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HomeMy WebLinkAbout2847 VIA CONQUISTADOR; ; CB012595; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-03-2001 Electrical Permit Permit No:CB012595 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2847 VIA CONQUISTADOR CBAD ELEC 2225920600 Lot #: ENDERSBY RES/GAS & ELEC LINES TO BBQ/FIREPIT 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CUSTOM CONCRETE ENDERSBYJEFFREY&JOANNE ISSUED 08/03/2001 CB 08/03/2001 08/03/2001 4025 LONNIE OCEANSIDE CA 92056 760 945-3659 2847 VIA CONQUISTADOR 6528 08/03/01 0002 01 02 CARLSBAD CA 92009 CGP 47-00 Total Fees: $47.00 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 Additional Fees TOTAL PERMIT FEES Inspector·~~ Total Payments To Date: 0 0 0 0 $0.00 FINAL APPROVAL Date: 7,d 3/'[2--- Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 $47.00 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 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NOL . l:d:-<'! ::2 ,2 / ) -; CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By ___ ,..;.(~/::-______ _ Date 0-s-o I Business Name (at this addre s) / Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ~essor's Parcel # /:f-r,.IZ,BgC <.)e I- Existing Use -c'Le<>=:==: Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) /Yl I Ice /<:ALR... k a:2-S LoY? (? ,-e Name Address City 0 Agent for Owner State/Zip Telephone # Fax # 3. APPLICANT (i31::ontractor O Agent for Contractor O Owner Name 4. Name 5. CONTRACTOR • COMPANY NAME Address State/Zip City State/Zip Telephone# (Sec. 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ~t more than five hundred dollars [$5001). 0711c:P KAJ ,e,<: 4":o. s: ?Mr?('. i? J'.,.... a --s:.e'U2 ~..-9Y .5' • ¼ ,s:s Name Address City State/Zip Telephone # State License # 7 ;l. Oo 2 6 License Class C?: -'8: City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # -~Z-~J...o __ o_z .... -6~-- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ (THl~CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) liJ"" CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($ 0, OJ, In addlt~he cosy,!.,.compensation, damages as provided for In Section 3706 of the Lab code, interest and attorney's fees. SIGNATURE <......,A.,.... ~ : DATE ~ / 6 7. I hereby affirm th 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 himsel-f 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 work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons t o provide the work indicated (include name I address / phone number / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 Substance Account 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 constructed within 1,000 feet of the outer boundary of a school 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. 8. 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. 3097(i) Civil Code). LENDER'S NAME ______________ _ 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 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 permit issued by 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 co enc d wilhin 180 s 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 of 1 ~06.4.4 Uniform auilding Code). ~; I? / 0 / APPLICANT'S SIGNATURE -~~(f.c:~~~~~:..:________________ DATE C? _ ,;> _ I 7 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Reque _ For: 09/12/2002 Permit# CB012595 Title: ENDERSBY RES/GAS & ELEC LINES Description: TO BBQ/FIREPIT Type:ELEC Sub Type: Job Address: 2847 VIA CONQUISTADOR Suite: Lot 0 Location: APPLICANT CUSTOM CONCRETE Owner: ENDERSBY JEFFREY&JOANNE Remarks: GAS & ELECTRIC Total Time: Act Comments Inspector Assignment: RF --- Phone: 7604388084 Inspector: /( F Requested By: NA Entered By: GIOVANNA CD 29 39 Description Final Plumbing Final Electrical A£~G~a_s_O_"'-l_l vµq:µ#:=..::...O_S'_,1:...LA1l,,l...~J( _______ _ r e AP _________ _ Associated PCRs/CVs /12.. 7-/lf' lnst;2ection Histo[Y Date Description 08/28/2002 29 Final Plumbing 08/28/2002 39 Final Electrical 07/22/2002 39 Final Electrical 08/13/2001 23 Gas/Test/Repairs 08/10/2001 21 Underground/Under Floor 08/10/2001 31 Underground/Conduit-Wiring Act WC co NR AP co co lnsp RF RF RF NF NF NF Comments WIRES HAVE NOT BEEN RUN ELECTRICAL HAS NOT BEEN DONE. SEE NOTICE -r