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HomeMy WebLinkAbout2354 KIMBERLY CT; MP; CB060002; PermitCity of Carlsbad f ' ' 1635 Faraday Av Carlsbad, CA 92008 01-03-2006 Electrical Permit Permit No: CB060002 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2354 KIMBERLY CT CBAD ELEC Status: Parcel No: 1675312900 Lot#: 0 Applied: Reference #: Project Title: BRENTWOOD HGTS-REPLACE 100 AMP IRRIGATION PEDESTAL Applicant: BRUNO GARDINER CONSTR PO BOX 687 CARLSBAD CARLSBAD CA 92018 760-729-8786 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 100 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: BRANDON FAMILY TRUST 08-25-98 2354 KIMBERLY CT CARLSBAD CA 92008 ISSUED 01/03/2006 LSM 01/03/2006 01/03/2006 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: FINAL Date: I Clearance: $0.00 at approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 f ·n ih vil ivnNT lh fiiinh lhrwi PERMIT APPLICATION CITY CF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Name ~'ii,•~ .p,,~~AN't ~,Coil!t!!~tori ~ame Address 4;r,"i'~lil!~;l;!,!'01o1mi11, 'I!'( ,r~Clll''.illOJ\IPA!li-iilli,' .··· City City FOR OFFICE USE ONLY PLAN CHECK NO. <'ADte 000::2 EST. VAL. _________ _ Plan Ck. Depos~· Validated By_~_.p:...J!o='-""----- Date I Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# State/Zip Telephone II (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 S~ion 7031.5 by any applicant for a permit subjects the ap licant to a civil penalty of not more than five undr:d dollars-($600)). Address City State Zip Telephone State License II Z89 71 9 license Class e -JC) City Business license II I .;Jo 7 7 / 3 Designer Name Address City State/Zip Telephone State License I _________ _ rt::: IN'm-'li[ci.Mlililililliimrti '. ::, 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. 0 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, _______ _ IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS> CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as become subject to the Workers' Compensation Laws of California. WARNING: Failure ec:ure workera' co aatlon c la unlawful, and ahall aubJect an employer to crlmlnal penaltlu and civil fin .. up to one hundred thousand dollars I 0), In addition coat o penaatlon, damagea aa provided for In Section 3706 of the Labor code, Interest end attorney's faea. SIGNATURE ~~,~~~~~~~:~~~~~~~~;,:::--:-00 DATE /-(2~-/Pef ~tl'.$;fltl'" PFJ ;;,;~?-Ji.'.f:~r(,,;~s¥1'~ni~rtf01~~;;,i:,:1t*·'tii:~Jt't~1z,¼i~t:::_,-1!~_ 1,:r I hei'eby affirm that I am exempt from the Contn,ct,,.'s reason: 0 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 ISec. 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(s) licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 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 number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include 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 (include name / address / phone number/ type of work).,_------------------------------------------------------ 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 25606, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality menagement district? 0 YES O NO Is the facility-to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. jJ; if ~tlj!:rl!Oe:nqf,li1;Et,11:/1N1t~IIE!liCY ·· . 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 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, l 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 da from the 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 d for a period of days (S i 106.4.4 Uniform Building Code). ~PLICANT'S SIGNATURE -i,~~~{:t,iiZ~d'.::::../-~1:1:t;~:::::c!:::.=----------- WHITE: File YELLOW: Applicant PINK: Finance DATE _Ll_--'~=3'---'~"-f""'----- • City of Carlsbad Bldg Inspection Request For 01/05/2006 Permit# CB060002 Title: BRENTWOOD HGTS-REPLACE 100 Description: AMP IRRIGATION PEDESTAL Type: ELEC Sub Type: Job Address: Suite: Location: 2354 KIMBERLY CT Lot 0 APPLICANT BRUNO GARDINER CONSTR Owner: BRANDON FAMILY TRUST 08-25-98 Remarks: .. IN FRONT OF HOUSE Total Time: CD Description Act Comment 32 Const. Service/Agricultural ~ 39 Final Electrical Phone: 7607298786 Inspector: ---- Requested By: BRUNO Entered By: JANEAN = GM 12 '> (M,~ --------------------------------- Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments