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HomeMy WebLinkAbout1037 LORETTA LN; ; CB100617; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-09-2010 Electrical Permit Permit No: CB100617 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1037 LORETTA LN CBAD ELEC Status: Parcel No: 2061204402 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: BRIAN JENEANE A BRIAN RES-INSTALL 2 ELECT OUTLETS IN GARAGE 1037 LORETTA LN CARLSBAD CA 92008 760 220 0755 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 0 0 0 0 Entered By: Plan Approved: Owner: BRIAN JENEANE A 1037 LORETTA LN CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 04/09/2010 LSM 04/09/2010 04/09/2010 $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 APPROVAL Date: S-b -/ 0 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. ~ Plan Check No. GR:, 100141, «·<ri:~i'} Building Permit Application ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY 0 F 760-602-2717 / 2718 / 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Date l.f\9\t-0 I .¥:I ./1 ,. , JOB ADDRESS SUITE#/tiPACE#/UN IT# TAPN 1037 Loretta Lane --- CT/PROJECT# lLOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I occ. GROUP . DESCRIPTION OF WORK: Include Square Feet of Affected Anta(s) Add electrical circuit in garage ~ o.>--+ \ .its 1 t,J °cfF EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS 200 YES0, NcCJ YES □No □ YES□No□ CONTACT NAME (If Different Fom Appllcent) APPLICANT NAME Jeneane Brian ADDRESS ADDRESS 1037 Loretta Lane CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 PHONE I FAX PHONE I FAX 760-220-0755 EMAIL EMAIL ieneanebrian(@,gmail.com PROPERTY OWNER NAME CONTRACTOR BUS.NAME same Rudv's Electric ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX 858-353-2933 EMAIL EMAIL rudyselectric,com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# 9155064 (Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, pnorto !ts issuance. also requires the applicant for such permit to file a si~ned statement ttiat 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of petjur; one of the following declarations: B I have and will maintain a certificate of consent to self-insure for wor1r:ers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the wor1r: for wtllch this permit is issued. I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the wor1r: for which this permit is issued. My wor1r:ers' compensation insurance carrier and policy number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _ ~sec~on need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the worl( 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 ls unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. /15 CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 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 buildir,g or improvement is sold within one year of comp~tion, 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 wt,o builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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. 0Yes 0No 2. I (have I 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 I phone I contractors' license number): 4. I plan to provide portions of the wor1r:, but I have hired the following person to coordinate, supervise and provide the major wor1r: (include name I address I phone I contractors' license number): 5. I will provide some of the wor1r:, but I have contracted (hired) the following persons to provide the work indicated (lnclucle name I address I phone/ type of wor1r:): ,j Is the applicant or future building occupant required to submit a business a. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of !he Presley-Tanner Hazardous Substance Account Act? D Yes LJNo Is the applieant or future building_occupant required to obtain a permit from the air pollution control district or a~ality management district? Dves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo 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 certify that I have read the application and state that the above infonnation is correct and that the infonnatlon on the plans ts accurate. I agree to compt, with all City oldlnances and State laws relating to bullding construction. I hereby authorize representaUve of the Otyof Carlsbad to enter upon the above mentionOO property for inspection purp:,ses. 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 require:! for excavations over 5'0' deep and demoitk:Jn or construcoon of structures ove< 3 stories in height EXPIRATION: Every permit issued by the BuildOQ Official under the provisions of this Ccxle shall expire by limitation and become null 8:'ld void if the building or work aulhofized by such permit is not oorrmenced wittlin 1 days from the date of sud1 permit building or work authorized by such pe~I is suspendOO-°'_ abandoned at any titre after the work 0 AisTooEm~n~ ;rar;; r;daf ~~ 1lM4 Unrroon Bui~ing Qxll) iE5 APPLICANT'S SIGNATURE 2 / 7 L, v ~ w City of Carlsbad Bldg Inspection Request For 05/06/2010 Permit# CB100617 Tille: BRIAN RES-INSTALL 2 ELECT Description: OUTLETS IN GARAGE Type:ELEC Sub Type: Job Address: 1037 LORETTA LN Suite: Location: APPLICANT BRIAN JENEANE A Owner: BRIAN JENEANE A Remarks: Total Time: Lot: 0 Inspector Assignment: PY --- Requested By: NA Entered By: CHRISTINE CD Description 34 Rough Electric -Cr j 1f-Comm/:; A} /H- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 04/12/201 O 39 Final Electrical Act lnsp Comments CO PY NEED GFI