HomeMy WebLinkAbout2154 CORTE CIDRO; ; CB030894; Permit03-27-12003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB030894
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2154 CORTE CIDRO CBAD
ELEC
2552501400 Lot#
Status ISSUED
Applied 03/27/2003
RMA
03/27/2003
03/27/2003
HESTER RES-ELECT&GAS FOR FUTUR
SPA/HOT TUB
Entered By
Plan Approved
Issued
Inspect Area
Applicant
HESTER GREGORY B®INA M
2154 CORTE CIDRO
CARLSBAD CA 92009
Owner 1324 03/27/03 0002 01
HESTER GREGORY B®INA M CGF"
2154 CORTE CIDRO
CARLSBAD CA 92009
02
47 = 00
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
$1000
$000
$000
$000
$000
$1000
$000
$000
$2700
$000
$4700
Total Fees $47 00 Total Payments To Date $000 Balance Due'$4700
Inspector
FINAL AF}
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 vou have oreviouslv been aiven 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
PROJECf INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By ^
Date
CA-
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 #Existing Use Proposed Use
Description of Work
2 CONTACT PERSON (if different from applicant)
SO. FT #of Storie # of Bedrooms # of Bathrooms
Name
3 APPLICANT
Address
Agent for Contractor Q Owner
City
Q] Agent for Owner
State/Zip Telephone tt Fax #
Name
4 PROPERTY OWNER
Address City State/Zip Telephone #
AdorSs City State/Zip TelephoneName
5 iCpNTRACTOR- COMPANY NAME" • ' s::f ...••""" ,v-: ...* '" """" ...t-'A" "~" <' .^-"! ':: """' '••«*•• ' ' " " • '
(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 Any 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 I $5001)
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name
State License #
Address City State/Zip Telephone
6 ; \WORKERS' COMPENSATION,; ^ „ . ..--m-C" - ^ ..-.'' . - •• " • '"' '••.>-
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the 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
|~1 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 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)
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
thousand dollars ($100,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE DATE
7 OWNER-BUILDER DECLARATION • r""i ,f,sf '•*•* .. i "^' ... :J •!f'" ..j^ . " ,.. ..,,. : ,. ... : ^ '"".-,:. "" "^" • •'
1 hereby^ffirm that I am exempt from the Contractor s License Law for the following reason
£P[ \. 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)
l~l 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)
l~l 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 0Y ES l""lNO
2 I/have/ have not) signed an application for a building permit for the proposed work
3 I nave 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, bul, 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,
of work)
PROPERTY OWNER SIGNATURE
lontrdfted (hired) the following persons to provide the work indicated (include name / address / phone number / type
DATE
COMPLETE THIS SECTION FOBi /VO#-ff5S/Of/VTMi~BUILDINQ ^ERMITS ONLY^J " :* i t : i
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? O YES [D NO
Is the applicant or future building occupant required to obtain a permit from *he 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? [__] YES D 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 * " ,*, : ,
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 r APPLICANT CERTIFICATION ,-'.:.••• ,..~ " ^-1- . "°V .>- . :._; " ,... "; . i:-.:" .,;,
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 issiiStl blAhe V>uldmg 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/corVirnelced within 180 d*/slroi_a-tt>a-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 con\me\ifje_d\for p \ert^d d_fy^(p1J!!yL(Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
WHITE Fife YELLOW Applicant PINK Finance
TTNSCHEDULED BUILDING INSPECTION
DATE osl INSPECTOR
PERMIT # C PLAN CHECK #
ADDRESS
DESCRIPTION ________
CODE DESCRIPTION ACT COMMENTS
Inspection List
Permit* CB030894 Type ELEC HESTER RES-ELECT&GAS FOR FUTUR
SPA/HOT TUB
Date Inspection Item
08/01/2003 29 Final Plumbing
08/01/2003 39 Final Electrical
04/02/2003 23 easiest/Repairs
Inspector Act Comments
PY
PY
PY
04/02/2003 31 Underground/Conduit-Wirm PY
AP
AP
AP
PA
SEE SPA PERMIT
CONDUIT ONLY
Tuesday, October 21, 2003 Page 1 of 1