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HomeMy WebLinkAbout2723 LYONS CT; ; CB001392; Permit~-' City of Carlsbad J_)..- 04/13/2000 Electrical Permit Permit No:CB001392 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2723 L VONS CT CBAD ELEC 1673913200 PAGE RESIDENCE Lot#: 0 ADDING ELEC UNDER CABINET/OUTLETS Applicant: NEW LIFE CONSTRUCTION 8340 VICKERS ST SAN DIEGO CA 92111 858-277-8075 Total Fees: $20.00 Inspector: <Ti FINAL Af PRrpVAL Date: q 1 { I J c}o l I Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 04/13/2000 RS 04/13/2000 04/13/2000 $20.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which 11ou have nreviousl11 been niven a NOTICE similar to this or as to which the statute of limitations has nreviousl11 otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (,,B(XJ [3 'J .;2.. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By. __________ _ Date, _____________ _ Address (inclqde Bldg/Suite #) Business Name fat this address) C. "-<l. \'>~,q~ °'-, Cj,!).c,o<i, Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use SF 1'1.. # of Bathrooms Name Address City State/Zip Telephone# Fax# ~,)fu~~tr~l\f\,~~~~~~:=~,6l~~$st!;}i;~~~~~~:;'¾l,~:~5,~':"1t;";;;: ·· c B~) · .222-@?!:: Address City State/Zip Telephone # Name Name Address i1t~~11,:;itiliU .. Ai~iJa"Dliiliilhlllli~t:,;;;:4;(!!L~~2:;-;r:/ ':.dc:1,r(ii.;titt/;;-:i~J~i~Ni;i.~iiil'iU'!i:i:~?j/:il;ti;;;rtl~::tt{:~ilJ;tJ1if;~L~~¥!:ft.1~1iOi~f:~:a!;~1sr:.J!~M:t;1::;;,:t":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 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 ($5001). 1\..,)e......i L._£,s CCNs-,n,-/...,,o__, Co· -a.-~-Q, • ~"' cesr) ;,,77-8'07.> Name Address City State/Zip Telephone # State license # ' ~ (; .. , ( ] license Class (s. City Business license # _______ _ Designer Name Address City State/Zip Telephone State license # _________ _ :$; ... :'.!/JIQ!iKl!ll$l:,Cl)MPENS)l'rtl:iri":,: .. ,.c,' : ·' , , :cs:·;•.,~:,•• , .,.,,., ... ,,~ ·:: :; :,::,,, .• ,, ,_,, · · • :•·,;: 1· ,, :, ,., .. , .. ,_. 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 workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. jZ1 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 carrier and policy number are: lnsu,ance Company 57,.--r I; ~v"'I> Polley No, O'/~-OC, IJ•·•\T Gaol'IZ"O Expl,atlon Date c; 1-ol-Zcso ( (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars ( addition to the cost pensatlon, damages as provided for In Section 3706 of thJ ,.,..Labor code, Interest and attorney's fees. K s1GNATURE . . . .• _.... DATE r-1:J-oo ;?,;;;:;;[OWNl!ll,JIUl~P~II; PEC.l;ARATION••' I hereby affirm that I am exempt from the Cont<ac•to,'s 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 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). O 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). 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. D YES ONO 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 name / 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 major 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 I address / phone number / type of work).,_----------------------------------------------------------- PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ ~Mll!~i;~ft{tl;\$.PTl'QN1/Fti,fi\WON~PtNmu1~0tCctltJO'lli;JU,lill~N~t~~i%t~fi;J\;f'.J~~frnt:?!:~&· ;,2j;:,i;t1,;:~',Jj~/JB'J~ili:S'GMiiJliJ!fi:~{'.?,iJi4: ;Li' 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 O NO ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. ·•:1,;:i:tPNltft!lClJpllUl'IQI.Ni&tlil:~lCV,.i.Lif:r;~;tF~'./}f :'.;,::~~i;;,~ :_;);;;i;twl~~i~~";;Eili~li~tlJ1~iil~;,;;;;61:.:' i;~f.'.i':'ii,; 1·1?~f,A~\~~'.i5'.•Jii)i ~, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S ADDRESS. ________________________ _ J 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 Citt 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 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 commenced for a period of 180 days (Se ·on 106.4.4 Uniform Building Code). DATE _c/:,__----'/'----"?_-_CJO ____ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 9/8/2000 Permit# CB001392 Title: PAGE RESIDENCE Description: ADDING ELEC UNDER CABINET/OUTLETS Type:ELEC Sub Type: Job Address: Suite: Location: 2723 L VONS CT Lot 0 APPLICANT NEW LIFE CONSTRUCTION Owner: PAGE SAMUEL A&LAURA L Remarks: Total Time: CD Description 39 Final Electrical .~ Comments Associated PCRs Inspection History Date Description 9/1/2000 39 Final Electrical 4/20/2000 34 Rough Electric Act lnsp Comments CO TL NO ACCESS AP TL Inspector Assignment: TL --- Phone: 7607297050 Inspector: ;L Requested By: SAM PAGE Entered By: ROBIN