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HomeMy WebLinkAbout1691 CALLIANDRA RD; ; CB013099; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 09-26-2001 Electrical Perm it Permit No:CBO13099 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 21 59000300 Lot #: 0 Applied: 09/26/200 1 Reference #: Plan Approved: 09/26/2001 Issued: 09/26/2001 Project Title: 1691 CALLIANDRA RD CBAD Entered By: JM HARREL - GAS & ELEC LINE TOBBQ Inspect Area: Applicant: HARREL MARTIN 1691 CALLIANDRA RD CARLSBAD CA 92009 760- Owner: AVIARA SERENATA LLC C/O INSTITUTIONAL HOUSING PARTNER 19800 MACARTHUR BLVD #700 IRVINE CA 92612 0964 99/26/01 &?&$I1 02 47.00 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 Additional Fees TOTAL PERMIT FEES $1 0.00 $0.00 $0.00 $0.00 $0.00 $1 0.00 $0.00 $0.00 $27.00 $0.00 $47.00 Inspector: Date: Clearance: NOTICE Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter colleciively referred to as "fedexaction You have 90 days from the date this permit was issued to protest imposition of these feedexactions 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 feedexactions 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 feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. 4 ZI 'r PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT I I 9 pL;p/ w tC 4d-neA RD - CA/cCSGAP PA- 9 zoo? ' PR JECT INFORMATION Business Name (at this address) Address (include BldglSuite X) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total X of units FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Proposed Use X of Bedrooms T€ip Fa+ #B A of Bathrooms xisting Use g,.. FTlL ~ IL Description of Work 2 CONTACT PERSON [if Merant trom applicant) Name Address City Statelzip Telephone X Fax A 3. APPLICANT a Contractor 0 Agent for Contractor 0 Owner 0 Agent for Owner Address City StateEip Telephone A Name Address City Statelzip Telephone X 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 pursuant 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 a civil penalty of not more than five hundred dollars 155001). Name Address City Statelzip Telephone I State License 1 License Class City Business License X Designer Name Address City StatelZip Telephone State License I 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 0 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 lSl0Ol OR LESS1 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 os to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure worken' compenaation covermge b unlawful, end ahaU aubjea an employer to criminal pondties end civil fines up to one hundred thouaand dollars (8100.000). In addition to the coat of compensation, damages ea provided for in Section 3706 of the Labor code, interest and attorney's twr. 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 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 IGNATURE DATE OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 1, 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 contractorb) licensed pursuant to the Contractor's License Law). 0 1. thin 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 am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES & Business and Professions Code for this reason: for the proposed work. the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type 4. number I contractors license number): 5. COMPLETE THIS SECTION FOR NON-kS/D€N7ULh$fLDING PERMITS ONLY 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 Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING 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(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION 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. I hereby authorize representatives of the Cit). 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 06.4.4 Uniform Building Code). 0 YES 0 NO YPPLICANT'S WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg For: 02/08/2002 Permit# CBO13099 Title: HARREL - GAS & ELEC LINE TOBBQ Description: Type: ELEC Sub Type: Job Address: 1691 CALLIANDRA RD Suite: Lo; Location: APPLICANT HARREL MARTIN Owner: HAMLIN LYDIA Remarks: Total Time: CD 39 Description Final Electrical 0 Act Comments Inspection Request Inspector Assignment: GG Phone: 7609310629 F Inspector: Requested By: NA Entered By: CHR I, I/ Associated PC.& InsDection History Date Description Act lnsp Comments 10/05/2001 21 UndergroundNnder Floor AP GG 10/05/2001 31 UndergroundlConduit-Wiring AP GG