The URL can be used to link to this page

Home My WebLink About2868 VIA CONQUISTADOR; ; CB012578; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-24-2003 Electrical Permit Permit No: CB012578 Building Inspection Requ est Line (760) 602-2725 Job Address: Permit Type: 2868 VIA CONQUISTADOR CBAD ELEC Status: Parcel No: 2225922700 Lot #: 0 Applied: Reference #: Project Title: MUCKE RES/ GAS LINE TO BBQ, W/ ELECTRIC FOR LAMPS Applicant: BHI BU ILDERS 5620 PASEO DEL NORTE CARLSBAD CA 92008 619 972-4043 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: MUCKE LARS H&SANDY C 2868 VIA CONQUISTADOR CARLSBAD CA 92009 3 ._.. ISSUED 08/03/2001 CB 08/03/2001 08/03/2001 PD $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $50.50 $0.00 $70.50 Total Fees: $70.50 Total Payments To Date: $47.00 Balance Due: FINA:YPROVAL Date: -z ;-oJ Clearance: $23.50 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 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 d. PERMIT APPLICA TICN CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION J _ do£ FOR OFFICE USE ONLY PLAN CHECK No.flJ?}) l ') 5 18 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By _ __,,,,,,("',......lj)_:.> _____ _ Date 6 -7 r ) / ; 2-.Yt'<r ViA (O NG/v< S"Nl Address (include Bldg/Suite #) Business Name (at this address) Legal Description Assessor's Parcel # Gt>-s· e,e,; l ,i--c Description of Work Lot No. Subdivision Name/Number Existing Use C le c,-fy l c..1 sa. FT. #of Stories 2. CONTACT PERSON (If different from applicant) . I ~ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Bcl\J LA bxiz .. f(Zo A S'c <1 w ,vo,A:,e_ w/<;b,f-ci Q ' Name Address City State/Zip Telephone # Fax II 3. APPLICANT O Contractor • Agent for Contractor O Owner [21 Agent for Owner .L doS:e CA ~--<ello'"' /UV Bv~v&dY &J. ~wc:,:,fjj,C Name Address City c,-. · C/10-t(f 0L6)$22-S'f?l,r State/Zip rTelephone # 4. PROPERTY OWNER M-< / M«c Mu Ck-e.. Name Address State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (Sac. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 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 basis for the alleged exe tion. Any violation of Section 7031.5 by any a plicant for a permit subjects the applicant to a civil penJltv. of not more than five hundred dollars ($500)). St:20 ~ N. & v , 21-CAfrf, c11 , z«Jr ?t>3-t/ltsr Name City State/Zip Telephone # State License , es 7'3?? 1 ::s License Class _________ City Business License, 1 ~OP{;?]> Designer Name Address City State/Zip Telephone State License # _________ _ 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. D 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 carrier and policy number are: Insurance Company ..>f-E(z (9-::-1, (fl(.£ Policy No. /<;,Z.. <; Cf{.S -0 0 Expiration Date // -f -O { (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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' C e ation Laws of California. WARNING: Failure to secure work rs t· n coverage is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ($100,000), in ad tic of compensation, damages as provided for In Section 3706 of the Lfbor code, interest and attorney's fees. IX SIGNATURE _____ --J.~~~'::[j_~ ________ _:_· ____ DATE ~-'$-0 ( 7. OWNER-BUILDER DECLAR Contractor's License Law for the following reason: D 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 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 he did not build or improve for the purpose of sale). O 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 owner of property who builds or improves 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 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 not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the w ork, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license nuniber): _________________________________________________ _ 5, 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 work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------COMPLETE THIS SECTION FOR NON-RESIOENnAL BUILDING 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 program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subsrance Acco.:nt Act? 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 co11structed within 1,000 feet of the outer boundary of a school site? D YES D 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. B. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971i) Civil Code). LENDER'S NAMf. ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with ~II 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 permit issued by the bu' icial undljlr 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 commenced days fr 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 commenced for f 1a!ll-l _ _,:o,ection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance lnspecti9n List Permit#: CB012578 Type: ELEC Date Inspection Item 07/23/2003 29 Final Plumbing 07/23/2003 39 Final Electrical 06/12/2002 39 Final Electrical 12/18/2001 31 Underground/Conduit-Wirin 1 0/23/2001 21 Underground/Under Floor 10/23/2001 23 Gasffest/Repairs Wednesday, July 23, 2003 Inspector Act PD AP PD AP PD co PD PA PD co PD co MUCKE RES/ GAS LINE TO BBQ, W/ ELECTRIC FOR LAMPS Comments CONDUIT SEE NOTICE ATTACHED SEE NOTICE ATTACHED Page 1 of 1