HomeMy WebLinkAbout1969 BUCKTHORN CT; ; CB030979; PermitCity of Carlsbad
:. I 1635 Faraday Av Carlsbad, CA 92008
04-04-2003 Electrical Permit Permit No: CB030979
Building Inspection Request Line (760) 602-2725
Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 2550121600 Lot #: 0 Applied: 04/04/2003
Reference #: Plan Approved: 04/04/2003
Issued: 04/04/2003 Project Title: WHITE RES INSTALL 4 CAN LIGHTS Inspect Area:
1969 BUCKTHORN CT CBAD
Entered By: SB
IN BEDROOM AND LIVING ROOM
Applicant: Owner: MICHAEL GLADISH CONTINUING LIFE COMMUNITIES LLC C/O RICHARD ASCWENBRENNER
800 MORNINGSIDE DR FULLERTON CA 92835 1473 BRROUHLS ST 92054 521 -8868
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
$1 0.00 $0.00
$0.00 $0.00 $0.00
$1 0.00
$0.00 $0.00 $0.00 $0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00
2037 04/04/03 0002 01 02
CGP 20.00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Name Address city Statelzip Telephone # Fax #
SbQ
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basts for the alleged
Name Address City StateRih ?SL;e~ Telephone F;h # ~
State License # & 990 7 License Class c-/@ City Business License #
Designer Name Address city State/Zip Telephone
State License #
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$IO01 OR LESS)
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
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
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
WARNING: Failure to secure workan' compensation coveraga is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred
$F o become subject to the Workers' Compensation Laws of California.
attorney's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 1, as owner of the property or my employees with wages as their sola 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).
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 who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
4.
number I contractors license number):
5.
of work):
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number):
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 I address I phone
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
Business and Professions Code for this reason:
PROPERTY OWNER SIGNATURE DATE
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 0 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 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097Ii) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 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 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 copmenced within 180 days from the date of such permit or if the buildina or work authorized bv such Dermit is sumended or abandoned ~ - (Section 106.4.4 Uniform Building Code). - DATE -- I WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
Inspector
For: 04/24/2003 ,
Permit# CB030979
Title: WHITE RES INSTALL 4 CAN LIGHTS
Description: IN BEDROOM AND LIVING ROOM
Type: ELEC Sub Type:
Job Address: 1969 BUCKTHORN CT
Suite: Lot 0
Location:
APPLICANT MICHAEL GLADISH
Owner:
Remarks: BETWEEN 12 & 3 PM PLEASE!
Total Time:
Phone: 760521 8868
Inspector: 75
Requested By: N/A
Entered By: ROBIN
CD Description
34 Rough Electric
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments