HomeMy WebLinkAbout2393 LAFAYETTE CT; ; CB983420; PermitCity of Carlsbad
12/29/1999 Building Permit Permit No:CB983420
Building Inspection Request Line (760) 438-3101
Job Address: 2393 LAFAYETTE CT CBAD
Permit Type: ELEC Sub Type:
Parcel No: 1673701400 Lot#:
Valuation: $0.00 Construction Type: NEW
Occupancy Group: Reference #:
Project Title: RECESSED LITING,VARIOUS OUTLET
Applicant:
STEVE HUDEK
2393 LAFAYETTE CT
CARLSBAD CA 92008
434-2707
Status:
Applied:
Entered By:
Appr/lssued:
Inspect Area:
,. " { JI
ISSUED
10/06/1998
BT
12/29/1999
PS
Total Fees: $40.00
.-,;. • 4 ,fa~*
$20.00 • • · ~llilce Due: . $20.00
• • a . '
: ,. : : j + '.,
' . Description • + ,. 1 Fee ------------------_ .;.{,~~--~,..:-,,;:~~,--,----.. -.: ----~ _:_ __ ----------~ -,.~":•-::-:"?:~;·,,,_ --------------
* ELECTRICAL TOTAL ·•• , • • 40. 00
;-• ¾ ! . . * •, • #
~ + .. "' .. ,. • ' •' ,
FINAL APPROVAL
lnspecto . 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 Car1sbad 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of \imitations has reviousl otheiwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
20.00
· PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Address ltnciude Bldg/Suite I)
Legal Desc11pt10n Lot No.
SQ. FT. #of Stones
FOR OFFICE USE ON~/. "t2p;Ju
PLAN CHECK NO. q'-f::, ~
EST. VAL. -------9-;,,........-
Ptan Ck. Deposit --,r;,+=-=--"'--
Validated By ___ --1-a-'-+:--t-;;f
Oate _______ .-J..IL,f-'l"-t....L->L
Unit No. Phase No. Total , Of Untts
u ..
• of llorooms I ot Bathrooms
·· .{iw~»/ba-:n+:1·; >------·--------· ua-oi-:&v8 70 2
Name Addreu Chy State/Zip T■lephone I Fax #
3. Contractor □ As,ent for Comrictor . □ Owiier ·-□ Agim" ior 0Wner
Addr■IS City State/Zip Telephone•
Name A..,.., City State/Zip Telephone,
6. CONTRACTOR -COMPANY NAME ---· .......... ~--------............... -·----·--
(Sec. 7031.5 Business and Profusions Code: Anv City or County which reQUirn ■ permit to construct, ■tier, improve, demoffl:h or repair ■nv structure, prior to tts
issuance. mso reaUtres the appUc■nt tor such permit to ftte ■ signed at■t■ment thlt he Is licenled Purauant to 1h11 DIO\'iaions of the Contractor's Ucenn Law
{Chapter 9, commending wtth. Section 7000 of Division 3 of the 8Ulineu and Prot ... ions Cade) or that he ta exempt therefrom, tnd the btsis tor the alleged
exemption. Anv violation of Section 7031.5 by any applicant tar• permit 1ut,;ecu, the 1ppltcanf to• dYil ~ Of not more than five hundred dDltars ft50011.
Name Addrou City Stote/Zip Telephone I
State License # _________ _ LiCenH CJau _________ _ City..,._.._, ______ _
Designer Name Adctrass City State/Zip
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I heNb_y affirm under penatty of perjury one of the following dllct■rattOnl:
D I have and will maintain a ce"ificete of consent to 1111-insure for worlr.en' compenqtion u pravtdld by Section 3700 of the Labor Code, for the partorm■nce
of the work for which this permit is lssuad.
D I have and will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, for the performance of the work tor whtch this permit is
issued. My worker's compensation mlunnce carrier ■nd policy number ■re:
Insurance Company____________________ PoUcv No. ___________ _ Expiration Date. _______ _
(THIS SECTION NEEi> NOT IE COMPIETEI> IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt1001 0R LISSI
~ CERTIFICATE OF EXEMPTION: I certify that in the performance ot the work ·tor which this permit ta iNUld, I .._II not employ 1ny panon in ■nv mt,,,.., ■o u
to becom■ subject 10 the workers' ComPlftl■tion Law■ of Ctlitomi■. •
thousand dollar■ 181
tton ...,.. .. unlllwful, ■nd .... ■ulltKt .,. empfoyer to ....... ,....... ■nd clvfl , .... up to -l'lurNnd
tht cost of ffiplnAtion, .....,_ u ,_...... tor In Section 3706 of 1111 Lllbor code,.....,_, ~AttDmef'• fen,
SIGNATURE'7"(;.~Cl'.d<l~:......:/-,(..:i.~a.~,£:."=::::;:....... _________ ""'.'""'. DATE /0 -<S-9,r
7. OWN ·BUILDEROECLARATI .••..•• ·.,·,-.
I hereby affirm that I ■m exempt from the Contr■cto,'■ License Ltw for the following reason:
-4' I, as owner of the property or my ■ms,tovees with w■c,■■.•s their sole coms,enu1ton, MIi do the wark ■nd the ■tTUctw■ ta not intended or ottered tor Hie
'isac. 7044, Bu■1n■as ■nd Prof1■■t0n■ Cod■: Thi Contractor'■ Lie.nae Law don not appty to ■n owner of proparty who buHdl or~ therllon, and who don
such work htmHlf or through hi■ own efflPlo'IIU, provided that ■ueh lmprowmant:1 ■re not tmend■d or ottered tor NII. If, however, th■ bulldlng or ffllPf'ow■ment •
sold within one ya■, of compl-1ion, the ownar~buitder wMI hive thl burden of provtng thtt ht did not bu6kl or lmproYI for 1h11 purpoee of utel.
0 I, ■s owner of the property, ■m ■XdU1ively contracting with lic.,..d contr■cton to con■truct the proJeCt fS.C. 7044, Bu■inea■ and Profnsian■ Cod■: The
Contractor's License Law don not 1ppty to ■n owner ot P10P11nv who builds or improves thereon. and contract■ for IUch projeet■ wtth contractorlal Ucln9ld
pursuant to the Contractor'• L1cenH Law).
Jiif.. I am exempt under Section ______ 8Ulineu and ProfNlions Code tor thi1 r-■on:
2 I !have LJ-a■ ■ ftett-■1gn1d an appllc1t1on tor• building parmrt tor the prDPOHd work
)
1 I personally plan to provide the maJor labor and rnaten■t■ for CDn1truct1on of th■ proposed prope"y lmprovamemp. YES ONO
3 I have contracted wrth th■~ wing person lfrrmt to provade the prCJp01ed construction lindude name I ■ddren I phonai numblr I contractor■ llctffllt number):
L
4 I plan to provide pon1ons of the work, but I~? lli·rr,ad the following P■f'SOn 10 coordinate, IUpeMe9 ■nd provtde the major wane lincfUde name/ addrNI I phon■
number/ contractors license number): A IM-. __ .....,_,_'f.L....__ ________________________ _
5 I will prov.de soma of the work, but ed lhirld) the fDNo to provtda the work indklated tlndude n■ffll I address I PhDnl number / typ■
of work):. __________ -:,,f'--,,r---H'---:;,--,1----""""'~----------,--,-_____ ....,,,... ___ ,..... ___ ,....._
PROPERTY OWNE~ SIGNATURE QA TE / t9 -.6-t f
COMPLETE THIS SECTION ~ BUILDING PERMITS ONL y··.:----• ., ·""°"\".....,,,..,. .. ·: ~ -.,~.,_ . ..._.. ~· 1-~7"i"-•••.~-,, .-. .-· ......... ,_ .
ts the applicant or futu,e building oecup■nt NQUirad to ■ubmit • busfnNs plan, ■cut.iv hnardDul mat.,.._ ... •••••, form or n■k m■nagernent and IINV9fflion
program under Sections 25505, 25533 or 25534 of the P,euey-T■nner Huardoul Sub■tance Acccu,t Act:? □ YES □ NO.
Is the apphcant or future building occuptnt ntQUired to obtain• P9fmtt from the tir poffutlon control district or air qu■ltty m■naoemant district? O YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of ■ school the? 0 YES D NO
fF 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.
c8. CONSTRUCTION LENDING AGENCY , ',-.. ,.._ ....... • -......... ,,-,.~-,n...-•
I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permh: ll inuad CSee. 309710 Civil Code).
LENOER'S NAME ______________ _
's. APPLICANT CERTIFICATION
LENOER•S ADDRESS=-:----:---=---------------------···--·,· y,.... •,•··,:,-·-•. ' .............. ·':"""~~•,. ..... ~~, ,-.-.~
I certify that I have re■d the application tnd state th■t the above information is correct and that th■ Information on the plan■ I■ ■ecur■ta. I agree to eomply with 111
C1tv ordinances and State laws relating to building construction. I hereby authorize raprnanttti'lfl of the Citt of Carllbtd to anter 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 crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is requ1red for excavations over 5'0" dffp and dllmolrtion or con■tructton of structures pver 3 ■to,ies in height.
EXPIRATION: Every permit issued by the Building Official under the provtlion■ of this Coda ■htll 1xpir1 by limtt■tion ■nd become null and void if the buildrng or
work authorized by such permit 1s not commenced wh:hin 385 days from the date of 1uch permit or If the building or work authorized by such permit 15 suspended
or abandoned at env time efter the work is commenced tor• period of 1B0 divs (Section 106.4.4 Uniform Building Code!.
APPLICANT'S SIGNATURE DATE ____________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 12/30/1999
Permit# CB983420
Title: RECESSED LITING,VARIOUS OUTLET
Description:
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
2393 LAFAYETTE CT
Lot
APPLICANT STEVE HUDEK
Owner: HUDEK FAMILY TRUST 09-15-95
Remarks: FINAL ELECTRIC
Total Time:
CD Description
39 Final Electrical
¥Y Comments
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: PS ---
Phone: 7604342707
Inspector: 3-
Requested By: MRS. HUDAK
Entered By: CHRISTINE