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Home My WebLink About1969 DEERGRASS WAY; 121; CB032068; Permit07-28-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB032068 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title Applicant MICHAEL GLADISH 1473 BRROUHLS ST 92054 521-8868 1969 DEERGRASS WY CBAD ELEC 2550121600 Lot# Status Applied ISSUED 07/28/2003 WIENER RES INSTALL CAN LIGHTS 12 IN DN RM-LV RM 5 MSTR BDRM 3 IN 2ND BDRM Entered By SB Plan Approved 07/28/2003 Issued 07/28/2003 Inspect Area Owner CONTINUING LIFE COMMUNITIES LLC CIO 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 TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 $2000 Total Fees $20 00 Total Payments To Date $0 00 Balance Due $2000 02 -MT MnS D. "'' ;LD k ACCORDANCE WITH \W 20' SECTION 103 4.4 DATE ^&&&±-l- SIGNATURE Inspector FINAL APPROVAL 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 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1.CT INFORMATION FOR OFFICE USE CMLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel tt Existing Use Proposed Use Description of Work 2 .CONTACT PERSON (if (Wferent from applicant) SQ FT #of Stones % r*?J # of Bedrooms # of Bathrooms. i 3 '* Name 7Address City Agent for Contractor: Qfbwner; I"]1 Agent for Owner State/Zip Telephone #Fax # Name 4 'irtPROPERTY OWNER Address City State/Zip Telephone i £\79y~4Q>? Name ASdress " U City State/Zip Telephone # 5 CONTRACTOR-^ COMPANY- NAME Jimf s m, J'":T" 'f'" '" ''''f" "'•">'r -•••• -:'" ...'""^?' "• -: ?• "t "..U. (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 exe^nption f Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty^ not more Jben_five hundred dollars J_$500J) ame State License # ^--/ Address License Class <£-'/& City State/Zi City Business License # elephone # Designer Name Address City State/Zip Telephone State License ff 6 -.WORKERS'COMPENSATION "' I: . *':y ""?': ' *Jii. •-'""" • ••• "r ' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declaiations [~l 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 n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is 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 [$100] OR LESS) \f^ 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 ^oriecome 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 dollarsj&l 00,0007, in^ditiojnto the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE //f^ DATE" 7-OWNER-BUILDER DECLARATIC I 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) n 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 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 fj YES QNO 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 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 / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VO/V-/?ES«3SV7MrBUILDING PERMITS ONLY . JJ. " :'" •" :f 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 CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES C] 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 ..-yf;; ;..,-i"'"' ... ,;-«fii • ...,,; ; •"-, 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. APPLICANrrCERTiFICATION , , .....,:,-. J- .;•.. 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 City 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afier the work is corWnenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPi ICANT'S SIGNATURE /// . » // .-^ A DATP *"l> HHTE File YELLOW Applicant PINK Finance December 5, 2003 MICHAEL GLADISH ELECTRIC 1473 BURROUGHS ST OCEANSIDECA 92054 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: ELEC Permit Number CB032068 Issue Date 7/2S/03 ADDRESS: 1969 DEERGRASS WY PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 1/24/04 The provisions of UBC, Seclion 1064 4 as amended by the Carlsbad Municipal Code state "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 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit Work shall be piesumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the peimittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such peimit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, theiefore, shall be one-half the amount required for a new peimit for such work, and piovjded that no changes have been made or will be made in the original plans and specifications for such work, and piovided further that such suspension or abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence woik within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding ISO days on wntten request by the peimittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-856O December 5, 2003 Permit Number CB032068 Issue Date 7/28/03 SANDRA WIENER 1969 DEERGREASS WY CARLSBAD CA 92009 RE. BUILDING PERMIT EXPIRATION ADDRESS: 1969 DEERGRASS WY PERMIT TYPE: ELEC PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that youi building permit will expire by limitation of time on 1/24/04 The provisions of UBC, Section 1064 4 as amended by the Carlsbad Municipal Code state "EXPIRATION Every permit issued by the Building Official under the piovisions 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 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authonzed by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such peimit exceeds thiee calendar yeais from the issuance date of permit Woik shall be piesumed to have commenced if the permittee has obtained a lequired inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be slopped if the permittee has not obtained a lequired inspection approval of work by the Building Official within each ISO day penod upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such woik, and piovided that no changes have been made or will be made in the onginal plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year In oider to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that peimit when the peimittee is unable to commence woik within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written lequest by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (76O) 6O2-8560