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Home My WebLink About166 WALNUT AVE; ; CB041887; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB041887 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 166 WALNUT AV CBAD ELEC 2041230701 Lot#: 0 CLAYTON RES-BRING ELECT UP TO CODE IN KITCHEN.ADD LAUNDRY-2ND STORY HALL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MIRABELLA CONSTRUCTION ISSUED 05/20/2004 RMA 05/20/2004 05/20/2004 CLAYTON WILSON A&VIRGINIA S ..:.631. PO BOX 4538 CARLSBAD CA 92018 05 ·'20/04 0002 o.: PO 462696 ESCONDIDO CA 92046 760-738-7 446 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 Total Fees: $54.00 0 0 0 0 Total Payments To Date: $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $34.00 $0.00 $54.00 Balance Due: FINAL APPROVAL DATEt~l•Lf CLEARANCE ___ _ SIGNATURE f P,=--- CGP $54.00 )2 '54 00 PERMIT APPLICATION FOR OFFICE USE ONLY :?_J)-7 PLAN CHECK NO. CiJ OY I (X) ( CIT)' OF CA~LSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description ~A:-::s::s::es=s=--=o::r;:·s~P;;:a:-:r::ce~l:--'.#;;---/--JJ~'.().'.......~U,.~'1-..L~~~;;~~=-=::...:.;_~,DtD'l'-"¥-...l.U~f-_£zf::~a ...... l-:iU~~~:...l.:,U~~~~~r.,.:.~d,::~~.,I ~ -. ~dct ('//'Cvr'.S -~ Description of Work #of Stories k,;LeAe.-f. Nrt,A/ # of Bathrooms CQMI&IT.. PEM.,QJ'Lll!Jlljferant fro!D..fP~cantl .;:::ro,-1//1( C#/A...><1,r /& tJoot)tJ,;tJ.,,Pc) #-7 cF.S-C. Name Co_ntraotor C',1(/~Jo,,V Name Address Address City 0 , AgJlnt for Owner City City State/Zip Telephone# Fax# State/Zip Telephone# S.tate/Zip Telephone# (Sec. 7031. 6 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 not more than five hundred dollars ($500)). ,,?11,fl,t(JlfL,i.,f Co.-v..rT l'(o ,.,Joobwtf'ht? /;$(-c'"/f-7b 7J7 7Y"r6 Name State License # _6_7_'?_~_'>._;J ___ _ Address License Class ___ tJ'.;._ _____ _ City State/Zip / Telephone # City Business License # ,Z o Z :J' .Z.. r Designer Name Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: 0 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. £ 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-'Tk , .:7,-,/J .;;z:;;,r. /4,,,,I) Policy No. CJ'/' 6 doo 'il0 7 .J Expiration Date -/-.ss- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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. WARNING: Failure to aecure worker■' co thouund dolera ($1 ""'~~.,._. ... di ion coverage la unlawful, and ahall subject an amployer to criminal penaltlea and civil finea up to one hundred oat of compensation, damagea aa provided for In Section 3706 of the Labor code, intereat and attorney'• feea. SIGNATURE 5--z_ c,-d y ............... w...,MM,~u~•LD~,!U~~=~~;..;..----------~----1 hereby affirm that 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 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). 0 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 end provide the major work (include name / address / phone number/ contractors license number):. ______________________________________________ _ 6. 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 __________ _ (i.QMPLruJrfll~ SECJIOf,1 f:Q8 NON-RE~ID_fNTIAL BUILDINQJ'l!\MtTS QNL Y • 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~nstructed 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. 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 thet 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 the building Official und~r e 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 18~ I~ e 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 co~o&6t ~yj (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~( /,.__:>b ~ •:::, DA TE ~ -? " ' a "'/ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/22/2004 Permit# CB041887 Inspector Assignment: PY --- Title: CLAYTON RES-BRING ELECT UP TO Description: CODE IN KITCHEN,ADD LAUNDRY-2ND STORY HALL W/GAS&WATER Type: ELEC Sub Type: Job Address: Suite: Location: 166 WALNUT AV Lot 0 APPLICANT MIRABELLA CONSTRUCTION Owner: CLAYTON WILSON A&VIRGINIA S Remarks: Total T ime: CD Description Act Comment Phone: 6195205015 Inspector: ---- Requested By: JOHN Entered By: CHRISTINE 39 Final Electrical ~1 ~ wi~-- Date 06/04/2004 06/02/2004 Associated PCRs/CVs Inspection History Description 17 Interior Lath/Drywall 84 Rough Combo Act lnsp Comments AP PY AP PY <tCitp of <tCarl.sbab REQUEST FOR INSPECTION RECORD BUILDING D FOUNDATION D FOOTING D SLAB D REINFORCING STEEL D MASONRY 0 GROUT · GUNITE D FLOOR AND CEILING SUB FRAME 0 SHEATHING O ROOF O SHEAR D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBIN9.-.~~ ' D SEWER AND PL/CO /" "-....' • D TOP OUT PLUMBING D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D SOLAR WATER O FINAL Ready For Inspection: D Monday D A.M. D P.M. D Tuesday UFFER GROUND D ELECTRIC UNDERGROUND D ROUGH ELECTRIC · D POOL BONDING ')s(ELECTRIC SERVICE / D F)NAL ✓ MISCELLANEOUS D SIGN D GRADING D DRIVEWAY D FINAL D Thursday D Friday