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HomeMy WebLinkAbout1950 SILVERLEAF CIR; 317; CB100662; Permit04-15-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB100662 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1950 SILVERLEAF CR CBAD St: 317 ELEC 2550121600 Lot#: LA COSTA GLEN-ADD 4 CAN LIGHTS IN DINING ROOM & 4 CAN LIGHTS IN BEDROOM #2 Status: ISSUED Applied: 04/15/2010 Entered By: RMA Plan Approved: 04/15/2010 Issued: 04/15/2010 Inspect Area: Applicant: CONTINUING LIFE COMMUNITIES LLC C/O RICHARD ASCHENBRENNER 800 MORNINGSIDE DR FULLERTON CA 92835 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:$20.00 Balance Due:$0.00 BUILDING PLANS IN STORAGE . ATTACHED. Inspector: FINAL A Date:Clearance: NOTICE: Please take NOTISE thatfepproval of your project includes the "Imposition" ot fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yournave 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 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 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS # OF UNITS I # BEDROOMS SWTE#/SPACE*/UNIT# CONSTR.TYPE I OCC. GROUPCT/PROJECT *tt BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet ofMfocted Area(s) ^^^2^^A. ? EXISTING USE PROPOSED USE GARAGE XSF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #__ AIR CONDITIONING NO O FIRE SPRINKLERS YES NOD CONTACT NAME Run APPUCANT NAME ADDRESS ',ADDRESS ;CITY STATECf)CITY STATE ZIP -(fete -&3J7 PHONE FAX EMAI EMAIL PROPERTY OWN]CONTRACTOR ADDRESS ADDRESS CITY STATE CITY - tot- SO/' \'%ff PHQN FAX EMAIL EMAIL STATE UC.#CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires ^permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant tor such permit to file a signed statement that he is licensed pursuantto the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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. O 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 workers' compensator! insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is fix one hundred dollars ($100) or less. IB 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 secure workers' compensation coverage is 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. OAGENT DATE t-f ,_ j "7 _ t ftCONTRACTOR SIGNATURE OWN ER-BUILDER D ECLARATION / hereby affirm that I am exempt from Contractor's License Law for the following reason: a 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 tor 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, arxi wto> does such work himself or mrough his rwn employees, prov^ sate. 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). y^ 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 contractorfs) licensed pursuant to the Contractor's License Law). d I am exempt under Section Business and Professions Code for this reason: 'Upersonally plan to provide the major labor and materials for construction of the proposed property improvement, a Yes Jfl*> ^ .. \ / ,/. £j[have) have not) signed an application for a building permit for the proposed work. J-#<f£tHJ&tl ftM 3.1 have contracted with me following person (firm) to pr^^ Q# ^ 4.1 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 / contractors' license number): 5.1 wiN provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): COMPLETE THIS SECTION FOR It O ft - R £ SI D 6 N T I A L B U t L D I N G P E 8 "'HI I T S Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or ri sk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 3 Yes a No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes G No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes QNo IF ANY OF THE ANSWERS ARE YES, X EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. C ON STRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address s:A P Pit CAN T""'CjE R T I ft C.A.T;tiQ:N'* IcerWythatlhiM! read the application and state that the above information Is correct and that ttetafonnatkm on tte plans is accurate I ?gi« to comp^ OSHA: An OSHA permit is required for excavations over SO' deep and demolition wconstructjwrfstrudures over 3 stories ii height 1K) days Irom the date of su* permit or if Ihebuioiin or v^ j£> APPLICANT'S SIGNATURE s^~~~~?~2*j\ * f/iA f/j ejur i/is\s'f**j \^i *e^i ir.\ i 7 City of Carlsbad Bldg Inspection Request For: 05/13/2010 Permit* CB100662 Title: LA COSTA GLEN-ADD 4 CAN LIGHTS Description: IN DINING ROOM Inspector Assignment: RB 1980 SILVERLEAFCR fill 71 Lot: 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT CONTINUING LIFE COMMUNITIES LLC Owner: Remarks: Total Time: CD Description 34 RoughEJectric Act Comments Comments/Notices/Holds Phone: Inspector: Requested By: EDWARD Entered By: 6HB1SUNE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/22/2010 34 Rough Electric PA RB 4 RECESS LIGHTS IN DINING RM OK -70*4- BY APR\ City of CARLSBAD BUILDING DEPT a IMM7 CB100662 1980 SILVERLEAFCR 317 LA COSTA GLEN-ADD 4 CAN LIGHTS IN DINING ROOM °l{l 2>l - /Jo o L er/*^<-'