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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