HomeMy WebLinkAbout1851 WEST POINT DR; ; CB061247; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-05-2006 Electrical Permit Permit No: CB061247
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1851 WEST POINT DR CBAD
ELEC
2073902000
MCHENREY RESIDENCE
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
NEW ELECTRICAL FOR KITCHEN REMODEL
Applicant:
NEW LIFE CONSTRUCTION
8340 VICKERS ST
SAN DIEGO CA 92111
858-277-8075
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
TOT AL PERMIT FEES
0
0
0
0
Owner:
MCHENRY ROBERT D&CAROL YN F
1851 W POINT DR
CARLSBAD CA 92008
ISSUED
05/05/2006
MDP
05/05/2006
05/05/2006
$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:
Inspector:
FINAL A/PROVAL
Date: 9 1" I~ C. Clearance:
$0.00
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 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
f es/ xactions f whi d.
., FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK No.CXo .. ti~
CITY OP CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit _________ _
Validated By ___________ _
Date _______________ _
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Ass~or's Par~ ,~ ,...-r c;., l Existing Use N--e<.-u f?/..ec-,"2-t c....e-L-
Proposed Use
Description of Work
(~Lt
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
C ffi.ACT i,i!!§QN,ilf,~djff.,.nt from appllcantl ,
f( ~ ~ '-1 1-(l, 0 ~¥-r ll C.... r l r;AJ
Name Address City State/Zip Telephone # Fax #
Telephone#
Name Address City S.tate/Zip Telephone#
N.IBACT.98 • kO.MeNt't'. fll~
(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 vi9latio~,of Section..J031 .5 by any applicant fo~a permit su ·acts the. applicant to a civj! pe')lllty of~ot more th ~ {ive hundred dollars [$5J22]1..
J w 1.c, ,--e. eo-.}j, ~-~L~ o 1v --e-,..1 '.f cs.o. c.1.t , t J 77-J -
Name
State License # _b_5":_c;_~_7_•~7_).,__
Designer Name
State License # ----------
' C0111PUi ADO
Address -,-;;)
License Class __ .cD'---------
Address
City State/Zi Telephony #_ '\.
City Business License # &"1 ~ 7-tJ o
City State/Zip Telephone
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. ff! 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 s~<:f" ~/.) Policy No,C)O ~ '2 9 Expiration Date o/-d"Z
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
D 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred
thouaand dollars (~of compenaati gas•• provided for in Section 3706 of the Lab.5>r c7 , Interest and attomey·s fees.
SIGNATURE ( DA TE ___..,,.,.S)""I'/~~ ~5:TU_Cc=(__~•;;;;--::;;:=:.,-~..,.•·-""~~
7, OWNER-BU~£CLARATION -~---t
I hereby affirm that I am exempt from the 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).
D 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 builcls or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
D 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 to provide the work indicated (include name / address / phone number / type
of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _
~lYll.I.t!!.L§J;mQN.fQ.R «QN;Bffle.f!/11&.l!UILQ!t!(lf(BM!TS Ofil..,'t'., __ _
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? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D 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 ffl!.CTION t.£NDJN9,.A.,.G,,,,E.:,C,._,Y,_ __ ,__ _______ _
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).
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 Cit\-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 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 commenced within 180 days 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 commenc 'od of 180 days (Sec~~..;4 Unifo: Building Code). ~ / ;:
APPLICANT'S SIGNATURE _ _j--=~....---=::::::!=::==-----~~:=::==:_-----DATE ,)/,j 4, ~I
WHITE: File YELLOW: Applicant PINK : Finance
..
City of Carlsbad Bldg Inspection Request
For: 09/07/2006
Permit# CB061247
Title: MCHENREY RESIDENCE
Description: NEW ELECTRICAL FOR KITCHEN REMODEL
Type: ELEC Sub Type:
Job Address: 1851 WEST POINT DR
Lot Suite: 0
Location:
APPLICANT NEW LIFE CONSTRUCTION
Owner: MCHENRY ROBERT D&CAROL YN F
Remarks:
Total Time:
CD Description Act Comment
39 Final Electrical ~
Inspector Assignment: PY
Phone: 7604340520
Inspector:
Requested By: CAROLYN
Entered By: CHRISTINE
__ n ___ _
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description
05/09/2006 34 Rough Electric
Act lnsp Comments
AP PY