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HomeMy WebLinkAbout2372 MERWIN DR; ; CB004117; PermitCity of Carlsbad . . 1635 Faraday Av Carlsbad, CA 92008 11/0612000 Electrical Permit Permit No:CB004117 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 2372 MERWIN DR CBAD ELEC 2081622000 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: ISSUED 11/06/2000 JM 11/06/2000 11/06/2000 Project Title: DOYLE RES-ELEC TO LIGHTS Inspect Area: Applicant: DOYLE GREGORY 2372 MERWIN DR CARLSBAD CA 92008 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: Owner: DOYLE GREGORY 2372 MERWIN DR CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 .3473 1.1/06/00 .)002 'J~L C::1.3F .. Balance Due: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 FINAL APPRSVAL Date: '-I JI I f I Clearance: ______ _ I I 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 Ca~sbad 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. .1,;;_ PERMIT APPLICATION FOR OFFICE USE ONL v3 PLAN CHECK NO. U o// ( 7 CITY·OF GARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Depo:.•i::i,-:__----,....---,-- Validated By,-'-""-\1"-""--,"?T;f-;-+,--- Date. _______ _,,..,_."I-J.J./+-- Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed use )?Description ';lf Work, ~ . .J_. , sa. T. / • J_ -z.\ectieicc-.J o ~'Y'-</, LI h #of Stories ,# of Bedrooms # of Bathrooms 2, CONTACT PERSON 1lf different m applcant) / tJV /' Name 3. APPLICANT 0 Contractor Address 0 Agent for Contra~or }8l Owner Name Address City 0 Agent for Owner City State/Zip State/Zip Telephone# Fax# Telephone# 4. PROPERTY O \ "'~---..1..Lw..µ..:.-. _ __s;.e:::....,"-1,..S---l:~'--""•l!\ n:....,__,:,kY!:,_:.-__,,:,Cc::,"'-cc::'('--IC.:'.-:,:.:::r>-;~._::d~C:C.A--'=,_7~2{>==:_:'::..,1...._.,!.=...:JLJ.cl.!!......\L...l~'f Name City State/Zip S. CONTRACTOR , COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which reciuires 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]1. Name Address City State/Zip Telephone.# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. 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. 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 _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: l 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 ia unlawful, and aheH subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars 1$100,000), in addition to the cost of compensation, damages ea provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________ DATE ________ _ 7, OWNER-BUILOER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 I ec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end 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). D 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 contractorlsl licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 11-&-00;:£) 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. r (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 and provide the ma}or 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): _____________ .1-----,----,.,...----------------------,---------------- <f PROPERTY OWNER SIGNATURE ~ l. zr-41.( DATE /1-l< 00 COMPLETE THIS SECTION FOR NON-RESIDEN11AI. BUILDING PE~i:irts ONLY 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? 0 YES O NO ls the applicant or future building occupant roquired 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? 0 YES O 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 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. 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 excavat'1ons over 5'0'" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eveiy 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 days from 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 ,s commenced for a penod of 180 d~s (SecMn 106 4 4 Uniform Bu1ld1ng Code) './\APPLICANT'S SIGNATURE _,x;Jllaa,, ,I /Jr:,(£ ~ DATE / f {;.~)U WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/06/2001 Permit# CB004117 Title: DOYLE RES-ELEC TO LIGHTS Description: Type:ELEC Sub Type: Job Address: Suite: Location: 2372 MERWIN DR Lot APPLICANT DOYLE GREGORY Owner: DOYLE GREGORY Remarks: Total Time: 0 CD Description A~t {) Comments Inspector Assignment: PS --- Phone: 7606020364 Inspector: A .R , Requested By: DOYLE RES. Entered By: CHRISTINE 34 Rough Electric M---------------------~ sioo) ¾----------- Associated PCRs Inspection History Date Description 04/03/2001 34 Rough Electric 11/08/2000 31 Underground/Conduit-Wiring Act lnsp Comments CO AR SWITCH PLATE TO BE REMOVED. TO EXPOSE WIRES AP PS