HomeMy WebLinkAbout2141 FARADAY AVE; MP; CB010596; Permit0(2(3 City of Carlsbad1635 Faraday Av Carlsbad, CA 9200802/12/2001 Electrical Permit Permit No:CB010596Building Inspection Request Line (760) 602-2725Job Address:2141 FARADAY AV CBAD N‘fPermit Type:ELEC Status:ISSUEDParcel No:Lot #:0 Applied:02/12/2001Entered By:MDPReference #:Plan Approved:02/12/2001Issued:02/12/2001Project Title:DANIELS CABLEVISION Inspect Area:100 AMP METER PED.Applicant:Owner:
FISHEL COMPANY, THE
666 AIRPORT ROAD 1317 02/12/01 0007 0i.02
OCEANSIDE, CA 92054 C 13IP 35.00
619-967-6930
Total Fees:$35.00 Total Payments To Date:$0.00 Balance Due:$35.00
Electric Issue Fee $10.00
Single Phase per AMP 100 $25.00
Three Phase per AMP 0 $0.00
Three Phase 480 Per AMP 0 $0.00
Remodel/Alteration per AMP 0 $0.00
Remodel Fee $0.00
Temporary Service Fee $0.00
Test Meter Fee $0.00
Other Electrical Fees $0.00
TOTAL PERMIT FEES $35.00
FINAL APPROVAL
Inspector:Date:0.0/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 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.
FOR OFFICE USE ONLY
•PERMIT APPLICATION of CA,
PLAN CHECK NO.0 \--
1-
EST. VAL.CITY OF CARLSBAD BUILDING DEPARTMENT 470 Plan Ck. Deposit1635 Faraday Ave., Carlsbad, CA 92008 /FORValidated By
Date
1.PROJECT INFO ATION7--(4 c=a-
a.A.0/1\1112
Address (include Bld Suite #)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
6....CA-N.L.1 tO0 \rn.-e_4-tx PeAe k (Lc c ATV stxtkc
Description of Work SQ. FT.#of Stories # of Bedrooms # of Bathrooms
2.CONTAFT PERSON (If different from applicant)
KavaoJA SinkV.24/Obi)LE -11 /
Name Address City State/Zip Telephone #Fax #
3.APPLICANT 0 Contractor 0 Agent for Contractor 0 Owner ID Agent for Owner
N.xv\13 E I Ccatni.A.n eu_t Car/S Iii e1 r n.9.460-(sift-KC.)
Name Address City State/Zip Telephone #
4.PROPERTY OWNER
Name Address City State/Zip Telephone #
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
(Chapter 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 ($5001)./hamlo 1.4 11.r IC I' ea _s ti-e e lksq L.Cil Z.-7-1.930
Name Address City State/Zip Telephone #
State License #LN 3111.License Class City Business License #/1 9.E 1:41-1
Designer Name Address City State/Zip Telephone
State License /I"
6.WORKERS' COMPENSATION
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.
o 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 Cali-C.a....10A_14-/Policy No.(1 EA Oa4A Expiration Date L-1-0 I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
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 (S rut ,000). in addition tocostthe of compensation, damages as provided for in Section 3706 of the Labor code. interest and attorney's fees.
SIGNATURE C
-2 DATE 20 -0
7.OWNER-BUILDE041.1•TION
I hereby affirm that I am :=rript from the Contractor's License Law for the following reason:
0 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).
O 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).
O 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
COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?0 YES 0 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 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 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.
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 City 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 t3 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
al any time after the work is co nced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE 1 DATE -C)
WHITE: File YELLOW: Applicant PINK: Finance
4 City of Carlsbad Bldg Inspection Request(44 For:03/16/2001'1;410"Permit#CB010596 Inspector Assignment:Title:DANIELS CABLEVISIONDescription:100 AMP METER PED.Type: ELEC Sub Type:Phone:7607570352Job Address:2141 FARADAY AVSuite:Lot 0
Location:Inspector:
APPLICANT FISHEL COMPANY, THE
Owner:
Remarks:
Total Time:Requested By:RON
Entered By:ROBIN
CD Description Act Comments
39 Final Electrical AP
Associated PCRs
Inspection History
Date Description Act Insp Comments