HomeMy WebLinkAbout1731 CASSIA RD; ; CB000052; Permit01/06/2000
City of Carlsbad
Electrical Permit Permit No:CB000052
Building Inspection Request Line (760) 438-3101
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Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1731 CASSIA RDCBAD
ELEC
Lot #: 0
INSTALL METERED PEDESTAL
Status: ISSUED
Applied: 01/06/2000
Entered By: GMF
Plan Approved: 01/06/2000
Issued: 01/06/2000
Inspect Area:
Applicant:
DANIELS CABLEVISION
5720 EL CAMINO REAL
CARLSBAD, CA 92008
760-438-7741
7B15 01/07/00 0001 01 02
Electric Issue Fee c^,:-i
Single Phase per AMP " '^
Three Phase per AMP ''
Three Phase 480 Per AMP *
Remodel/Alteration per AMI*
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
TOTAL PERMIT FEES
0
0
0
7';$0.00
' $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
35.00
r.: -<'~ -„"' -; ,- > ,i>^|j?c;.lAiS-1 "*****•-< ^iLisfe:!:,,
Total Fees: $35.00
^n4 i.l
Tetrf Payments To Date:
"- ^
-llilrfl(t- ' -i |£k.
$0.00 ialance Due:
.i.- , -niLilllfa.
$35.00
Inspector
FINAL APPROVAL
Date: 2./JO
/Clearance:
NOTICE: Please take IMOTIdt that approval of your project includes the "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 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/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.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERI^fT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit ___
Validated By_
Date (I i* lad
Address (include Bldg/Suite »)BusinMt Name (at this address)
Legal Description Lot No.Subdivision Name/Number Unrt No.Phase No.Total * of units
Assessor's Pereel *Proposed Use
Description of Work SQ.FT.(Tot Stories f of Bedrooms of Bathrooms
Nsme Address Crty
ok
State/Zip Telephone *
,rv. •;'.• ...:.- • . •
Fax
Nsme Address City State/Zip Telephone #
(Sec. 7031.6 Business and Professions Code: Any Crty 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 Lew
[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 by eny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars |»SOOl).
Name Address
State License t License Class
Designer Name Address
State License *
City State/Zip Telephone *
City Business License *
City State/Zip Telephone
itRv^ffi&RKERffi^ffiMrtMMniOPlaa^ .»%i-, r*s.-:: _•..-.-.-. •'.,:. .
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q I have end will maintain a certificate of consent to self-insure for workers' compensetion as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
Q I have and will maintain workers' compensetion, 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 end policy number ere:
Insurence Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] 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 coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to on* hundred
thousand dollers (»100,000), hi addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code. Interest end attorney's foes.
SIGNATURE DATE
••'" -~--'~- "•-. •'••:-
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
rttf I. es owner of the property or my employees with weges as their sole compensation, will do the work and the structure is not intended or offered for sale
R5»c. 7044, Business snd Professions Code: The Contractor's License Law does not apery to an owner of property who builds or improves thereon, end 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 yesr of completion, the owner-builder will neve the burden of proving that he did not build or improve for the purpose of ssle).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The
Contractor's License Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed
pursuant to the Contractor's License Lew).
[3 I am exempt under Section Business and Professions Code for this reason:
1. I personelly plan to provide the major labor and materials for construction of the proposed property improvement. D YES QNO
2. I (have / have not) signed en 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 end 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
of work):
persons to provide the work indicated (include name I address / phone number / type
PROPERTY OWNER SIGNATURE
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 2S50S, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES D 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 D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
3r—.- j£OI*SfMtftT felMJBllpnBtiMeSlj^^ -' ".•••,".: .
I hereby affirm that there is s construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAMELENDER'S ADDRESS
::.;••- .
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 ell
City ordinances snd State laws relating to building construction. I hereby authorize representatives of the Crt> 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 S'O" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Officiel under the provisions of this Code shall expire by limitation and become null snd void if the building or
work authorized by such permit is not commenced within 365 o>rsJrorn the date of such permit or if the building or work authorized by such permrt is suspended
or abandoned at any time after|he work is commenced for a period of) 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE > s-oo
WHITE: FHe YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 2/8/2000
Permits CB000052
Title: INSTALL METERED PEDESTAL
Description:
Inspector Assignment:
1731 CASSIA RD
Lot
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
APPLICANT DANIELS CABLEVISION
Owner:
Remarks: METER PEDISTAL INSPECTION
Phone: 7607570352
Inspector:
Total Time:
CD Description
39 Final Electrical
Act Comments
Requested By: VIC
Entered By: CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
59;ig
11 mo
Kalmia Cir.
ii