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HomeMy WebLinkAbout110 SYCAMORE AVE; 200; CB081892; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-06-2008 Electrical Permit Permit No: CB081892 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 110 SYCAMORE AV CBAD St: 200 ELEC Status: Parcel No: 2041210400 Lot #: 0 Applied: Reference #: PC#: Project Title: FIECHTER: REPLACE PANEL W/ NEW SPLIT PANEL AND 2 SUBPANELS Applicant: FIECHTER ALFRED H TR 110 SYCAMORE AVE CARLSBAD CA 92008 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 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: FIECHTER ALFRED H TR 110 SYCAMORE AVE CARLSBAD CA 92008 ISSUED 10/06/2008 JMA 10/06/2008 10/06/2008 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: FIN Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the· position• of fees, dedications, reswations, or other exactions hereafter collectively referred to as •tees/exactions." You have 90 days from the date this pennit 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 v r i I Tl ' . . i I h i Cit~ of Carlsbad Plan Check No. Cf:;08-( .s-cf'2- 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application'#"-20-z;) RESS 0 Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIT# APN PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ON OF WORK: Include Square Feet of A"9cted Anta(s) "~ O 0 f ~ £'1,19'-r/ r( ft)[) f 2fJO J\-r 110 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NOD CONTACT NAME (If Different Fom Applk:antJ APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL 7L STATE Cc f't-ZIP 716 ARCH/DESIGNER NAME & ADDRESS STATE LIC. # TATE UC.# -J7'l-D ~ '1 CLASS ~ {Sec. 7031.S Bulilll!lS and PrqffWon1 Code: Any City or CountJ: which requires a permit to construct, alter, improve\ demolish or ttP.air any structure, prior to its issuance, abo rtquim lht applicant for 111th ~I to fi a signed statement that he is lictnsed J!l!llUHt to the pl'O'tlsions of dtt Con1n1aor'1 License Law {Ch'f"' 9, commending with Section 1000 of Dwision l of the BuM11en and Profasions Code) or that he is mmpt themom, and the h111 for the aleged exe11ption. An1 Yiolation of Section 7Dll.5 b1 allJ' applicant for a pennil subjtcts the applicant to ciYi penalty of lliil more than five hundred dollars {SSOO)~ WORKERS· COMPENSATION Worktn:' Compensation Dtct.-1Uon: I hereby affirm under penalty of peljury one of the following declaraHons: D I hive and wtll maintain I certlftcatt of consenl to 1811-lnsure IOI' workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued . .,...,1 have and will maintain workn' compenutlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy " number are: Insurance Co. Policy No. _____________ Expiration Date ________ _ This section need not be completed If the permit Is for one hundred dollars ($100) or less. □ CartHIClle of Exemption: I certify that in the performance of Iha work for which this permit is issued, I shall not employ any person in arr, manner so as to become subject to the WOl'kers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage 11 unlawful, and 1h1II subject an employer to criminal penaltlea and cMI fines up to one hundred lhouaand dollars (&100,000), In addition to lhe C08I of compensation, damages 11 provklecl for in Section 3706 of lht labor code, intereal and attorney's fees. RS CONTRACTOR SIGNATURE DATE - OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees with wages as lheir sole compensation, will do the work and the structure Is not Intended or offered for sate (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. II, however, the buildng or imp«Nement is sold within one year of completion, the owner-builder will have the burden of proving that he dd not build or improve for the purpose of sale). 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 owl'ler of property who builds or improves thereon, and contracts for such projects with contracto~s) licensed pursuant to the Contractor's License Law). □ I am ell:empt under Section ____ Busl,ness and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of Iha proposed property Improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foltowtng person (Hrm) to provide the proposed construction (include name address/ phone/ 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/ 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 I phone/ type of work): Is the applicant or future OOildlng occupant required to submit a busineSG 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? □ Yes □ No Is the apptlcant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of Iha outer boundary of a school site? □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify lhat I have read the application and state lhatthe above lnformatton Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and state laws relating to building construcaon. I hel8by aulhorize represenlalive ct1he Cly ct Carlsbad to enter llJ(Jrl lhe abc,,,e rnentklned property for ilspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AL1 UABILITTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN PJNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennl is reqUied for excavaticns ewer 5'0' deep and demollioo or oonstnx:tion a stnx:tures c,,,er 3 stories n height. EXPIRATKJN: Every pennl iss by Bui~ilg Officol i.nder 1he plMlklns ol lho Code shall expi'e by inHalkln and berome nul and void I lhe buiijilg or -aulhorized by sueh permit o not corrmenced v.ihil 180 days lrorn 1he dale ct sueh · ff 1he buHdilg authorized by sueh pennl • suspended or abMdorled at any1ine after1he -• cormienoed for a perkld ct 180days (Sedion 106.4.4 Uniform Bulijilg Code). RS APPLICANT'S SIGNA DATE ·o/ot D..f -·---·--·-••·--·--•-·------- ' m City of Carlsbad Bldg Inspection Request ' ' Permit# CB081892 For: 10/14/2008 Title: FIECHTER: REPLACE PANEL W/ NEW Description: SPLIT PANEL AND 2 SUBPANELS Type:ELEC Sub Type: Job Address: 110 SYCAMORE AV Suite: Location: 200 I LOO Lot: o APPLICANT FIECHTER ALFRED H TR Owner: FIECHTER ALFRED H TR Remarks: LATE AM Total Time: Inspector Assignment: Phone: 6198465089 Inspector: L_ Requested By: · NA CD Description Entered By: JANEAN ,.A~ Comments t;r_ . 34 Rough Electric 39 Final Electrical Po/-::f ( 00 e 'Z-@CJ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments