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Home My WebLink About2352 JEFFERS PL; ; CB004092; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11/,06/2000 Electrical Permit Permit No:CB004092 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2352 JEFFERS PL CBAD ELEC 2081620300 Lot#: BACHER RES-ELECT TO BBQ 0 Applicant: Owner: BACHER GERALD D&MARIANNA E FAMILY TRUST 05-13-97 BACHER GERALD D&MARIANNA E FAMILY TRUST 05-13-97 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/06/2000 RMA 11/06/2000 11/06/2000 2352 JEFFERS PL CARLSBAD CA 92008 2352 JEFFERS PL CARLSBAD CA 92008 3392 1.1/06./00 0002 JJ CGF· Total Fees: $20.00 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 TOTAL PERMIT FEES Inspector: Total Payments To Date: $0.00 0 0 0 0 FINAL APPROVAL Date: 514101 Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 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." 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 capactiy 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 nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. C,' PERMIT APPLICATION FOR OFFICE USE ON))!) J1 PLAN CHECK NO. /.A)()[,,) 9~~ CITY Of. CARLSBAD BUILDING DEPARTMENT 16$5 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit /~~ Validated By ~ _(L_r Date fl(+-.::• 1 Legal Description Unit No. Ph se No. Total # of units Existing Use Proposed Use Description of Work SQ. FT. #of Stories II of Bedrooms # of Bathrooms 2. CONTACT PERSON :{lf,dtffei'ent_-from appBcant) Name 3. APPLICANT Name 0 Contnictor Address □"Agent for_Contractor Address City 0 Owner . ·D Agent for Owner City 4~~.,;'?&t?bL Name Address -~- City 6. COl'ITRACTOR • COMPANY NAME State/Zip Telephone# Fax# State/Zip Telephone# State/Zip {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 ($500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ e. 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 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. D 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 _______ _ ITHIS 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 attomey's feu. SIGNATURE______________________________ DATE ________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: fA-t, 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 fs'ec. 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). 0 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(&) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. qzally plan to provide the major labor and mater·1als for construction of the proposed property improvement. ,z{vEs ONO 2. have not) signed an application for a building permit for the proposed work. 3. I 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 l have hired the following person to coordinate, supervise and provide the major work linclude 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 jjnclude name / address / phone number / type of work!: ~ ~ PROPERTY OWNER SIGNATUP' ~~~ 4-.,____ DATE /~J COMPLETE titrs SECTION FOR NON-RES/DEN11At·stlll.DIN~ii';;;; ONLY 7 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? D YES D 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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 t 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. APPLICANT CERTIFICATION 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 cljmmenced within 180 days fr 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 com need for a period of 180 da Sec· 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/03/2001 Permit# CB004092 Inspector Assignment: SR Title: BACHER RES-ELECT TO BBQ Description: Sub Type: --- Type:ELEC Phone: 7604769839 Job Address: 2352 JEFFERS PL Suite: Location: Lot 0 Inspector: ~ APPLICANT BACHER GERALD D&MARIANNA E FAMILY TRUST 05-13-97 Owner: BACHER GERALD D&MARIANNA E FAMILY TRUST 05-13-97 Remarks: LATE AM OR EARLY PM PLEASE Total Time: Requested By: NA Entered By: CHRISTINE CD Description Act Comments 39 Final Electrical JR.£~ Associated PCRs Inspection History Date Description Act lnsp Comments 11/09/2000 31 Underground/Conduit-Wiring AP SR CONDUIT ONLY