The URL can be used to link to this page

Home My WebLink About1712 CATALPA RD; ; CB990003; Permit01/04/1999 City of Carlsbad Electrical Permit Permit NcrCB990003 Building Inspection Request Line (760)438-3101 Job Address Permit Type Parcel No Reference # Project Title 1712 CATALPA RD CBAD ELEC 2155110500 ELCTRICAL & MECHANICAL Lot# Applicant ZINGERMAN JOEL P&KATHLEEN 1712 CATALPA RD CARLSBAD CA 92009 Entered By Plan Approved Issued Inspect Area Owner ZINGERMAN JOEL P&KATHLEEN 1712CATALPARD CARLSBAD CA 92009 Status ISSUED Applied 01/04/1999 JM 01/04/1999 / Total Fees / , V ^ x\\S -N -$4400,, ---'-If // \ // ^ Total Payments To x * N •• '^ ' \ Date\\ $4400 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 \° Vo /, r, INCOHPOF.ATED $000 SO 00 $000 $000 $1000 /$000 < $000 $24 00 $4400 FINAL APPROVAL Inspector 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 torth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing m 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/exaclions of which you have previously been given a NOTICE SifpiJaf Jcubis. oias Jo^bicJitb^latute of limitations has previously otherwise expired 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIf APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Paimas Dr, Carlsbad CA 92009 (760)438-1161 1 PROJECT INFORMATION /"7/Q £/l-Wl): FOR OFFICE USE ONLY PLAN CHECK NO EST VAL PlanCk Deposit Validated By Address (include Bidg/Suite *)Business Name 1st this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total * of units Assessor s Parcel Existing Use Proposed USB Description of Work CONTACT PERSON (H dtttwwit from ippUcwrtl SQ FT tot Stones f of Bedrooms # of Bathrooms Namo 3 APPLICANT D Contractor Address City t3 Agent lor Contractor Hpwner •-Q Again lor Owner State/Zip Telephone *Fax # Name 4 PROPERTY OWNER Address Crty State/Zip Telephone * Address City State/Zip Telephone #Name 5 CONTRACTOR - COMPANY NAME (Sec 7031 5 Business and Professions Code Any Crty or County which requires a permrt 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 t>v any applicant for a permit sublets the applicant to a civil penalty o1 not more than live hundred dollars 1950011 Name A State License AddBss bnnse Class ity State/Zip City Business License f Telephone* Designer Name Address Crty State/Zip Telephone State License * 6 WORKERS'COMPENSATION ' -,_„-.,-._-. Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q] | 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 Q | have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, lor the performance of the wo'k for which this permit is issued My worker's compensation insurance carrier and policy number ere Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work lor which this permrt is issued I shall not employ any person in any manner so as to became 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), hi addition to th* coat of compensation, damages as provided for In Section 3706 of the Labor coda. Interest and attorney's fees SIGNATURE DATE 7 OWNER-BUILDER DECLARATION "' -.-,-- -._. ---, . , yr-^r - I hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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 lor aale 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 tor the purpose of aalet S2f 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 lor auch projects with contractor(a) licensed pursuant to the Contractor's License Law) Q | flm exempt under Section __ Business and Professions Code lor this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement Q YES QNO 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 heva contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work) ,-- PROPERTY OWNER SIGNATURE \ mX V-DATE COMPLETE THIS SECTION FOR NOltitESttJENTJM BUILDING PERMITS Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program undei 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? Q YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES D 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 IS CONSTRUCTION LENDING AGENCY " " '1^*'" r-_^r«»wr.— — - —,_.— .. 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) LEHDEB S NAME _ LENDER'S ADDRESS __ '9 APPLICANT CERTIFICATION ~ --—«-" .--._,,,,,-. -r- r~-™-- , fr-jr - .T, <«*«.»*,„ ~, 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 Cttt 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 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 attec th« woriKfs^eommenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE \Wl V "V^DATE YELLOW Applicant PINK Finance DATE PERMITS JOB ADDRESS DESCRIPTION UNSCHEDULED BUILDING INSPECTION INSPECTOR /<! J2> PLAN CHECK* TIME ARRIVE:TIME CODE DESCRIPTION ACT COMMENTS