The URL can be used to link to this page

Home My WebLink About1391 OAK AVE; ; CB991858; PermitCity of Carlsbad 05/14/1999 · Electrical Permit Permit No:CB991858 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: 1391 OAK AV CBAD ELEC 2050201800 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: ISSUED 05/14/1999 MOP 05/14/1999 05/14/1999 Project Title: MATSUBARA RESIDENCE Inspect Area: UP GRADE SERVICE FROM 60 AMPE TO 100 AMPS Applicant: MATSUBARA SACHIO&TAEKO M 1360 FOREST AVE CARLSBAD CA 92008 Total Fees: $20.00 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: r~_f) Owner: 9720 05/14/99 0001 01 02 MATSUBARA SACHIO&TAEKO M C-PRHT 20.00 1360 FOREST AVE CARLSBAD CA 92008 Total Payments To Date: FINAL APPROVAL Date: 0 -~ ,..77' Balance Due: $10.00 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $20.00 Clearance: ------ 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 Car1sbad 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 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 exc ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION • CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PRo.iECT INFORMATION -. ~: -. ,-, I ~ I C:,A-K. M/5 CA&6MD. M ., ...... "; .... ~·~:." .• ~.,, ~..:.!..._ ... ~. ,.. ..!-': •:! ,,,-,tJ.'1~i.....:.:.t.:·..::., FOR OFFICE USE ONLY (!) I(") PLAN CHECK NO. q:q ~(Q50 EST.VAL. _____ ~---~ Plan Ck. Deposit--------- Validated By __________ _ Date ______________ _ Business Name (at this 1ddress) Legal Description Lot No. Subdivision N1me/Numblr Unit No. Phase No. Total It of units Assessor's Parcel It Existing Use Proposed Use u::P~a1soc f1..@R.1L OOK Description of Work MAl'+'P "°' ltx?-4t1.'i" sa. FT. lot Stories I of Bedrooms I of Bathrooms 2. CONTACT PERSON Pf clff.,....t from applicMtl f,.,we:5'.( f1/rt3uaAJVs t?..tl'.1 tMK. A< re Name Address .,.,r. . QA '"tZRIJ'i' 1'1" ,43'/-:So/SI State/Zip Telephone I Fax I 3. APPLICANT O Comractor D Agent for Contractor ·. -er owner Name Address City State/Zip Telephone I 4. Address City State/Zip Telephone I 5. CONTRACTOR -COMPANY NAME (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 pursU11nt to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 I civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone I State License It----------License Class----------City Business License I -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION 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' compens1tion 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. ____________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) Expiration Date _______ _ 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not 1mploy any person in 1ny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to HCUfe worken' compensation cover1ge la unlawful, and ahall aubject 1n employer to crimk1al per181tie1 Ind civil fine• up to -hundr9d thousand dollars ($100,0001. in addition to the coat of companHtion, d1magea IS provided for in Section 3706 of Iha Labor coda, lntar1St and attomey'1 fH1. SIGNATURE DATE---------- 7. OWNER-BUILDER DECLARATION 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 otfer1d for Hie (Sec. 7044, Business and Professions Code: The Contractor's License Law does not 1pply to an owner of prope"y 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 Hie. If, however, the building or improvement ia sold within one year of completion, the owner-builder will hive the burden of proving that he did not build or improve for the purpose of sele). 0 I. as owner of the property, am exclusively contr1cting with licensed contr1ctors to construct the project (Sic. 7044, Bu1in1ss ind Professions Code: The Contractor's License Law does not apply to 1n owner of property who builds or improv15 thereon, and comracts for such projects with comr1ctor(1l lie-ad pursuant to the Contractor's License Law). 0 I am exempt under Section ------Business ind Professions Code for this re1Son: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an applic1tion for a building permit for the propo11d work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I 1ddress I phone numblr I contractors licen11 numblr): 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 / 1ddrns I phone number I contractors license numblr): ________________________________________________ _ 5. I will provide some f the work, but I have contracted (hired) the following persons to provide the work indicated (include n1me / 1ddress I phone numblr I type of work): l =PM T ..-• PROPERTY OWNER SIGNATURE ~~...t:~~~~!:::j~=,,,,l.------------- COMPLETE THIS SECTION FOR NON Is the applicant or future building occupant required to submit a business pl1n, acutely hazardous materials registnition form or risk management and prevention program under Sections 25505, 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 1ir pollution control district or air qu1lity man1gement 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. 8 . CONSTRUCTION LENDING AGENCY '· -•. ~ ~n. I hereby affirm that there is • construction lending 1gency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME _____________ _ 9. APPLICANT CERTIFICATION LENDER'S ADDRESS·------------------------ I certify that I have read the application and st1te that the 1bove inform1tion is correct 1nd that the inform1tion on the plans is 1ccurate. 1 agree to comply with all City ordinances and State laws relating to building C(!nstruction. I har1by 1uthorize r1present1tives 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 Official under the provisions of this Code ahall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 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 ork is commenced for a period of 1 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ,4/,4y' /f:; n WHITE: File YELLOW: Applicant PINK: Finance lJNSCHEDULED BUILDING INSPECTION DATE -~ __ 6_.,.._/--7 -79' INSPECTOR _......:.-)-~_J_3_ PERMIT# c1s. °!cf ;~~r PLAN CHECK# ___ _ JOB ADDRESS ( 3 1 I t2 (!{ k~ I}(/' DESCRIPTION ________________ _ CODE DESCRIPTION . ACT COMMENTS