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HomeMy WebLinkAbout2430 BUENA VISTA CIR; ; CB001591; Permit43/17 P ;" 04/26/2000 Job Address: Permit Type: Parcel No: Reference #: Project Title: -.I City of Carlsbad Electrical Permit Permit No:CB001591 Building Inspection Request Line (760) 602-2725 2430 BUENA VISTA CR CBAD ELEC Status: ISSUED 1552230300 Lot #: 0 Applied: 04/26/2000 Plan Approved: 04/26/2000 Issued: 04/26/2000 Entered By: RS SPEELMAN RES/UPGRADE TO 200AMP Inspect Area: Applicant: SPEELMAN PATRICIA N 2430 BUENA VISTA CIR CARLSBAD CA 92008 Total Fees: $35.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMF RemodeVAlteration per Ah Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES - $35.00 - FINAL APPROVAL Date: 1- l7-D 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 "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 Cadsbad Muniapal 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or Senrice fees in connection with this project NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 35.00 - PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I FOR OFFICE USE ONLY I PLAN CHECK N0.m I s9 EST. VAL. % Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use I55 22-3 0.3 00 X of Bathrooms Name Address Citv State/ZiD Teleohone X Fax t (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 Code1 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 [$5001). Name Address City Statelzip Telephone X State License # 45'0 6 g 3 License Class City Business License X .Tahhl cLL;13 (-5r38g-30 I - zz+& Designer Name Address City StatefZip Telephone State License # 0 of the work for which this permit is issued. 0 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 1$1001 OR LESS) 0 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 worked cornpennation coverage in unlawful. and nhd 8ubj.a M employef to criminal penWw ad civil fi~~ up to one hundred thounand dollars (8100,000). In addition to the coat of cornpennation, damage8 an provided for in Section 3706 of tha Labor code, intemnt and attomy'n fwn. 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 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 % I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 1Sec. 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 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with t e following person (firm1 to provide the proposed construction (include name / address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type Business and Professions Code for this reason: 3d.d &111 - 'p PROPERTY OWNER SIGNATU 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 0 NO Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO LENDER'S NAME 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. I hereby authorize representatives of the City of Carisbad 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 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 is )a APPLICANT'S SIGNATURE HITE: File YELLOW: Applicant PINK: Finance 1 1 City of Carlsbad Bldg Inspection Request For: 5/16/2000 Permit# CBOOl591 Inspector Assignment: Title: SPEELMAN RESlUPGRADE TO 2OOAMP Description: Type: ELEC Sub Type: 2430 BUENA VISTA CR Job Address: Location: Suite: Lot 0 APPLICANT SPEELMAN PATRICIA N Owner: SPEELMAN PATRICIA N Remarks: PM PLEASE Total Time: Phone: 9096982246 Inspector & Requested By: JOHN Entered By: CHRISTINE CD Description Act Comments 33 Service ChangelUpgrade Associated PCRs InsDection History Date Description Act lnsp Comments