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HomeMy WebLinkAbout2501 NAVARRA DR; 125; CB052481; PermitApplicant: NEW LIFE CONSTRUC 340 VICKERS ST S'AN DIEGO CA 92111 _— 'HOODBETTINAFAMILY 2000 TRUST P OBOX 881803 SAN DIEGO CA 92168 City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Electrical Permit Permit No: CB052481 Building Inspection Request Line (760) 602-2725 * Job Address: 2501 NAVARRA DR CBAD St: 125 Permit Type: ELEC Parcel No: 216170497 Lot #: 0 Reference ; Project Title. RES-RE-DO KITCHEN ELEC Status: ISSUED Applied: 07/05/2005 Entered By: RMA Plan Approved: 07/05/2005 Issued: 07/05/2005 Inspect Area: Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AZ MP per AMP Remodel Fee f Temporary Service Fee Test Meter Fee Other Electrical Fees V Additional Fees TOTAL PERMIT FEES r-\ \ '•-' $10.00 $0.00 so.00 \-) $0.00 0.00 Z7$10 00 \ c/$0.00 $0.00 7 CQ ~ ~$00 -, 06 0 f $20.00 0 - 0 _41 ;;.:*:•'' Total Fees: $20.00 Total Payments To Date:\4 ---$0.00 Balance Due: / $20. \\\1952 ©707(05f05 01 SP FINAL APJPRØYJLA,AL V Inspector: Date: 6 L( L/(7) Clearance: V NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fpeslpxectinns of which you have nreviouslv been aiven a NOTICE similar to this. or as to which the statuteof limitations has previously otherwise expired. PERMIT APPLICATION CliP? OFCARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92668 FOR OFFICE USE'OjI PLAN CHECK NO.LL3() 5 If EST. VAL. Plan Ck. Deposit Validated By_________________ Date Address (include Bldg/Suite #) Businiss Name (at this address) Legal Deicription; Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units sIcL- •V Assessor's ParceJ # Existing Use - Proposed Use AELe 7p4c-L . •' V Description of Work -. SQ. FT. #of Stories, # of Bedrooms # of Bathrooms F.E COXACrPER5O$ g ffev'nimappllc'ãnt) j v e ' q~',,, CJ2? 2`-A,""? f -'Name V Address V City State/Zip Telephone # Fax # Address City . State/Zip Telephone N Je-.-L,/ Ce,. 62 94 -t-.' ,f1. 'A Y9(f( 5i)/77'ZO73 Name , Address V ' , City State/Zip Telephone N , (SeC. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, iltir, 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 violati of Section 7031.5 by any applica t for a permit ubj cts the applicant to a civil penalty of not more than Jive,h n red dollars ($5001). 2Vf,- C.-rY - o 5". V :27771 Name ' 'Address V V City - V State/Zip Tel one N State License'# License Class City Business License' # Ae..44J V V V Designer Name ' , - Address , V City State/Zip Telephone V V State License #, , - - • V•, , V , , I , 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 workeis' compensation as provided by Section 3700 of the Labor Code, for the performance V of the work fOr which this permit is issued. V V , , - ' •V V V :. ' V I have and willinaintain workers' compensation, 'as required by Section 3700 if the Labor Code, for the performancO of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ' Policy No29 ? Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISlOOl OR LESS)'- 0 CERTIFICATE OF EXEMPTION: Icertify 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' Cornpensatioh Laws of California: WARNING: Failure to secure workers compensation coverage I. Unlawful; and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1,OOOh-In-addItlonto the cospf compensation, damages as proildad for In Section-3706 of the Labor. code. Interest and attorney's fees. 'SIGNATURE' '-'---' "— ' •' - , DATE - ?/5yc 15 ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason 0 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 V 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 'in owner of property who builds or improves thereon, and contracts fOr such projects with contractor(s) licensed pursuant to the Contractor's License Law) o 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) siried an application for a building permit for the pioposed work.-.. VV V 3 I have contracted with the following person (firm) to provide the proposed construction (include name /Address / phone number / 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 / address't phone number / contractors license number): V , 5. I will provide some of thOwork, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone -number / type of work):' PROPERTY OWNER SIGNATURE ''V , DATE Is the applicant or future building occupat 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 air pollution control district or air'quality management district? 0 - YES 0 NO V 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - 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 _•--V _V b 1000 SM JJ iY 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 Cite' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS -THE CITYOF CARLSBAD - AGAINST ALL LIABILITIES,, 'V 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 requird for excavations over 5'0 deep and demolition or construction of structures over 3 stories in'height. EXPIRATION: V 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 corn d for a period 01180 d!01Seclion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUi —.. - ' , •• DATE WHITE: File YELLOW: Applicant 'PINK: Finance rk City of Carlsbad Bldg Inspection Request For: 12/02/2005 Permit# CB052481 Inspector Assignment: BN Title: SUDDITH RES-RE-DO KITCHEN ELEC Description: Type: ELEC Sub Type: - Phone: Job Address: 2501 NAVARRA DR Suite: 125 Lot 0 Location: Inspector: APPLICANT NEW LIFE CONSTRUCTION Owner: Remarks: AM PLEASE Total Time: Requested By: DON Entered By: CHRISTINE CD Description Act Comment 39 Final Electrical Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act !nsp Comments 07/11/2005 34 Rough Electric AP BN