Address ;~. • APP~ICANT .. XXCRDl••o•or 0 A,.9~mtJor·Cori1r1.~or City 0 Q.wJl,c., ::0. AD•nt(or. Pwn_er Name .4., "PROP~RlY.JlWI\IE8 "· Spencer Fernandez, Name Address 1354 Mallard Address ij, CONTRACT.Off • COMPANY NAME City Co1rrt ' Carlsbad, Unit No. Phase No. Total # of units Proposed Use State/Zip Telephone# Fax# State/Zip Telephone# 760.476.9545 S.tate/Zip Telephone# {Sec. 7031.6 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 ($5001). ine M3rk A, $ni:th, Al J s:ape Tai PS bf e & D?si gn, Toc , 629 S Ban:tn S3nt~a Fe Bd R13 403, S9n Mm::cs, CA 92CW 260 480 . t Name Address City State/Zip Telephone # ' State License I 7 1 4 0 0 4 License Class C-2 7 City Business License I 12 Q 3 1 1 4 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WQRKERS.'. COMPENSATIO~ 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. 1K} 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 Fl',RMER OS INSURANCE Policy No. N2008-79-65 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100I OR LESS> Expiration Date. __ 7..,(c.?...,R,_/.,_Q,_1.__ 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 so es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ae re worker•• compensation coverage la unlawful, and ahall aubject an employer to criminal penaltlaa and civil fines up to one hundred thouaand dollar• ($100,0 addition to the cost f atlon, damages as provided for In Section 3706 of tha Labor code, lntarut and attorney'• fae•. SIGNATUAE,_)I..__....Jl,2;£.~'::::,~~.J-L-.l.L&~~r----.,---------DATE ld,,1--# i ,7. OWNER•,Ul~OER QEC~RA TION I hereby 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 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 burdan of proving that he did not build or improve tor 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(&) licensed pursuant to the Contractor's License Law). O I am exempt under Section ______ Businass 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 licenae numb'er): ________________________________________________ _ 6. I will provide soma of the work, but J have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMP~eUTHl$,$eCTION FOR NON-llli'$/DEN17A' IUl~DING PllRMITS ON~Y.: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program unde, Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permh from the air pollution control district or air quality management district? D YES D NO IS the focility 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. 8,. ,!;ONSTRYCJJDN ~ENP.ING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097(0 Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. ________________________ _ 9, APPLICANTCERTIFICATION 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over s·o· 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 permit is not commenced within 180 days 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 omme d for a p~riod of 180 da s (Secti n 106.4.4 Uniform Building Code). DATE ~/_.::2_~..-;~..-~~~----- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/15/2001 Permit# CB004522 Title: FERN GAS & ELEC LINE Description: Type: ELEC Sub Type: Job Address: Suite: Location: 1354 MALLARD CT Lot APPLICANT ALLSCAPE INC 0 Owner: BROOKFIELD CARLSBAD INC Remarks: Total Time: CD Description Act Comments 29 Final Plumbing 39 Final Electrical fF~ Associated PCRs lnsgection Histo[Y Date Description Act lnsp Comments 01/05/2001 21 Underground/Under Floor WC SR 01/05/2001 23 Gas/T esVRepairs AP SR Inspector Assignment: Phone: 7604804041 Inspector: S?,. Requested By: ALLSCAPE LANDSCAPE Entered By: CHRISTINE 01/05/2001 31 Underground/Conduit-Wiring AP SR CONDUIT ONLY