The URL can be used to link to this page

Home My WebLink About2716 MORNING GLORY LN; ; CB983540; PermitBUILDING PERM[T .10/15/98 13 06 Page 1 of 1 Job Address 2716 MORNING GLORY LN Suite Permit Type ELECTRICAL Parcel No- 156-120-33-00 Lot# Valuation. 0 Occupancy Group Reference*. Description REPLACING KIT CABINETS AND INSTALLING CAN LIGHTS Permit No CB983540 Project No- A980460 Development No Appl/Ownr • MIRABELLA CONSTRUCTION 1539 AVONHILL VISTA CA 92046 *** Fees Required *** *** Construction Type VN Status ISSUED Applied 10/15/9 Apr/Issue 10/15/9 Entered By MDP 760 738-7446 Fees Collected & Credits * * * Fees 20. 0.0 Adjustments ,00 Total Fees 20.00 Fee description. "02 C-PRMT 20.00 Total Credits: 00 Total Payments: 00 Balance Due- 20 00 Units Fee/Unit Ext fee Data Enter "Y" for Electric Issue Fee Enter "Y" for Remodel 10 00 Y 10 00 Y FINAL APPROVAL INSP. CLEARANCE DATE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY t)F CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 PROJECT INI ITION FOR OFFICE USE PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include BIdg/Suite »)Business Name (at this addiess) Legal Description Lot No Subdivision NamefNumber Unit No Phase No Total * ot units Assessor s Pan Description of Work SO FT f of Stones f of Bedrooms t of Batnrooms 3NTACT PERSON (If different trom applicant),I Mix- Name Address City 3 APPLICANT .^Contractor D Agent for Contractor Q Owner D Agent for Owner ' State/Zip Telephone *Fax f Name 4 PROPERTY OWNER Address City State/Zip Telephone * Name Address City State/Zip Telephone » 5 CONTRACTOR - COMPANY NAME ~ -•— —r- ~—<-"- — ——- - (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, niter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant tor 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 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 I $5001) Name State License # Address License Class City State/Zip Cny Business License f Designer Name Address City State/Zip Telephone State License V 6 WORKERS' COMPENSATION " " Workers Compensation Declaration I hereby affirm under penelty of periury one of the following declarations D 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 of the work for which this permit is issued J%[ 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 compensation insurance earner and policy number are Insurance Company £~7f*7& fcSAJQ Policy No / 3 5~ /3"7 $ "5 % Expiration Date V (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) n CERTIFICATE OF EXEMPTION I certify that m the performance of the work for which this permit is issued, I shall not employ any parson in eny manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ($100 000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, (merest and attorney a tees SIGNATURE DATE 7 OWNER-BUILDER DECLARATION ' "' ''' '"" I hereby affirm that I am exempt from the Contractor s License Lew for the following reeson D 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 end Professions Code The Contractor's License Law does not epply 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 tor the purpose of sale) Q I as owner of the property, em exclusively contracting with licensed contractors to construct the protect (Sec 7044, Business and Professions Code The Contractor s License Law does not epply to an owner of property who builds or improves thereon, and contracts tor such protects with contractors) licensed pursuant to the Contractor s License Law) 0 I em exempt under Section Business end Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property Improvement Q YES QNO 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 namti / 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 ma)or 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 workl PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NONJtESIDENTJAL BUILDING PERMITS ONLY ~" " ~ r "" ~ -*-—•*' " Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? Q YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q MO 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 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 __ ^^^^_^_ 9 APPLICANT 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 City 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 the Building Official under the provisions of this Code shall expire by limitation end become null and void if the building or work authorized by such permit is not commenced within 365 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/rfcormnenced^or a peno'd/of 180 days (Section 106 4 4 Uniform Building Code) fAPPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB983540 FOR 11/13/98 DESCRIPTION: REPLACING KIT. CABINETS AND INSTALLING CAN LIGHTS TYPE: ELEC JOB ADDRESS: 2716 MORNING GLORY LN APPLICANT: CONTRACTOR: OWNER: MIRABELLA CONSTRUCTION PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK* CB983540 OCC GRP CONSTR. TYPE VN STE: LOT: 760 738-7446 REMARKS: C/DAN/738-7446 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION INSPECTOR ACT COMMENTS 19 39 ST Final Structural EL Final Electrical ***** INSPECTION HISTORY ***** DATE DESCRIPTION 110998 Final Electrical 101998 Rough Electric ACT INSP NR PY AP PY COMMENTS SEP 2 1398 11 17flM SCIF SflN DIEGO NO 630 P £'2 STATE COMPENSATION PO BOX 420807, SAN FRANCISCO. CA 94142-0807 PU N D CERTIFIGATEJOF WQfjKpRS! pQ^PENSATlQM JNSUPANqE^v. SERTEHBER^^a ^l ^^Stf^ xti,^^'**®* ~ ™#*?!?!!,; .'?','>•"•£,"^ ,. v • >• /i"*.* .-, , ;v.*,, ^Qfe=IT:FlCAT6 EXPIRES'! " S-lrW,,:,f;;V; ^,., ir'-.->" V'1 i! < N. „. "' '\|!il|A'^i it:;.' ,., ^.^,, ." ; :'v^;: m ^estf..;,'*^1;^ ^'^ v.':v „ rf ,i;'V;;-,•,'.•' ^S^/'?' r'^'^lK 'C*'^ W^ 301 r CITY OF fiTTNs DEVELOP 1222 FIRST SflN DIEGO CR L "his is to certify that wa hai/e Issued a valid Workers' Compensation msuranca policy In a form approved by the California Insurance Co.mrnlasloner to the employer named bebw for the policy period indicated This po'lcy is not subject to cancellation by the Fund except upon ton cays' advance written notice to tne employer Ws will also give you TEN days' advance notice should this pol cy be careened prior to its nopr.al expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein,, Notwithstanding aiy requirement, term, or condlt.on of any contract or other document with respect to whiph'i't|i.&":c8rtificat;e of Insurance maj^ ££», issjufd^pr nay pertSir], .thp insiifancq'awarded by the policies described hereinlis^ijbipct to ail th«& ^rri^exclujsiflri^ afid. ctpdUiphs of sucfy pftliai^s Jp'^.,» ;,."'.' - ' f ' ,-,'^* <;?;>•:.*. •,••'£•' • '^S^\K'\ ^ ;^i EMPLOYER'S COSTS? il' r , • ' ',*-• , INC. P 0 BOX ESCONDIDQ Cfl 92<S4& THIS DOCUMEMT HAS A BLUE PATTERNED BACKGROUND SCIF 10?.*?. (f.£V.3;»5|