HomeMy WebLinkAbout1989 BUCKTHORN CT; ; CB030852; Permit03-24-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building inspection Request Line (760) 602-2725
Electrical Permit Permit No: CB030852
Job Address
Permit Type: ELEC Status: ISSUED Parcel No: 25501 21 600 Lot#: 0 Applied: 03/24/2003
Reference #: Plan Approved: 03/24/2003 Issued: 03/24/2003
Project Title: LA COSTA GLEN-ADD 2 PLUGS & Inspect Area:
1989 BUCKTHORN CT CBAD
Entered By: RMA
2 CEILING FANS
Applicant:
PRIMARY GENERAL
STE I
5345 TIMKEN ST 91942
619 698-7751
Owner:
CONTINUING LIFE COMMUNITIES LLC
800 MORNINGSIDE DR
C/O RICHARD ASCHENBRENNf& 03/24/03 0002 01
FULLERTON CA 92835 CGP
02
2k?5
Electric Issue Fee Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
RernodeVAlteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
$10.00 $0.00
$0.00 $0.00 $0.00
$10.00
$0.00 $0.00 $0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00
PERMIT APPLICATION PLAN CHECK NO
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL.
Plan Ck. Deposit
Address (include BldglSuite #)
Legal Description Lot No. Subdivision NamelNumber Unit No.
Business Name (at this address)
Total # of units Phase No.
Assessor's Parcel # Existing Use Proposed Use
-0 Tkq &udS MA - -0 C/&zmL m_r
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City Statelzip Telephone # Fax #
(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. Anv 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 1$5001).
State License # gOSA9 3 License Class &' City Business License # ' L 1 V90S-
Designer Name Address City Statelzip Telephone
State License #
0 of the work for which this permit is issued.
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company S- Ann 4m~. as
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOOl OR LESS)
0 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
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
Policy No. (34b - CY3 27 33-4 3 Expiration Date 1 - 1-0 y c
attorney's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
1, 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).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The
8ntractor'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:
property improvement. 0 YES ON0
(include name I address I phone number I contractors license number):
4.
number I 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
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.
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 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 after the work is co
APPLICANT'S SIGNATURE AetT/AA Pc, DATE /*A g
a period of 180 days (Section 106 4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
CONTINUING LIFE COMMUNITIES LLC
March 24,2003
Mr. Mike Peterson
City of Carlsbad - Building Department
1635 Faraday Avenue
Carlsbad, CA 92008
Dear Mike:
We hereby authorize Primary General to obtain Building Permits to make
renovations to the interiors of several Villas and Apartments at La Costa Glen.
If you should have any questions please feel free to contact me at 760-704-6252.
Sincerely, &.% Gary E. Kutz ’
Vice President - Independent Living Development
cc: Darolyn Jorgensen-Kares
Kavin Ward
1940 Levante Street - Carlsbad CA 92009
(760) 710-6300 - Fax (760) 710-6262