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HomeMy WebLinkAbout2308 CAMINO ROBLEDO; ; CB994014; Permit\ 10/26/1999 City of Carlsbad Electrical Permit Permit No:CB994014 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2308 CAMINO ROBLEDO CBAD ELEC 2552720800 Lot#: DAVEY RES-GAS-BBQ/FIRE PIT Status: ISSUED Applied: 10/26/1999 Entered By: RMA Plan Approved: 1 0/26/1 999 Issued: 10/26/1999 inspect 4gg C-PRMT 27-00 Applicant: LORCO 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 Total Fees:$27.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AM Remodel/Alteration per AM Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Due: $27.00 0.00 0.00 0.00 0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 Inspector: j* FINAL APPROVAL\\iaiqqDate: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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION V 00 ©»Lf SU (O FOR OFRCE USE ONL PLAN CHECK NO. EST. VAL.. Plan Ck. Deposit Validated Bv. Date Address (include Bide/Suite *l Business Name lit this wMraw) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #/ GrA-6 Proposed Use Description of Work 2. CONTACT PERSON pf dffiarent from aprHumU SO. FT.'of Stories * of Bedrooms * of Bathrooms Neme Address City 3. APPUCANT •Q£omneior O Agent for Contractor " -"Q Owner OAoam tor Owner State/Zip Telephone * Fax » Neme 4. Address City State/Zip Telephone # Name " Address City State/Zip Telephone * B. CONTRACTOR-COMPANY NAME -.-. - _: (Sec. 7031.5 Business end Professions Code: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structure, prior to its issuance, elso requires the applicant for such permit to fHe e 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, end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to e civil penalty of not more then five hundred dollars 1*500]). Name State License * T3 ?fy 2-* -. Addressi £-<— £••> License Class £>City State/Zip City Business License # Telephone * Designer Name State License # Address City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker's compensation insurance carrier and policy number ere: Insurance Company ^ . Policy No. Expiration Date (TH&4ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS')* 100] OR LESS) Q^ CERTIFICATE OF EXEMPTION: I certify that in tip 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 Law! of California. WARNING: Failure to secure workers' eompenaaiiorfleoverBgeji.unlawful, and eheM subject an employer to criminal penaMea and ehrO fines up to one hundred thousand dollars ($100,000), in addition to the cost nrapiptfnsation, damage* as provided for in Sectiofl 37M of the L^bor code, interest arid attontey's fee«. SIGNATURE / DATE /C>f2-,l*>/^<& 7. OWNER-BUILDER DECLARATION I i hereby affirm that I am exempt from the Contrectors License Law for the following reason: O I- as owner of the property or my employees twith wages as their sole compensation, wW do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lew 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 ha did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the protect (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 contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business end Professions Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed en application for B building permit for the proposed work. 3. I have contracted with the following parson (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 neme / address / phone number / contractors license number):_ 5. I will provide some of the work, but I neve contracted (hired) the following persons to provide the work indicated (include neme / eddress / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR AOAMESttcWIMI eWDVtQ 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 progrem under Sections 25505, 25533 or 25534 of the Presley-Tenner Hezerdous Substance Account Act? D YES Q NO Is the epplicant or future building occupant required to obtain a permit from the eir 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? O YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT 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 e construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPUCANT CERTIFICATION I certify that I have read the application end state that the above information is correct and that the information on the plena is accurate, i agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CHy 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 EXPENSE97WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required f* excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued ttf the Building Official under the provisions of this Code shall expire by limitation and become null end void if the building or commenced within 365 days fiom the date of suth permit or if the building or work authorized by such permit is suspended...: |ea(J fw a p^^j of lgo dw (SKtjon 106.4.4 Uniform Building Code). work authorized by such permit is or abandoned at any lime after the iNork is APPLICANT'S SIGNATURE DATE City of Carlsbad Inspection Request For 10/29/99 Permit* CB994014 Title: DAVEY RES-GAS-BBQ/FIRE PIT Description: Inspector Assignment: SR Type: ELEC Sub Type: Job Address: 2308 CAMINO ROBLEDO Suite: Lot 0 Location: APPLICANT LORCO Owner: DAVEY JULIA K Remarks: AM PLEASE Phone: 7604348945 Inspector: Total Time: CD Description 23 Gas/Test/Repairs Act Comments Requested By: LORCO Entered By: CHRISTINE Inspection History Date Description Act Insp Comments 10/27/99 21 Underground/Under Floor WC SR 10/27/99 23 Gas/Test/Repairs CO SR PLASTIC GAS LINE NEED TO BE 18IN MIN UNDR EARTH 10/27/99 31 Underground/Conduit-Wiring WC SR