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HomeMy WebLinkAbout2377 OUTLOOK CT; ; CB023447; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-14-2002 Electrical Permit Permit No: CB023447 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2377 OUTLOOK CT CBAD ELEC 1675901600 Lot #: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/14/2002 RMA 11/14/2002 11/14/2002 Applicant: COLLINS RES-GAS & ELECT TO BBQ & FOOTINGS ONLY-FUTURE PATIO Owner: 1277 ll/14/02 0002 01 COX 947 SHEFFIELD VISTA,CA 92083 Total Fees: Electric Issue Fee $47.00 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 Inspector: L B/L CONCORDIA CARLSBAD 19 L L C 7130 AVENI DA ENCINAS #200 CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: 0 0 0 0 FINAL A/P';fVAL Date: 'i: 7 6 .3 j J Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 $47.00 CGP $47.00 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 fe x clion of hi h o h v reviousl be n iven a N Tl E similar to thi r as o whi h he statut f limitations reviousl oth rwise ex ire . 02 47-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK No.C{jtJDL./~7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST . VAL. __________ _ Plan Ck. Deposit {:j Validated By / • L ii£ Date I I I I qzo ~ l~ 1. Business Name (at this address) Unit No. Phase No. Total # of units 2. Name 13. APf!LICANT ~ontractor 0 Owner O Agent for Owner Name Address City State/Zip Telephone # 4. eJiOPERT~~ Name Addfess 5. ~ONTRACTOR • COMPANY NAIVIE 6 Name State License # -~;:::;~::1;=:"::!-=---c.._£ License Class C -'2.:? City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # ___ ......_....c..----- 6. WORJ(ERS' COMP~§ATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1\171' 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 ~e work for which this permit is issued. O 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 com:~~nrrance c&arrier and ~o~ number are: e-. ,L" I A ".:) Insurance Company ~...,N~ Policy No. /'3~ Q /q' 7 Expiration Date_D _____ ~ __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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 wor a' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), dition to the cost of ensation. damages as provided for in Section 3706 of the Labor co SIGNATURE, ___ ~f-,;,~L..!l..<:~b-e::...--3....~~.,.r;.==::..------------DATE -+---l--.,,C..__.i.~J!!;,c._..J...~ 7. OWNER-BUll,D~ . fCl,.ARATIQN I hereby affirm that I m exempt from the Contractor's ~•cense Law for the following reason: O 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 (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). O 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 and 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):. _________________ .....,.t""'?s.-------------------------------------- PROPERTY OWNER SIGNATURE _______ __.c .. S~,.,c> _____________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIA.L BUILD'INO PERMIT§ Ol'il,Y, 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 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? 0 YES O 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 le!!:d~cy {QL._the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME----------~-==----LENDER"$ ADDRESS. ________________________ _ 9. Al;'PLICANT 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 Cit\' 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 lhe building Official under the provisions of this Code shall expire by limitation and become null an void if the building or work authorized by such permit is not commenced ithin O days from the date of ch permit or if the building or work authorized by such pe · is suspende or abandoned at any time after the work is commenced f of 180 days (Sfctio 6.4.4 U iform Building Code). APPLICANT'S SIGNATURE _::::::::._.~/4~~~~.__.e,,Jl./~=:::::::::__~:::::::'.~~:::._________ DATE -L--'--,,__--+---'"""'---',.,_=-- WHITE: File PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/04/2003 Permit# CB023447 Title: COLLINS RES-GAS & ELECT TO BBQ Description: & FOOTINGS ONL Y·FUTURE PATIO Type: ELEC Sub Type: Job Address: Suite: Location: 2377 OUTLOOK CT Lot APPLICANT COX Owner: Remarks: SIDE GATE IS OPEN Total Time: CD Description 0 Act Comment 29 Final Plumbing Pf-39 Final Electrical Associated PCRs/CVs lns11ection Histoty Date Description Act lnsp Comments 11/15/2002 11 Ftg/Foundation/Piers AP PY Inspector Assignment: PY --- Phone: Inspector: ----- Requested By: NA Entered By: CHRISTINE 11/15/2002 11 Ftg/Foundation/Piers AP PY FUTURE FOOTING COV. PATIO 11/15/2002 21 Underground/Under Floor AP PY 11/15/2002 31 Underground/Conduit-Wiring AP PY ·I