HomeMy WebLinkAbout1652 MARITIME DR; ; CB043533; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-13-2004 Electrical Permit Permit No: CB043533
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1652 MARITIME DR CBAD
ELEC Status:
Parcel No: 2150820800 Lot#: 0 Applied:
Reference #:
Project Title: MORNING RIDGE-ELEC. FOR 100
100 AMP IRRIGATION PED.
Applicant:
KEYSTONE LA COSTA LLC
STE 360
5333 MISSION CENTER RD
SAN DIEGO CA 92108
619 299-4855
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
100
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
KEYSTONE ARLSBAD 28 LLC
5333 MISSION CENTER RD #360
SAN DIEGO CA 92108
ISSUED
09/13/2004
KMT
09/13/2004
09/13/2004
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due:
0988 09/13/04 00
$35.00
02 0.1.
CGP
Inspector: ~ FINAL APPROVAL
Date: /o/7/21 Clearance: Jo -1 •O'-'
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from tile 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
fe x in fwih hv rvi I N Tl imilr hi h tt flimi in h rwi
02
35" 00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.dl3Cll3533
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Address (i
Assessor's Parcel I/
Validated By . ___rr: Plan Ck. Deposi~t
Date CJfl '-1 I
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No.
Existing Use Proposed Use
City State/Zip ?~~·~·
Total # of units
Address City Telephone#
(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
t y 0tfM 1P,ft "!o.y '"ffll'Hr,~s . c P to ,civil pen 'f},/Pft/han fiv'/11'/ I 'b"/!)J
City State/Zip 4. ,1 /oj,.1/f hone #
City Business License # _ _:7_;:'t1J_:._ •---
Designer Name Address City State/Zip Telephone
State License # _________ _
A;· ,:--~·;_,WQRK.Ef\St::db.MF'ENSAT1j)'Nr1 ·':;;;i.:; kl;:: ~,;;~'.,tt,_;;:.
Workers' Compensation Declaration: I hereby affirm under penalty of
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
~~ark for which this permit is issued. JK. 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 ~~~~"'l'f59b"J'AY pn!l,P.oJ!);Y nu.ifbera,e, . /ty'/ (/~'/ b 7J 3 pp . . / f 'l / p If
Insurance Company /T"lt:r'UCH"r ~t,;,r J.'Y.:J • Cl • Polley No. Expiration Date __ L'/_•~/_ •_,7 __
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D 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 cov r e la unlawful, and shall aubjact an employer to criminal penalties and civil fines up to one hundred
thousand dollars ,000), In addltlo o the coat of c naatlon, damages•• provided for In Section 3706 of the Labor code, lnterea and attomey'a feea.
SIGNATURE ::Z-DATE 'J O '
·7,;;;,;~YDW~4Yti~-~'ll'Mt0-+i1¥:f~f~¼l~::~t\ffl£i0:'.;\:i'±fullt#J:;ik~l~?P:~;t?ZNi ;:--;.,j;;:;
I hereby affirm that I am exempt from the 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).
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 .fUCh projects with contractor(s) licensed
pursuant to the Contractor's License Law).
·□ 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 I address / phone number / type of work): ______________________________________________________ _
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration ~or risk management and prevention
program under Sections 26605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Jq NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES KNo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES ,B"'No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAV 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.
·&.<;,:<.:.:¢(;,~$YituCTibN?LEND1NGl:AG~N'¢t:i½~[i i%f% ,i ;:~:t:\:rn: ,'. ,,::t;,:WrtJ#t ~tii~"; ~; ,iift.ifu{,:tt{
l hereby affirm tha
LENDER'S NAME
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. l agree to comply with all
City ordinances and State laws relating to building construction. I 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 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 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 s ermit or if the building or work authorized by such permit is suspended or abandoned
at any time aher the work is commJ tor a perio~f 180 s (Section O Uniform Building Code).
APPLICANT'S SIGNATURE 2 DATE -~~C,/,,_,_/_,,;;4 /c,t'._)r......1/-1-------
WHITE: File YELLOW: Applicant PINK: Finance
IS • City of Carlsbad Bldg Inspection Request
For: 1 0/06/2004
Permit# CB043533
Title: MORNING RIDGE-ELEC. FOR 100
Description: 100 AMP IRRIGATION PED.
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
1652 MARITIME DR
Lot 0
APPLICANT KEYSTONE LA COSTA LLC
Owner:
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: TP ---
Phone: 7607440760 EX 609
lo,_,.JZ___
Requested By: LUIS
Entered By: CHRISTINE
32 Const. Service/Agricultural AL_ ________ _
39 Final Electrical I
Associated PCRs/CVs
Inspection History
Date Description
09/22/2004 17 Interior Lath/Drywall
09/22/2004 27 Shower Pan/Roman Tubs
Act lnsp Comments
NS TP
NS TP
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