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HomeMy WebLinkAbout2807 VIA CONQUISTADOR; ; CB002857; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08/03/2000 Electrical Permit Permit No:CB002857 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2807 VIA CONQUISTADOR CBAD ELEC 2225921600 Lot#: 0 KORN RES-ELECT&GAS TO BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/03/2000 RMA 08/03/2000 08/03/2000 ALLSCAPE INC PMB 403 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 KORN AXEL B&MARION V 2807 VIA CONQUISTADOR CARLSBAD CA 92009 4S'13 08/03/00 0001 01 C-PRMT 760 480-4041 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 TOTAL PERMIT FEES Inspector: Total Payments To Date: 0 0 0 0 $0.00 FINAL APPROVAL Date: /0 f J.5/{X) Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $47.00 $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 exnired. 02 47-00 PERMIT APPLICATION FOR OFFICE USE ON_by w PLAN cHEcK No. O>ao ~ r CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ___ _,,,--r----,---- (760) 438-1161 1. PROJECT INFORMATION 2807 Via Conquistador, Carlsbad, CA 92009 Address l1ncluoe Bldg/Suite ,1 Business Name lat this address) Legal Descripuon Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II Existing Use Proposed Use 2 ea 110v outlets hooked to existing outlets; gas line for barbecue -both in back yard. Descripuon of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If diffa,ent from applicant) Name Address 3. APPLICANT fi Contractor 0 Agent for Contractor O Owner Name Address City 0 Agent for Owner State/Zip State/Zip Telephone# Telephone I 4. PROPERTY OWNER Marion and Axel Korn, 2807 Via Conquistador, Carlsbad, CA 92009, 760.929 .1 037 Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME Fax I 1sec. 7031 .5 Business and Professions Code: Any C11y 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 w11h Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he is &Kempt therefrom, and the basis for the alleglld exemption. Any v1olat1on of Section 7031 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500)). ~206~ Mark A. Smith, Allscape Landscape & Design, Inc.,629 S.Rancho Santa Fe Rd.#403, San Marcos, Cl Name State License # __ 7_1_4_0_0_4 ____ _ Address License Class __ C_-_2_7 _____ _ City State/Zip Telephone '760. 480. 4041 City Business License I 12 0 3 11 4 Designer Name Address City State/Zip Telephone State License II _________ _ 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 tor which this permit is issued. es I have ano will maintain workers' compensation. as required by Section 3 700 of the Labor Code, for the performance of the work for which this permit Is issued. Mv worker's compensation insurance camer and policy number are: Insurance Company Farmer's Insurance Policy No. N2QQR7965 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Da~nntj DJlQJlS 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. o secure workers' compenaetion coverage la unlawful, and shall subject an employer to criminal penaltiH and clvU fines up to one hundred ,000). in addition tot mpensation, damages H provided for in Section 3706 of the Labor code, lnterHt and attomey'a fHa. SIGNATURE ' DATE J ,,,-.;2_/--{ft) 7. OWNER-BUILDER DECLARATION 1 hereby affirm that I am &Kempt from tho 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 tho 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 propeny 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 w11h1n one year of complet1on. the owner-builder will have the burden of proving that he did not build or improve for tho purpose of sale). O I, as owner of the property. am exclusively con1ract1ng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: Tho 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). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the ma1or labor and matenals for construction of the proposed property improvement. 0 YES ONO 2 I (have I have notl signed an application for a bu1ld1ng permit for the proposed work. 3 1 have contracted w11h the following person (firm) to provide the proposed construction (Include name I address / phone number / contractors license number): 4 . I plan 10 provide ponIons 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 provIoe some of the work, but I have contracted (hired) the following persons 10 provide the work indicated (include name / address / phone number / typo 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 nsk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management d1stnc17 0 YES O NO Is the fac11t1y 10 be constructed w1th•n 1,000 feet of the outer boundary of a school site? 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 ANO 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. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the appltcat1on and state that the above information is correct and that the information on tho plans is accurate. I agree to comply with all City ordinances and State laws relat1ng 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO 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 Building Off1c1al under the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit Is not mmenced wIth1n 365 days from the date of such permit or if the building or work authonzed by such permit Is suspended commenced for a peno o BO da (Section 106.4.4 Uniform Building Code). • DATE 7-;2._/ -{H) 'PLICANT'S SIGNATURE PINI<'· Finance City of Carlsbad Bldg Inspection Request For: 10/24/2000 Permit# CB002857 Title: KORN RES-ELECT&GAS TO BBQ Description: Type:ELEC Sub Type: Job Address: 2807 VIA CONQUISTADOR Suite: Lot Location: APPLICANT ALLSCAPE INC Owner: KORN AXEL B&MARION V Remarks: Total Time: 0 Inspector Assignment: SR --- Phone: 8584518280 Inspector: ,S~ • Requested By: ALLSCAPE Entered By: CHRISTINE CD Description Act Comments 29 Final Plumbing ~ ~~~ 39 Final Electrical ££_ _______ _ Associated PCRs lnsgection History Date Description Act lnsp Comments 10/18/2000 29 Final Plumbing co SR NEED GAS SHUT OFF VALVE AT BBQ 10/18/2000 39 Final Electrical co SR SRR NOTICE 8/18/2000 23 Gas/Test/Repairs AP SR MOVED GAS LINE AWAY FROM PATIO STRUCTURE 8/4/2000 23 Gas/Test/Repairs AP SR 8/4/2000 31 Underground/Conduit-Wiring AP SR CONDUIT ONLY 8/4/2000 34 Rough Electric WC SR