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Home My WebLink About2005 COSTA DEL MAR RD; 624; CB081984; Permit10-27-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB081984 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2005 COSTA DEL MAR RD CBAD ELEC 2162100101 Lot* ZAZZARO ADD 4 CIRUITS & RECON FIGURE 3 OUTLETS IN KITCHEN Status Applied Entered By Plan Approved Issued Inspect Area Applicant MIRABELLA CONSTRUCTION P O 462696 ESCONDIDO CA 92046 760-738-7446 Owner HODGES JAMES&KAREN D 763 MALCOLM AVE LOS ANGELES CA 90024 ISSUED 10/27/2008 JMA 10/27/2008 10/27/2008 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 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 Inspector FINAL ARPR Date I-L 'VAL Clearance NOTICE Please take NOTICE thayapproval 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 Caty of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717./ 2718 / 2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT 0 LOT ## OF UNITS # BEDROOMS SUITE*f/SPACE#/UNIT# * BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES O #NO Q AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE FAX EMAIL EMAIL tONTRACTOR BUS NAME S >?//><£>.?//«• ADDRESS CITY ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC ft STATE L!C»CLASS [Sec 70315 Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish or repair any structure, prior to its issulicensed pursuant to the provisions of the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} orSection 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) issuance also requires the applicant for such permit to file a signed statemethat he is exempt therefrom and the basis for the alleged exemption Ai 12* ~ ' thltlu/isvioWofTof §MJ«*W..'': .---:- .-'-.:• /.-.-•.. -.&.-*W'.' '•?,ft-y-. y>'' ; ;...-t?".'-.- J- j -j/:. ~/~ ° v Workers' Compensation Declaration I hereby affirm under penalty ot'perjury one of trie following declarations I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co .^? £//2ffrr Policy No LU £ OX. ^ //if) 7£ O ** Expiration Date. This section need not be completed if the permit is for one hundred dollars (S100) or less^ L~J Certificate of Exemption I certify that in the performance of the work for whicjM^is permit13)ssuecU<£hall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers]compensa>ion coverage-fiunlawfuffand shaj^subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in / addition to the cost of compensation, d.afnagesaTprovKled'for in SectyMv3?06 of the Labor «fae, interest and attorney's fees 8$ CONTRACTOR SIGNATURE \^I__^^-—^7 ^7 }V , • DATE / hereby affirm that I am exempt from Contractors License Law for the following reason O 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 ot proving that he did not build or improve for the purpose of sale) O 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) O 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 d Yes Q 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 / contractors license number) 4 I plan to provide portions o1 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 I will 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) >£f 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' n 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 O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D Yes Cl No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 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 representative 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 DSHA An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height /EXPIRATION Every permit issued by the Building Official under the provisicji8irtis>ec)de\hSll 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 peptor-if-the tuulding afwork authorrzesrfjy su^fyrerrnitjs/suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)y ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 02/04/2009 Permit* CB081984 Title ZAZZARO ADD 4 CIRUITS & RECON Description FIGURE 3 OUTLETS IN KITCHEN Inspector Assignment PY 2005 COSTA DEL MAR RD 624 Lol 0 Type ELEC Sub Type Job Address Suite Location APPLICANT MIRABELLA CONSTRUCTION Owner GRABOWSKI MARILYN Remarks p m please Phone 6195205015 Inspector Total Time CD Description 39 Final Electrical Act Comments Requested By JOHN Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection His.orv Date Description Act Insp Comments 11/18/2008 34 Rough Electric AP RB 10/30/2008 34 Rough Electric NR PY