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HomeMy WebLinkAbout1810 POINSETTIA LN; MP; CB053997; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-17-2005 Electrical Permit Permit No: CB053997 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 1810 POINSETTIA LN CBAD ELEC 0000000000 Lot#: 0 Project Title: LA COSTA GREENS 100AMP M.P. Applicant: LEKOS ELECTRIC 1370 PIONEER WY EL CAJON CA 92020 619 447-7661 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 0 0 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/17/2005 SB 11/17/2005 11/17/2005 $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: $35.00 Balance Due: Inspector: FIN~ ~PP.RO\tAL Date: ~ Clearance: $0.00 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 lmpositlon 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 infonnation with the City Manager for processing in accortlance 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 h v r i Tl imil r hi r fli i in h h i PERMIT APPLICATION FOR OFFICE USE Ol'iLS ~~ 7 PLAN CHECK NO. C). q CITY OF CARLSBAD BUILDING DEPARTMENT . . EST. VAL. _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 ~ --------'-' 8:::..:.../ D _ _.;...po_/_N..a<;5..;;;;E...;.;rr:...;.t;...:A_;LA:::::...:.;N....;.;~;;;;___--,,---,--___,,.,.-:--:--,--,-,-----,----------- Address (include Bldg/Suite #) Business Neme (at this addreas) LA (. o S,-A G"l 6'&,, S ( er ':1'1 -o"3) C.egal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Asse11or'1 Parcel II Existing U■e Proposed Use ( 1l1 Af'.:f f ( StGN /t,;1.-) lo~ ½P , S1efC.Y'; P':16:SE t;,1.,f,c:PlK Me-:fu PErDl?:STAt:- Description of Work SQ. FT. #of Stories II of Bedrooms II of Bathrooms Name Address City ii&i!i41fflM®tlolmW¾ddBm#MM&iDn;•~-i State/Zip Telephone # Fax# ..... (".\ 0 "!\ O\J O fN'.lzl<O er:1fA ( S4M I; ks ~ oy 6) State/Zip Telephone II M V ( SA""t; JrS A:fJovt;) 0-:am.- Name Address City S.tate/Zip Telephone II (Sec. 7031.6 Buslne11 and Professions Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file • 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, and the b■sis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civll penalty of not more than five hundred dollars [$600)). k!:!'0 ~ 6-L-f;C:I'::)\{ 1}10 PIQt,11;,E".] ""'"1 tL CA'ThiJ (A 1lQJ.:O Utt/) 44-1 -7661 Nam, Address City State/Zip Telephone # State License II '} 'B g 4-l 0 License Cless __ ..:C:::...I ..... Q'-----City Business License # ______ _ Designer Name Address City State/Zip Telephone State License II WB&WllWMwtUl1ti& Caiii6ilattli! Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compen■ation IS provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is lsaued. 0 I have and will maintain workers' compensation, IS 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: lnsurence Company____________________ Policy No •. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) 0 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 aecure workera' compenaetlon coverage la unlawful, and ahan aubject an employer to criminal peneltl•• and clvll flnH up to on• hundred thouaand dollar• t•100,000I, In addition to th• coat of companaatlon, damage• H provided for In Section 3706 of the Labor code, lnterHt and attomey'a feH. SIGNATURE DATE ~ilb.tc:i'AN'ii& 2 :C J &14/P Ai ¥&4Mifl2SIII I hereby affirm that I am exempt from the Contractor'• License Law for the following reuon: 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 Profession• Code: The Contractor's Llcanae Law doea 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 ere not Intended or offered for 111,. If, however, the building or Improvement Is •ojd within ona year of completion, the owner-builder will have tha burdan of proving that he did not build or improve for. the purpose of 1111). E2l I, 11 owner of th• property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bu1lne11 and Profeaslons Code: The Contractor'• License Law does not apply to an owner of proparty who builds or lmprovea thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Profession• Code for thla reaaon: 1. I personally plan to provide the major labor and materials for construction of the propoHd 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 roposed construction (lnclu name / address / phone number / contractors license number): ' -lO -(S c.< S 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 wlll provide some of the work, but I have contracted (hlredl the following persons to provide the work Indicated (Include name / addre11 / phone number / type of work):. _____________________________________________________ _ PROPERTY OWNER SIGNATURE DATE _________ _ memffli!i(ilitdlt@MNM#WdUl:tlllil)il@1f®Ui™\M&®ll Is the applicant or future building occupant required to submit • buslneu plan, acutely hazardoua materials registration form or risk management and prevention program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant requlrtd 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 achool site 7 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. iiliii#DJfl®tCi1tfflt@lffiG'i .........- 1 hereby affirm that there Is a construction lending agency for the performanca of the work for which this permit Is Issued (Sac. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS £$-.A~ Y D •• bl I liFliiatWS &41!/&WiiitiMHl/ll!ff fiiml I certify thet I have read the application and state thet the above Information Is correct and that the Information on tha plans Is accurate. I igrae 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 0requlred for excevatlons over 6'0" deep and ~emolltlon or construction of structur11 ovar 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 com need 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 for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE _l;..;.l_-'--11"-~...;;.o ..... s'------- WHITE: FIie YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/23/2006 Permit# CB053996 Inspector Assignment: Title: LA COSTA GREENS 100AMP M.P. Description: FOR SIGNAL LIGHT @ POINSETTIA & MICA RD Type: ELEC Sub Type: Job Address: Suite: 1892 POINSETTIA LN Lot Location: APPLICANT LEKOS ELECTRIC Owner: 0 Remarks: meter for traffic signal crn of Mica & P Total Time: Phone: 6195041086 Inspector: ~ Requested By: PETER Entered By: CHRISTINE CD 32 Description Act Comment /2___ Const. Service/Agricultural l!!:/2. _________ :GW} __ _._,_r= _______ _ ----¥---- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments