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Home My WebLink About1004 LANDS END CT; ; CB022728; Permit:t~\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 /04-21-2003 Electrical Permit Permit No: CB022728 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1004 LANDS END CT CBAD ELEC 2145311300 Lot#: 0 BLOUGH RES/GAS & ELEC TO SPA, BBQ, FIREPIT, & FOUNTAIN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/13/2002 CB 09/13/2002 04/21/2003 JE Applicant: BLOUGH ROBERT&KATHLEEN BLOUGH ROBERT&KATHLEE~238 04121/03 ()()()2 Ol 1004 LANDS END CT CARLSBAD CA 92009 603-8417 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 Total Fees: $70.50 Inspector: 0 0 0 0 1004 LANDS END CT CARLSBAD CA 92009 Total Payments To Date: $47.00 FINAL APPR VAL Date: D 2 JJ $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $50.50 $0.00 $70.50 Balance Due: Clearance: CGP $23.50 NOTICE: Please take NOTICE tha pprova! of your project includes the "lmpositio 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 le in ofwhih hv r I ben iven N TICE iii hi ora whihh flimi h I hrwi 02 23,50 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No.Cl8,o J27? ~ EST. VAL. _________ _ Plan Ck. Deposit --=---=------- Validated By C.Jib Date q-( 5 -Oz._ v 1 1 PROJ!;CJ" lf1'FQ,R..Ml:\ TLON Add'/ooncl €nd C-t Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use #of Stories "-"cl Name Address Q £Qntractor rugent tor Contractor Address City Unit No. Phase No. Total # of units Proposed Use State/Zip State/Zip S.tate/Zip # of Bathrooms o.~ 8f'6....,d SPA. Telephone# Fax# Telephone# ) ':1-~• c..o~-S'-4q w) 7c.,o • C..'!.3 • 'l: o S 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 not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ 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. 0 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 _______ _ (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' Compensation Laws of California. WARNING: Failure to secura workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred thousand dollars ($100,000), In addition to the cost of compensation, damages ea provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7, O~NER-BUJLPJIJ DI;~~-..;;,;,;;;:~:::=z5:~;::::;;;::::...........,_.,. . .,,.",..,, ..... ...., I 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 improvervents 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). Jg" 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) t o 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): __________ ~----------------------------------------------i PROPERTY OWNER SIGNATURE ~ t\ ~ DATE _q-'-/-'-1-"'3'----/0=--""2.,=----- CQMe.l,.llE THIS SECTION FO!l NON-R{SIOENTIA!.@MILD~Ql'iL,-___ ._ 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 ls 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? 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. IJ. ~O_NSTf!!JCTIO_N L_ENDIN<;i 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 ______________ _ 9.. APPLICANT CERil!'lc;;ATION 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 11gree 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 commenced for a period of 1BO days (Section 106.4.4 Uniform Building Code). --tAPPLICANT'SSIGNATURE ~ ~~ WHITE: file YELLOW: Applicant PINK: Finance DATE _q_;__;_/:_l_:3,_/_c_.::'Z.. ____ _ City of Carlsbad Bldg Inspection Request For: 1 0/21 /2003 Permit# CB022728 Title: BLOUGH RES/GAS & ELEC TO SPA, Description: BBQ, FIREPIT, & FOUNTAIN Type: ELEC Sub Type: Job Address: 1004 LANDS END CT Suite: Lot 0 Location: APPLICANT BLOUGH ROBERT&KATHLEEN Owner: BLOUGH ROBERT&KATHLEEN Remarks: Total Time: CD Description 39 Final Electrical M-Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: PY --- Phone: 7606332705 Inspector: ----- Requested By: ROBERT BLOUGH Entered By: CHRISTINE 09/12/2003 34 Rough Electric CO RB SEE ATTACHED NOTICE 04/01/2003 29 Final Plumbing 09/19/2002 21 Underground/Under Floor 09/17/2002 23 Gas/Test/Repairs CO JE PLUMBING, ELECTRIC AND SPA VIOLATIONS -REFERRED TO CODE ENFORCEMENT AP JE CO JE RUN GAS PIPE BACK TO METER