HomeMy WebLinkAbout1739 EAST POINTE AVE; ; CB020785; Permit02-25-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB020785
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Tille:
1739 EAST POINTE AV CBAD
ELEC
2073813000 Lot#:
HRISANTHOPOLUS - ELEC TO SPA
SHED - PERMIT NOT REQ FOR SHED
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/15/2002
JM
03/15/2002
08/12/2002
Applicant:
HRISANTHOPOULOS ANDREW J&SUSANNE M
Owner:
HRISANTHOPOULOS ANDREW J&SUSANNE M
1739 E POINTE AVE
CARLSBAD GA 92008
1739 E POINTE AVE
CARLSBAD CA 92008
Electric Issue Fee $10.00
Single Phase per AMP 0 $0.00
Three Phase per AMP 0 $0.00
Three Phase 480 Per AMP 0 $0.00
Remodel/Alteration per AMP 0 $0.00
Remodel Fee $10.00
Temporary Service Fee $0.00
Test Meter Fee $0.00
Other Electrical Fees $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00
Inspector:
FINALAPPROVAL
Date: - c?/-^^ Clearance:
NOTICE: Please take iNOTIC^af 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 tfiem, you must
follow tfie protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City IvIanager for
processing in accordance vi/ith Carlsbad IVIunicipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacic,
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 vou have Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECTINFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (include BIdg/Suite #1 Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work
crl<'<c-htitrtl |i'*j<_
2. CONTACT PERSON (if different from applicant)
SQ. FT. #of Stories # of Bedrooms
AJ/
It of Bathrooms
Name Address
3. APPLICANT • Contractor O Agent for Contractor
City
'Owner O Agent for Owner
State/Zip Telephone It Fax tt
Address City State/Zip Telephone # Name
4. PROPERTY OWNER ^ I i I / .
/fddress City State/Zip Telephone # Name
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
IChapter 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 l$500)).
Name
State License #
Address
License Class
City State/Zip
City Business License tt
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6. WORKERS' COMPENSATION
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
of the work for which this permit is issued.
• 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:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
C] 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 addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATE
7. jpWNER-BUILDER DECLARATION
yl l3«»3y affirm that I am exempt from the Contractor's License Law for the following reason:
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
(Sot. 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
sucli 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~l 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 contractorls) licensed
pursuant to the Contractor's License Law).
I~l 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. L] YES f~lNO
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
COMPLETE THIS SECTION FOR WO/V-fffSA i^TIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevemion
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES C] 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? dj YES L] 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 K|
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 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 o(3|Timenced 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 cgifjmpficed for a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE T-f5'-g^ .
WHITE: File YELLOW: Applicant PINK: Finance
APPLICANT'S SIGNATURE
City of Carlsbad BIdg Inspection Request
For: 03/28/2003
Permit* CB020785
Title: HRISANTHOPOLUS-ELEC TO SPA
Description: SHED - PERMIT NOT REQ FOR SHED
Inspector Assignment: C]^^
1739 EAST POINTE AV
Lot 0
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
APPLICANT HRISANTHOPOULOS ANDREW J&SUSANNE M
Owner: HRISANTHOPOULOS ANDREW J&SUSANNE M
Remarl<s: ELEC FOR SPA INSPECTION
Phone: 7603902819
Inspector: 1^
Total Time: Requested By: ANDY
Entered By: CHRISTINE
CD Description
31 Underground/Conduit-Wiring
Act Comment
r
It/
Associated PCRs/CVs
Inspection Historv
Date Description Act Insp Comments