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HomeMy WebLinkAbout1319 SAVANNAH LN; ; CB993272; Permit~'e.---City of Carlsbad 09/01/1999 Electrical Permit Permit No:CB993272 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1319 SAVANNAH LN CBAD ELEC 2157100600 Lot#: 0 MIKUTA RESIDENCE 50 AMP CIRCUIT FOR SPA Owner: Status: ISSUED Applied: 09/01/1999 Entered By: MOP Plan Approved: 09/01/1999 Issued: 09/01/1999 Inspect Area: 3S47 09/01/99 0001 01 02 C-PRMT 20-00 Applicant: BOLT ELECTRIC MIKUTA STANLEY T&RAOME M 1319 SAVANNAH LN 858-272-2240 Total Fees: $20.00 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 TOTAL PERMIT FEES Inspector: CARLSBAD CA 92009 Total Payments To Date: FINAL APPROVAL Date: '1-11-cY~ Balance Due: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 09-01-1999 03 =3 1PM FROM !LSD INCORPORATED TO 176043 80894 P.02 PERMIT APPLICATION FOR OFFICE USE ONLY 'l_ 7 -z._ PLAN CHECK NO. 1°!... ~ l,;f I y Ur vAHL~~AU ~UILUINU Utt"AH I MtN I 2075 Las Palmas Dr .. Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ________ _ Validated Bv __________ _ Date ______________ _ 1. PROJECT ltf'ORMA TION . L . l ~ 14 ~p,_t./\ IV\.. Busine&& Name lat thie addrKt;) Lot No. SubdMslon Name/N1ST1ber Unit No, Phose No, Tvt•I ,, Of vnilS e.rr~fa Prooo!ed Use 11 ot Bedrooms # of Bathrooms 2. CONTACT PERSON Pt cllfhnnt:trom ~ · N&me A<IClf1!S$ Cit'( .J.i~+ICA~(.i~~r;ctor ·· □f~emt·~!l~\f~ow~er··-oA,s: a:; .. ··. Telephone, N•me Address City lltetelZiP CA 41001 Address City Stata!Zlp Telephone# :&. -.:coNTRAC:t'OA··COMPANV--HAM!:. ., ... , ..... -.. (Sec, 7031,5 Business end Professions Coda, Any City or County which raquirea a permit to con5\nlc:t, attar, im11<ova, damolillh or repair any at,uct\lre, prior to it& Issuance, atso reqwes the applicant ror such permil 10 file a sIgna<1 statement that he Is licerv;ed pursuam to the proY1slons ot tt,e c;ontrtetor's Ucense Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and ProftnlOflt Cod1l or tti,t h1 1$ llCll!IOt thlrtfrom, Ind the l>His for thl 1n1gtO exemption. Anr..,.violation of Section 7031.5 by 9fl,.T applicant lot o pe1mtc sub)eel, tM appllcent to• c:MI penalty of not !1;10'01ti1n five llunelred Clollers lt&OO]). :0~1+ tl1..J-f'tC. '.P~-b•t. 12:~~) .$Q 'fd1J1 hf -):=l)-;1.J'(O Nam■ Addtess City State/Zip Telephone I State License If 1 t) 4 \o 1-~ License Clm CI IO Citv 8115inen Lic..,H • 1,20.f 11 1 Designer N3me Address City State/Zip Telephone State License II ________ _ 8. WORlll:RS. COMPfHSATIOII WorkiH&' C:ompensat1on Declaration: I hereby effirm und9r piln.tlty of perjury ono of the foltowing declaratioM: O I hove ond wi>I mointoin o c<miticote ot c;on,ent to •elf-Insure tor worker&' compene■tion as provided by Section 3700 of the Labor Code, for the perlorm•nc• of the worlr. for which this permit is Issued. J21 I Mve &M will maintain workers' compeMation. es reQUired bv Section 3700 of 1119 Labor Code. for the e>er1orm1nce of the wor-for whlch tllls permit Is Issued. My worker's compensation insurance carrier ond policy number are: (IJ :O,L ~ii'( 1-:,.o ~ti I J ! Insurance Company (s~ {Jµ. (; '\jlc. Polley No .. ___________ Expiration Date I.J1-)LOO (THIS SECTION NEED NOT BE COMPLEnD IF THE PERMIT IS FOR ONE HVNDAl;O DOLLARS 1•1001 OR l.l'!SSI O CERTIFICATE OF EXEMPTION: I certify that in tllt perr01mance ol the work for which this permit i5 issued, I shall not employ any person in any manner so H to booomo eubJoot to tho Workere' Compen .. tion Lawa of California. WARNING; Fllliknw to --. w0'111f11' ~\Ian ,:o-ege Ill innmd, 1111d ahall 8lllljKt an amployw to criminal penehiN and Ghil fil-. 1111 10 -hundred thouaond dollan (S100,000I, In addition to~'"""• ....... M pnnldelll for Ill Sactian 37041 ef dia .___ !°4:~ .,__,-"' anemey'e ,-, SIGNATURE ,:;-z1.-1 --:r=· ~-DATE 9f.ll_1f 7, OWNER-8UIU)£R.DECtARATION . . ~ . . . . 1 nere0y armm tnat I am exempt from the Contractor's Lic•nse Law for the followiniJ renon: O I, as owner of the prope"y or my empJovees with wages es their sole eompensetlon. will do the work and the structure Is not 111terided or offered for sele !Sec. 7044, Buginess and Professions Code: The Contractor's Llcenso Law dou not apply to an owner ot property wllo builds o, Improve& thereon, tnd who does such work himHlf or through his own emplovess, provid.O that such improvements are not in1ended or offered tor 1111. fl, llowever, the building or lmpro1.11men1 ls ~o1d within ono year of ~omplotfon, thlD owner•builde, wiU have thfl burden of proving that he dld Mt buHd or Improve for tfo\e purpos• of ,sale). 0 I, as owner of the proporty, am e)(clusiv•ly contr1,:,tir,9 .. tth licensed contracto~ to construct the project (S~. 7044, 8vsin.ss end Profualons Code: The Cantrec1ar•~ Licenn Law does not apply to an owner of property who builds or improvn 1hereon, and ct1ntracis ,.,, such proj.ett wi1h eo""11etor(s) tte1111td pvrsuont to tho Contractor's License Law). 0 I am exempt vnder Section ______ eueI,.,.n end Prote,sions Code for thi& reason: 1. I personellv plan la 11rovide lhe major labor and matarlal.t for consuuctlon of the prop05.,;l property improvement, 0 YE6 QNO 2. I (heve / have natl signed an application for a bullding permit for th, proposed work. 3. I hav~ contractad with the following per5on (firm) to provide Iha proposed construction (include name / addtess I phone number / c0MT9,:,tors >icerise numberl: 4, I 11lan to provide po"ions of the work, but I have hired the following per,on to c00rd!n1te, supervise and provide the major work (include name / Hddr~u / phone numb~, I contractors licenn r,umber): ___________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following petSOM to prowido tho work indicated (include name/ oddren / ohO!IO nvmber / t~ of work): _____________________________________________________ _ PFIOPERTY OWNER SIGNATVRI: ______________________ _ DATE COMPLETE THIS SECTION F<>R NON--RfSIWWZW.IMWING PERMITS ONt.Y Is tilt epplietn1 or future bu~ding occupant required to aubmrt I business Pion, acutely hezarooua materials regi!tration form er risk management and pr■vention program undwr Se~tions 25505, 25533 or 25534 or the P'resley•TlmiDI' Huardou,; Substance Accol.nl Act? 0 YES O NO Is the applicant or future building OCC\llllnt 19(luired 10 obtain a permit from the eir pollution contrOI dlrt~ct or 111 11u1uw management district 7 O YES O NO Is the facility to bw constructed within 1,000 reel of Iha outer baundary ol a S('.hool site I O YES O NO I' ANV o, TME ANSWl:RS AIIE YE$, A .FINAL CERTIFICATli OF OCCUPANCY MAY NOT IE ISSUED UNL£SS THI: APPLICANT HAS MET OR IS MEETINO THE IIEQUIREMENTS Of' THI! Ol'l'TCI: OF EM!IIGl!NCY SlffiVICES AND THE AIR PO~IJTION CONTIIOL 1.>ISTRICT, :a. . CONSTIIUCTION LENDING AGENCY ' ····· ··•·· I hereby affirm that !hare is a construction lending agency for the performance of the wo,k fer which thi$ permit jg isgueo (Sec. 3087Ci) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9.. APPUCANT CERTIFtCATIQl'f··.: :: :·,. ·. I ce"itv that I hove re■d the aPOlication and state that the above information jg correct and thllt ,.,. fnfOfflllltion on thtl plans 11 accuratt. 1 agree to comply with all Cny ordfnaneu and State laws relsting to l>\lildin11 corv;truction. I hereby authonn ~ativaa of the Cltt of Carl~ad to "nt•r upon the abov, mentioned property for in,p•ction purposes. I AL.50 AQREli TO SAVE, INDEMNIFY AND KW HARMLE.SS THE CITY OF CAIILDAO AOA1"1$T ALl UABILmt:S, JUDGMENTS, COSTS ANO UC~Sl:S WHICH MAY IN ANY WAY ACCRVE AGAINST SAID CITY 1H CONSEQVPICI OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA oermit i& required fnr excavations over 5'0"' deep ind demolition o, cof'Struction of nruc:turee over 3 stMies in ,-,.;ght. l:Xf'IAA TION: every perm rt issued by the tluIldma Official 11111.ter lht 11fovi1ions of thlg Code s111n e1cr,ire hv limitarinn anlf hrlM"'• ,.i,11 $nd void if tho l,uilding ,., wn,~ euthorized by Juch otrmit lo nC>t commenced within 3Bli da m the dete of ,u.t, pormlt or if th• buUdlng or work euthorizeCI by $UC~ pvrmlt 1, ,uapenOeCI "' ~ban<lonac:J e11nv tlmt aoer t~~'. i:ommence 11111! of 1 devs (Stetion 106.4.4 Uniform 9uilding Codol. ,, /_ j..: / A?PLICANT'S SIGNATURE ____ .I'_ L_._--'.._ ___ _,_..c:.._____________ DA~ l / / 7 __ .,.., ~,+----------- WHIT!;: File YELLOW: Aoolic1nt PINI(: l=in>ne., I m • . City of Carlsbad Bldg Inspection Request . For: 4/11/2000 . . Permit# CB993272 Inspector Assignment: DM --- Title: MIKUTA RESIDENCE Description: 50 AMP CIRCUIT FOR SPA 2 20AMP CIRCUITS ON EXIST PANEL Type:ELEC Sub Type: Job Address: Suite: Location: 1319 SAVANNAH LN Lot APPLICANT BOLT ELECTRIC 0 Owner: MIKUTA STANLEY T&RAOME M Remarks: Total Time: CD Description Act Comments 19 Final Structural A£ 29 Final Plumbing t 39 Final Electrical 49 Final Mechanical Associated PCRs Inspection History Date Description 3/27/2000 39 Final Electrical 9/3/1999 31 Underground/Conduit-Wiring 9/3/1999 33 Service Change/Upgrade Act lnsp Comments CO DM FENCE, GFI AP DM WC DM Phone: 7609300880 Inspector: ~ Requested By: RAOME MIKUTA Entered By: CHRISTINE