HomeMy WebLinkAbout2712 OLYMPIA DR; ; CB043098; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
J \1o&
~D 08-05-2004 Electrical Permit Permit No: CB043098
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2712 OLYMPIA DR CBAD
ELEC Status:
Parcel No: 1674322600 Lot#: o Applied:
Reference #:
Project Title: MINEGAR RES-REPLACE 100 AMP
PANEL WITH 200 AMP PANEL
Applicant:
LESCO ELECTRIC
27959 VALLEY CENTER RD 92082
760 7 49-4405
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
100
o
o
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MINEGAR THOMAS J&DEBORAH C
7700 EL CAMINO REAL
SUITE 201
CARLSBAD, CA 92009
ISSUED
08/05/2004
RMA
08/05/2004
08/05/2004
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00
8254 ,~J8./0S:/C!t J0\/2 :11. t: •j
~=::Gf>·
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collective!y
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f x i n f hi h vi u I n iv n N Tl E imil rt hi r whi h th f limi i n h I h i
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. CtJ DYJCP/_JJ
Cl"FY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit---~~~---
Validated Bv..,..,.,,.,....-=---V-l,,L-',f.='----
Date __ -++-1--r-iLl---'-LI&:.=,:....------
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
# of Bathrooms
Fax#
Name Address City State/Zip
(6~.iftO.NWQ.I..Qftfi,cOM~ANYt\N;u,!l;;~i~~~~f~'l!tllirc/··~,~~._;,.:f,f:ift,,41;,.,1';;;~:~,;•!f..iJ...tc.i.-,,•. ;•'~1.il'<>'••.,':',·,·,~; ,,=.1~!'~,"<:!i,"' ••;"1,,;r.,t •. '"':J.,~~l,::c~ ....
License Class __ c=-_,-.__.lc.....:::6=-----
Address City State/Zip
State License # _________ _
t4i~W.QR.K$St!,.C.01,1~NJAT10t(1i£k,~ ;~.:~--~~~ ._..:·,*tW!;d:i;...~tt.t,~., ):~,~~ :,.:i;,.,,...,J(, i ~--~; __ •~ ;; ...-{ . !..!t. ,,~•;;._.. i:.-'11 . ~"\;;_l, • "' I .• • ~
Wopters' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 'EJ' 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 cawer and policy number are:
Insurance Company SfA.i F £y H ~ Policy No. L 78'/S 69 Expiration Date 3/4_/c es:
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI
O CERTIFICATE OF EXEMPTION: I certify that iA the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to aacure worltars' companaatlon coverage la unlawful, ■nd shall aubjact ■n employer to criminal peneltlea ■nd civil flnH up to one hundred
thouaand dollar ($ ,000), In addlt the at of compena■tlon, damagaa ea provided for In Section 3706 of the Labor code, Interest ■nd attorney's fHa.
:::..~ .. ---i~r . 1\. •• -.~. -• ~· ., r~~;., .. .,..-~~r ... •..::h , ,,_;:::lt,:~:::,~t ., ..:: ;;· ....... ~ .... -<:: .. "='~--~ ~£!.ll.~!.IUi!Ha. k~ ... m1i11-m.~11!•.L:',;-1:1,_,,~~1• .. ,,,,,.tr.r.:~ .~~'l'f ... ..-Yl'. •':tl;.:.1.-....... t, .,.1 ►ha.•t, .~~ .... ..1".f: •-~" 1
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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 amployHs, 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 hava the burden of proving that he did not build or improve for the purpose of salel.
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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(sl licensed
pursuant to the Contractor's Licenae Lewi.
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 notl signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firml to provide the proposed construction (Include name / address / phone number / contractors license numbarl:
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): _________________________________________________ _
6. 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 workl: ____________________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
!'9Q.M~~\lff.llS.'$ECTIPN' FOR'N9Ni'/lf$/09'll4flUJU~.lfiffl8Ml1';Q,.~~j'.1~:!.~:~:i:!:.¾1ti.l~ ;:.,k!!.w'.&.it~tL.:c.¼;.iLuL 12.i~•·', ..,, U/c::.~ i .. · ' AA!i::;2:;:.~-:
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 25605, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act7 • 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 sch~ol aite7 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 ME£7iNG THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
[i1~,~~Im,.1g:u~_-!.~-~9.!!i~~:l.N,g_~-.m~W~'sr,,1,,:,;0.r,~Uf'ii:'l~:1~e~~c-.;;r:::.&~ .:"..:.....,..:.:L:.::.;;.:..:. ~: ... ..:..,.,_, ··-· _ ., ..
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, __________________________ _
~.PP!iJ.C.~if~EBI!fil~li9Jtt~;.y:~'ijj;'~,t,~~.f.-i,,;;'1:"J;.~~~~~°""lt~~i!>,,i;.~±~A°l~~~:,,.ii,J,, · ... -..;:.,_'. ,;1t · ;:.._;:'w~ , ~ '.,~,.;;; ,:,. •·~4.i.,.-,, .. ,,_<J!'.:;;,,.
I certify that I have read the application and state th■t the above information is correct and that the information on the plans is accurate. I agrH to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 penmlt Issued by the building Official under the provisions of this Code shall expire by !Imitation and become null and void If the building or work
authorized by such penmit 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
at any time after the work is com n r a peri d O s (Section 106.4.4 Uniform Building Code).
DATE __;;_<C,_.--_s-:c__-_C>____,.'/'-----
City of Carlsbad Bldg Inspection Request
For: 08/10/2004
Permit# CB043098
Title: MINEGAR RES-REPLACE 100 AMP
Description: PANEL WITH 200 AMP PANEL
Type: ELEC Sub Type:
Job Address: 2712 OLYMPIA DR
Suite: Lot 0
Location:
APPLICANT LESCO ELECTRIC
Owner: MINEGAR THOMAS J&DEBORAH C
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: J hJ\.
Phone: 7608026983
~
Inspector: ._JV\/\,
Requested By: LYN
Entered By: ROBIN
39 Final Electrical ec_ _______ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments