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HomeMy WebLinkAbout1704 AVIARA PY; MP; CB063631; Permit12-28*2006 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB063631 Building Inspection Request Line (760) 602-2725 •T72frAVIARA PY CBAD St: MP ELEC 0000000000 SBC- 100 AMP MP Lot #: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 1 2/28/2006 LSM 1 2/28/2006 12/28/2006 Applicant: ROBINSON ELECTRIC 8871 TROY ST SPRING VALLEY, CA 91977 619-697-6040 Owner: 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 100 0 0 0 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector: 2 J? ^H>^\- FINAL APPROVAL Date: /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 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 which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Business Name {at this address) Unit No.Phase No.Total # of units Assessor's Parcel tt Existing Usa Proposed Use Description of Work SQ. FT.# of Bedrooms tt of Bathrooms Name Address City State/Zip Telephone ft Address T' Name " Address City State/Zip 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 exarrration. Any violation of_3ectioni703.1.5 by any applicant Jor a permit subjects the applicant tq a civil penaJty oj-qoj^oja^han five, hundred dollars [S500])., Name — *a,o.^- State License # tf_r*7'rK_/ -—" Address License Class J MO ' City L State/Zip City Business License # / £ * Telephone tt Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 f the work for which this permit is issued. .* CD 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: S*~/\_r*z>*—} •_> / Insurance Company L^fYflt^.)^^ _J?^5' C^' Policy No. "^O *ls "' _?-^ Expiration Date_/O / 0 / (THIS SECTION NEED^JQ-f BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Q 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000), in addiflon w t|je cost of compensation, damages as provided for in Section 3706 of the Labor code^nterest and attorney's fees. SIGNATURE A.A/J^\ Se-^-C / / /L/ DATE f^f^O I O(. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: •[U 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. O 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 / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE iiiifcrVb^*//"»*V^oeo/rtCMT'I'Ail b ii\\'r\ilui"*' »co i* iTo^r\MI'vi!W>'£^'-^'^^'l?!Zffi-i^'-J-•!^?!SK!y;<•£^S'M^Sifl^ilv"^'!^}£l^r^^':'':E'^'&';^'.r^'-'?'" ^ !f!>^ $1~ir: •••'" J'''lvh^,l^i^itL^;^'11^!nl'NjFOR WO«:/?frS/D£w7MZfiB^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [_] YES [_] NO Is the. facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES [_] NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i} Civil Code). LENDER'S NAME LENDER'S ADDRESS nyT"^t?3F zm&i"?Trr!xt&&&i!$?tnti*ww&tfz-£z!i[fe»awM.^i!t,.i'!4Jfcggjj__R_i[^_£i_i ii^mmmi!^^M^m&jm^^muM3m^^mm^mMMi£ms^im^^^^ii^m>m 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 CitV 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 such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corjrpeflced (or a pectod ofciafl days*"(€ection 106.4.4 Uniform Building Code}. APPLICANT'S SIGNATURE /P"/?^. \j£$t^Y^-^ DATE WHITE: File YELLOW: Applicant PINK: Finance \ City of Carlsbad Bldg Inspection Request For 01/19/2007 Permit# CB063631 Title: SBC-100 AMP MP Description: Inspector Assignment: RB 1704 AVIARAPY MP Lot 0 Type:ELEC Sub Type: Job Address: Suite: Location: APPLICANT ROBINSON ELECTRIC Owner: Remarks: DID NOT SAY WHAT WAS NEEDED Phone: 6196976040 Inspector; Total Time: CD Description 34 Rough Electric Act Comment L Requested By: KIM Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/16/2007 39 Final Electrical CO RB 3rd time - see notice attached 01/12/2007 39 Final Electrical CO JM SAME AS 1/3/2007 01/03/2007 39 Final Electrical CO RB NEED TO VERIFY GROUNDING ELECTRADE OCT 11 2006 09:HEL CO 760 967 4075