HomeMy WebLinkAbout1729 MALLOW CT; ; CB023421; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-13-2002 Electrical Permit Permit No: CB023421
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
1729 MALLOW CT CBAD
ELEC
2155162900 Lot#:
EATON RES REPLACE ELEC CIRCUT
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/13/2002
SB
11/13/2002
11/13/2002
Applicant:
KITCHENS PLUS ~;;~~ FAMIL v 2000 TRUST 07~-boWlJ/02 0002 Ol CGP
7943 UNIVERSITY AVE 91941
619-466-5100
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
Additional Fees
TOTAL PERMIT FEES
1729 MALLOW CT
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
Balance Due:
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
$20.00
NOTICE: Please tak OTI E at appr al of your project inc u e "Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exaction . 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
fe s/ex i n f w ich h v r viou ! en iven a NOTI E similar t this or as whi h th st ute of limitation has reviousl oh rwise ex ire .
02
20-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C..6 o-z...3L/7-.. f
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ~
Validated ;1-~:i_..____.,.~.__ ____ _
Date / ~t '3 °2
1. PROJEGT INFORMATION
[>{ Address (include Bldg/Suite #I Business Name (at this address)
/7:J, '-f lhri LLow C.l{f
L~gal Description Lot No. Subdivision Name/Numb1rr Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
l)('oescription of Work ft/W {, /'''I( /.,/ f,(,tlt{f6,JO, FT.
"i tVhV £,l.. (;,c. n_1c. ,1-l CI fl(, Ut71 / f" d V
#of Stories
(
# of Bedrooms
'z
# of Bathrooms
z...
~ CJ)Jit6PVER_$0N (lf diff!llrent.,from tl!Plicent)
Name Address City State/Zip Telephone # Fax#
0 Contractor O Agent for Contractor O OwneJ O Agent for Owner
Address City State/Zip Telephone#
Address City State/Zip Telephone#
f'. '-~m8
C()NTRACTOR: COMPANY N'JfME
/,X'~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
exemUon. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500[). p.., TUf€wI /1LiA,,.£ 'l'lf/3 uM,v1:xr1.17 nr~ LA: Mcvt tJ rp~erl/ tut, trio-s-1QU
Name Address City State/Zip Telephone #
State License# 6.!i'-LJ 4' b License Class 'p City BlJslness License# /!~() "C{ {;CJ
Designer Name Address City State/Zip Telephone
State License # _________ _
,_ J 6. WORKERS' COMPEN.SATION /)',t Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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
of the work for which this permit is issued. ~ 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 . f '(;-Policy No. "' L ~ :J..{)ot2b1 r
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS OR ONE HUNDRED DOLLARS [$100] OR LESS)
D
pensetlon coverage is unlawful, end shall subject en employer to criminal penalties and civil fines up to one hundred
o the cost of compensation, damages as provided for In Section 3706 of the Labor cod/ Interest and attorney's fees.
DATE /JJ(I (/ 9~t> '-'
O 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 such projects with contractor(s) licensed
pursuant to the Contractor's License Law!.
0 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 / address / phone number / type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETl;,,THIS SECTION FOR N_ON:RESIDENTIAL BUILDINQ PERMITS Ofil.Y
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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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
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 ·o• d ep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Offi · I und the rovisions ol this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 18 clays f m th date of such permit or if the building or work authorized by such permit is suspended or abandoned
" /t any time after the work Is commenced for a perio f 180 ays ( ction 106.4.4 Uniform Building Code).
UC APPLICANT'S SIGNATURE p-DATE {I-/ tJ U /;, ~ ([J
YELLOW: Applicant PINK: Finance
, I -
City of Carlsbad Bldg Inspection Request
For: 11/25/2002
Permit# CB023421
Title: EATON RES REPLACE ELEC CIRCUT
Description:
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
1729 MALLOW CT
Lot
APPLICANT KITCHENS PLUS
0
Owner: EATON FAMILY 2000 TRUST 07-31-00
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: ~
Phone: 6194665100
Inspector: ~
Requested By: MIKE
Entered By: KAREN
33 Service Change/Upgrade f=j:.--___________ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments