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Home My WebLink About1854 LILAC CT; ; CB042692; PermitW\~ • l f • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-12-2004 Electrical Permit Permit No: CB042692 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 1854 LILAC CT CBAD ELEC 2155211100 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: NORRIS RES-RE-DO ELECT@KITCHEN GFl'S & LIGHTS Inspect Area: 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 TOTAL PERMIT FEES 0 0 0 0 Owner: NORRIS JOHN P&JOELLE S 1854 LILAC CT CARLSBAD CA 92009 ISSUED 07112/2004 RMA 07112/2004 07/12/2004 $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: $0.00 Balance Due: $20.00 6362 07 /12/04 ill)Q2_Q1 {:~ij_jf .. Inspector: Clearance: 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. ......... •.I,~ FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.~ Q '-( 2_{/f 2_ CIT.Y OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit A~ Validated By__,,....._ ____ _,l/f:,l'-h~4=-"'--- Date 7 7l,t( ~ if ,•,i, Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Existing Use Be,,'2. Description of Work (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 tor the alleged exemption. Any vioJation of Section 7031.5 by any applicant for a R rmit subjects the applic~ to a civil penalty of not more than five hundred doll rs ($5J2Ql). ~( ~(' U -, ,._, 1 '-F-_ :::,.{.). '2,. I I {rf'J 277,..-) > Name State License II __.b......:c;-::..',.:..--7_7 __ "') __ Address r') City State/Z~ JA J, /), 1'e~o~.A License Class ---~..e..._______ City Business License II~ C7 .__. Designer Name Address City State/Zip Telephone State License II _________ _ (!l~Q.RJ(.J~S.W.OA'!~TIPfi~4_.:~.,,;~ • .;,;,.l.,"'&tJ. • ....;,~~ . ::. .:. .. . "-'~•4l.,:,h;..: "' •··~ .. ,·, '::· . ';:1, . _,,J: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ., • I ~ • ,., 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 for which this permit is issued. i;zJ 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 i~sued. My worker's compensation insurance carrier and policy number are: Insurance Company S--rM c FC,;,.,;'2 Policy No. co ~ 2-~ 1 Expiration Date c 1 -c r (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 ■acura workara' compen■atlon coverage la unlawful, and ahall aubject an employer to criminal penaltiea and civil fines up to one hundred thouaand dollars ($100,000 , in addition to the coat of ~~tlon, demagea aa provided for In Section 3706 of the Labor code, lntareat and attomay'a faH. SIGNATURE,......;:::=-----=~-------==~----------DATE 7 2... cv ~on~1imm:1a1~trdft!~~-·i,=~iiat~ .. .:;~m.~-hh~J~Jt~1i'.i:~:-,~i;ix:~1"~;~t1_;..p,31:,;\:•;;;,\~'.,1,r-A:i,,,;; .... ,i:-4:: 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, Busine11 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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). O I am exempt under Section ______ Business and Professions Coda 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 tor 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):. ______________________________________________ _ 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 _________ _ t QNl!!tlle11THIS~.$l;CTIPN!f.OJl:N1'Ni'lf~DEN™t l.!!.!.l~lflQt~.AA.\!tJ.,;Q.Nl,,~j_mi:il~;.\~;,E1h-:::ian~::....uii:.:C,:,.~~d.:J;.;.;,::~i"t ,Sii•t'. ,;., _i;k~;,J · :i,• .. t,:,,1ti'. 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 constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWEr!S ARE YE£.>. F!-!11.!'.l CERTIFICATE OF OCCU!'Ar~CY MA'\' NOT SE !SSUE0 UNLESS TtiE Af'PLICANT HAS MET OR iS MEETl:llG THE REQUIREMENTS OF THl(OFFICE O.F 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). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ ti~Pl!i;JC~Tl<OMIIEIC~Mtii)~ • .;;;.~~~lw~;&,.;~'~,.".,,;;t~~.i;,;,~~O.:v.,i,.~,t,f.1,\~.,.;_;,~;:;_d~• ;;,.~: \:,:~ • · ::... ,..,, ••• ...,.·., t,..:;, r••; ,. ,-·,:.•: ,,..,_ ... ~-:~·, I certify that I have read the opplication 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 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 pennit 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 pennit Is not commenced within 180 days from the date of such pennlt or if the building or work authorized by such permit is suspended or abandoned at any time after the work is c::::::d lo, a ~d of 180 days ~lion 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE ~::...~~--,--""-==----~ ______ .... _-_-_-_-_-..:::..:::.::-________ DATE _?._,1/t'--1..;:2--~/4.::o_'-f-1------- WHITE: File YELLOW: Applicant PINK: Finance \\'L, 1 tf.t City of Carlsbad Bldg Inspection Request For: 12/20/2004 Permit# CB042692 Title: NORRIS RES-RE-DO ELECT@KITCHEN Description: GFl'S & LIGHTS Type: ELEC Sub Type: Job Address: 1854 LILAC CT Suite: Lot 0 Location: APPLICANT NEW LIFE CONSTRUCTION Owner: NORRIS JOHN P&JOELLE S Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 8582778075 Inspector: r _.) Requested By: DON Entered By: CHRISTINE 39 Final Electrical kP------ Associated PCRs/CVs Inspection History Date Description 07/23/2004 17 Interior Lath/Drywall 07/21/2004 34 Rough Electric Act lnsp Comments AP JM AP JM