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Home My WebLink About1950 SILVERLEAF CIR; 128; CB050425; Permit02-11-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB050425 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1950 SILVERLEAF CR CBAD St: 128 ELEC 2550121600 Lot#: LA COSTA GLEN LIGHTS, 1 SURFACE LIGHT Applicant: /NEW WAVE ELECTRIC \2142WINCHESTERST \ OGEANSIDECA 92054-' 760757-~0187" Status: ISSUED Applied: 02/11/2005 Entered By: MDP Plan Approved: 02/11 /2005 Issued: 02/11/2005 Inspect Area: Owner: CONTINUING LIFE COMMUNITIES LLC C/O RICHARD ASCHENBRENNER 800 MORNINGSIDE DR FULLERTON CA 92835 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 $10.00 $0,00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $20.00 Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due:$20.00 1692 02/11/05 0002 01 02 CGF" 20. Inspector: FINAL Date: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 tile 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 fees/exactions of which you have previously been given a NOTICE similar to Ihis. or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 920081. PROJECT INFORMATION nleg-f FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL.Plan Ck. DepositValidated ByDateAddress (include Bldg/Suite #)J / 1 t ^Wall-}Business Name (at this fess)6PLegal Description Lot No.Subdivision Name/Number Unit No.haseNo.Total # of unitsAssessor's Parcel #N^V D Existing Use . Proposed UseDesription of Work2. CONTACT PERSON (If different fronvapplieont"SO. FT.ffof Stories Bedrooms # of Bathrooms Name 3, ., APPLICANT B'Contra Address / City Q Agent for Contractor O Owner Q Agent for Owner 2-7221 Fax #State/Zip Telephone # •£0-757-0137 Name 4. PROPERTY OWNER Address , , /0 UW/A ^J City State/Zip Telephone # Name Address City State/Zip Telephone # 5. CONTRACTOR - COMPANY NAME (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^iolation of Section 7031 ;5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS500]) > ame State License ft Address License Class City State/Zip Telephone # City Business License ff /*4~9/CJ ^ ^? f Designer Name Address City State/Zip Telephone State License # 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. 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 ^jjrfTX'Tg-- FypAJgJy Policy No.^Y~ G J_ Expiration Date ^> / ~~ \J J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 sacu ray workers'. compeniThtion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (s 1 ogJtOOl/jn adfjftigh to/^nMMt-af compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE s£j,S\ I/V C-^C^ DATE H"-//^ (D^ 7. OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). L~1 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). n 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. f~) YES L~]NO 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. \ 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): _ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 £] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [H YES Q 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 City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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. MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.JUDGMENTS, COSTS AND EXPENSES WHI OSHA: An OSHA permit is required for ex EXPIRATION: Every permit issued by th, authorize i by such permit is not comme' at any tin after the work is commen' PPLICA SIGNATURE itions over 5'0" deei^and demolition or construction of structures over 3 stories in height. ing Official under /^provisions of this Code shall expire by limitation and become null and void if the building or work date of such permit or if the building or work authorized by such permit is suspended or abandoned 106.4.4 Uniform Building Code). kJ DATE- ;thin WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/11/2005 Permit* CB050425 Title: LA COSTA GLEN Description: 4 CAN LIGHTS, 1 SURFACE LIGHT Inspector Assignment: JM 1950 SILVERLEAFCR 128 Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT NEW WAVE ELECTRIC Owner: CONTINUING LIFE COMMUNITIES LLC Remarks: Phone: 7608023227 Inspector: Total Time: CD Description 39 Final Electrical Act Comment Requested By: STEVE Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 02/24/2005 14 Frame/Steel/Bolting/Welding WC JM 02/24/2005 19 .Final Structural WC JM 02/24/2005 34 Rough Electric AP JM NEED LISTING FOR FIXTURES 02/24/2005 39 Final Electrical WC JM COMPENSATION INSURANCE FUND P.O. BQX 420807, SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER: '-""'• CERTIFICATE EXPIRES: ^ r t, J •; ' i - '*- I ...--•,- .. 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 days1 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 after the coverage afforded by the policies listed herein. Notwithstanding a^y .requirement, term, 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. O AUTHORIZED PRESIDENT EMPLOYER THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SC1F 10262 (REV, 5-Otj