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Home My WebLink About191 CHERRY AVE; ; CB994018; Permit10/26/1999 City of Carlsbad Electrical Permit Permit No:CB994018 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 191 CHERRY AVCBAD ELEC REPLACE SUB PANEL Lot#: ISSUED 10/26/1999 GMF 10/26/1999 10/26/1999 Inspect Area:5509 10/26/99 0001 01 C-PRHT Status: Applied: Entered By: Plan Approved: Issued: 02 20=00 Applicant: DUFFETT CONSTRUCTION 7413ELCAJONBLVD LA MESA, CA 91941 619-442-8706 Owner: Total Fees:$20.00 Total Payments To Date; • $0.00 Balance Due: $20.00 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 TOTAL PERMIT FEES '0 "P'.q, 40 ' $10.00 $0.00$0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Inspector: FINAL APPROVAL Date: /A/>?9 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 Address (incltlde Bldo/Suite ») FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date l«=>a» Business Name (at this address) Legal Description Lot No.Subdivision Name/Number .Unit No.Phase No.Total # ot units -oo £lec. Meier Existing Use Proposed Use SQ.FT.#of Stories # of Bedrooms * of Bathrooms 2. CONTACT PERSON Of fflf; &U/V&, T>/i tfn applicant) JZM.Name ' Address City APPLICANT ^JS^Comractor Q Agent tor Contractor JQ Owner Q Agent for Owner E TV State/Zip Telephone * Name 4._ PROPERTY OWNERT>f?»Ws c. Address City State/Zip Telephone U Ut C.HC.O Name Address City State/Zip Telephone # •B. .CONTRACTOR -'COMPANY NAME •"-'•- '"• ~ •' ..... .: ' '"" ' "•'"• ••'"••"..• .....' ' ~^ T.--: ^'.'••--••- : ...... ::,-" • ISec. 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 State License # £3.5*302. Address License Class e>City State/Zip City Business License I* Telephone # Designer Name State License # Address City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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: CA _ Policy No. 1 3 €> <b~8> ^ ~ 9 *? Expiration Date Cz> — I fc ~ & OInsurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Q 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 workers' compensation coverage a unlawful, and shall subject an employer to criminal penalties and civil 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. SIGNATURE _ __ __^ DATE _ 7. OWNER-BUILDER DECLARATION 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 sola 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). Q 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 contractors! 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. [~1 YES QNO 2. I (have / have not) signed an application fora 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 / typeof workl: PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-«ESIDENT1AL BUILDING PERMITS ONLY 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D 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. CONSTRUCTION LENDING 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 __^_ LENDER'S ADDRESS ^ 9. APPLICANT CERTIFICATION " 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 Cdy ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentconed 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 365 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^he workis commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) , /• APPLICANT'S SIGNATUF DATE ~T City of Carlsbad Inspection Request For: 11/15/99 Permit# CB994018 Title: REPLACE SUB PANEL Description: Inspector Assignment: DM 191 CHERRY AV Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT DUFFETT CONSTRUCTION Owner: Remarks: Phone: 6198385725 Inspector: Total Time: CD Description 39 Final Electrical Requested By: RENEE Entered By: CHRISTINE Act Comments IMP Inspection History Date Description Act Insp Comments 11/5/99 31 Underground/Conduit-Wiring AP DM 11/5/99 33 Service Change/Upgrade AP DM 11/3/99 33 Service Change/Upgrade CO DM SEE NOTICE ATTACHED City of Carlsbad Inspection Request For: 11/5/99 Permit# CB994018 Title: REPLACE SUB PANEL Description: Inspector Assignment: DM 191 CHERRY AV Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT DUFFETT CONSTRUCTION Owner: Remarks: AM REQUESTED Phone: 6198385725 Inspector: Total Time: CD Description 31 Underground/Conduit-Wiring ?J 5g*Jlcg. CA/htVg Act Comments Requested By: CHERRY Entered By: CHRISTINE Inspection History Date Description Act Insp Comments 11/3/99 33 Service Change/Upgrade CO DM SEE NOTICE ATTACHED City of Carlsbad Inspection Request For: 11/3/99 Permit* CB994018 Title: REPLACE SUB PANEL Description: Inspector Assignment: 191 CHERRY AV Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT DUFFETT CONSTRUCTION Owner: Remarks: Total Time: CD Description 33 Service Change/Upgrade Act Comments CD Phone: 6198385725 Inspector: Requested By: RENE Entered By: CHRISTINE Date Inspection History Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO. (760) 438-3550 2075 LAS PALMAS DRIVE TIME FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE? I I YES I FURTHER INFORMATION, CONTACT PHONE ilLDING IW CODE ENFORCEMENT OFFICER COMPENSATION INSURANCE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 F" U N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE SEPTEMBER 13, 1999 POLICY NUMBER: 1305811 CERTIFICATE EXPIRES: 6-16-00 - 99 r WflLT BQGHENEK 5873, MfiDRfl ftVENUE SON DIEGO Cfi 9£1£0 JOB: fiLL OPERATIONS U • •• ' .-;•.;'•,. • This is to certify that we have issued a valid Workers' Compensation insurance policy in a,form approved by the California Insurance Commissioner-to the/employer named below for the policy period indicated; ' •""':-.• • This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend Or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, ternr^ or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain,,the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. • AUTHORIZED REPRESENTATIVE ' -'•. ' PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: f 1,000', 080 PER OCCURRENCE. EMPLOYER r RflNDALL L. DUFFETT CONSTRUCTION P.O. BOX £311 Lfl MESft Cfi 91943 NR L THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10262 (REV. 3-95) oooc«•x, H TO