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HomeMy WebLinkAbout2012 PINTORESCO CT; ; CB101938; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-20-2010 Electrical Permit Permit No: CB101938 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2012 PINTORESCO CT CBAD ELEC 2164813400 Lot#: 0 KROUSKUP RES-3 NEW CAN LIGHT IN KITCHEN & 8 NEW UNDER-CABINET FLOURESCENT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10120/2010 RMA 10/2012010 10/20/2010 LARS CONSTRUCTION KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 4715 60TH ST SAN DIEGO CA 91941 619 470-8940 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 2012 PINTORESCO CT CARLSBAD CA 92009 $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: $20.00 Balance Due: Inspector: fVI. !.o-e.R,.;..,. FINAL APPROVAL Date: 0 3t It{ 1( Clearance: $0.00 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.tt 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 Carbbad 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 ,.,,,,.i,,xactinn~ of which""'' have oreviouslv been aiven a NOTlf'E "imllar I" this or as to whi,..h th<> "ta•··•e nf limitations has nrevious~, otherwise exnir<>rl. «~ ¥ CITY Of CARLSBAD JOB ADDRESS T/PROJE # CONTACT NAME (N Different Fom Appl/cant) ADDRESS CITY PHONE EMAIL PROPERTY OWNER NAME ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 STATE FAX STATE FAX Fax: 760-602-8558 www.carlsbadca gov ZIP ZIP STATE UC.# ST~ Plan Check No. Est. Value Plan Ck. Deposit (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its· a ce, also requi s the applicant for such permit to file a si~ned statement tliat 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. Any violatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to sett-Insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the perfonnanc:e of lhe work for which this permit is issued. ~I ·have an"d wUI maintain work0 pensatlon, as\eq~red by Section 3700 of the Labor Code, for the perfomla~of the WOO( forXhk;h :1 perf!lj!jf i~A ~y workers' oompensatklp Insurance carrier and policy number are: Insurance Co. 't;;V /) .res::i:= Policy No. :.J lo OOOU:2 :=,lo _J lLJ-1 Expiration Date _1+1L_._'ll------ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in lhe peffonnenc:e of the work for which this pennil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subjecl an employer to crlmtnal penalties and civil fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, d rovided for in Section 3706 of the Labor code, Interest and attorney's fett. ,6$ CONTRACTOR SIGNATURE ,,,,-~._____ ffiGENT I heraby affmn /hat I am exempt mn Contractor's Ucense LBw for the following reason: □ I, as owner of the property or my employees v,;(h wages as their sole compensation, v,;11 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 buikling or improvement is sold within one year of oomplelion, 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 conlreclors to conslrucl the project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an IM'fllll" of property who bulkls or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). · □ I am exempt under Section ----~Business and Professions Code for this reason: 1. I p8fSOnally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a buikling permit for the proposed work. 3. I have contracted v,;th the following person (firm) lo provide the proposed construction Onclude name address/ phone/ oontractors' license number): 4. l plan to provide portions of the wOlk, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address/ phone/ contractors' license number): 5. I "MIi provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name (address/ phone I type of work): Af PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or fuli.n 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». Prasley•Tanner Hazardous Substance Acoount Aci? □ Ya □ No Is lhe applk:anl orfulin building OCC1Jpanl required to obtain a pel'fflit rrom the air pollution control district or air qua~ty management clsbid? □ Yes □ No Is lhe facility to D8 conslrucled within 1,000 feet of lhe outer boundary of a school site? □ Yes D No F 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. CONSTRUCTION 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 APPLICANT CERTIFICATION I cerllftthat I haYe read the application and state that the above lnfonnation 6s correct and that the Information on the plans b accunrte. I ag,ee to complywlth all Cl!r on:llnances and Stale laws raladnCtD bulkllng 00IIIDUCilon. I hel8by-_,.. of lhe Cly of Cansbad b enlerlJl'lfl lhe above mentioned property ilr i1spedllll pt.<pOSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS TIE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING CF THIS PERMIT. OSHA: kt OSHA pennlt is iequied k>r excavations rJrlf!I 5'0' deep and demollb'l or c:ons1ruc:&:>n of slructul8s fNfl 3 smes il heght. EXARATION: E1'lly perrnilissood by lhe Bui<l,ig Oftk:lel l.nderh, provisix1s of lhis Code shall e,pie by inilation and beoooro nu1 and YOid lh,lluidilg or--by such pemilis oolconwner<8d wllil 180 days from h, dale ofsirll pemil or I · aulhorizBd by sud1 penni • suspended or abandoned at any line aller lhe wori< s conwner<8d bra pafild of 180 days (Section 1116.4.4 l.nbm ~ Code). ..@S' APPLICANT'S SIGNATURE DATE D · :)..O• LO -~ .. <<< ~ CITY OF CARLSBAD DATE: ,3-'\-\ \ PERMIT #: \ 0 \ C\.'s8, Unscheduled Building Inspection Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: --~/v1_t.,. __ _ CONT ACT: ~ .. .;,, """ L.Da,,,,Ji .. PHONE#: C~• q -99::S-LS.Qt- . ' JOB ADDRESS: __ 2,1....Cloc.1..1>>-)-J:..1:"1:N:.:::\=0'1:r~a.£.:S~C..c::o:;,.....~C,.,___:;;:ti.-_________ _ DESCRIPTION: __________________ _ CODE ~- Bldg Inspection Form DESCRIPTION Page 1 of 1 ACT :rt COMMENTS ';,Molai;. 'Pe-~t-oe.s :tlt @v4'! ':I ?>Lir' DlL- "11"\·~ td ~TZ<-1 ~ l)~ u '4.-t~ t-k,i -r~~ l-oM~~, Rev. 06/09 City of Carlsbad Bldg Inspection Request For: 01/25/2011 Permit# CB101938 Inspector Assignment: MC Title: KROUSKUP RES-3 NEW CAN LIGHT Description: IN KITCHEN & 8 NEW UNDER-CABINET FLOURESCENT FIXTURES IN KITCHEN Sub Type: --- Type: ELEC Phone: 6199931306 Job Address: Suite: 2012 PINTORESCO CT Lot: 0 Location: Inspector: ~,(£ -~--- OWNER KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 Owner: KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 Remarks: Total Time: Requested By: NA Entered By: CHRISTINE CD Description Act Comments 17 Interior Lath/Drywall .I!£-114'7 yf Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments 01/21/2011 16 Insulation AP PD ..., 01/19/2011 14 Frame/Steel/Bolting/Welding co MC ~~TICE FOR NEW FRAMING 01/19/2011 24 RoughfTopout PA MC ICE MAKER LINE 01/19/2011 34 Rough Electric AP MC NEW RECESSED LIGHTING 01/19/2011 44 Rough/Ducts/Dampers AP MC