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HomeMy WebLinkAbout2726 MORNING GLORY LN; ; CB013707; PermitDue: \ $35.00 $180.00 $35OO \$000 $215.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 02-05-2002 Miscellaneous Permit Permit No:CB013707 Building Inspection Request Line (760) 602-2725 Job Address: 2726 MORNING GLORY LN CBAD Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 1561203400 Lot #: 0 Applied: 11/30/2001 : 'Valuation: $0.00 Entered By: AMA '..Reference #: Plan Approved: 11/30/2001 Issued 11/30/2001 Prbject Title: FUKUDA RES-REPLACE WINDOWS,NEW• Inspect Area: ELEC UPGRADE 100 TO AMPS 200 Applicant Owner LANE FUKUDA .- -MOHAMMAD REZAEI ALl <AKA MOHAMMAD REZAEI ALIOSA 0290 02/05/02 0002 01 02 / c '/ CGP 3500 / 2726 MORNING GLORY LN / () CARLSBAD CA92008 730-9990 0 ' (_ /<1.• Total Fees: $215.00 —.TotaI Payments ToDate:. 1\ç'$180.00 I / f Miscelaneous Fee #1 PERMITEE Miscelaneous Fee #2 (( ) ELECTRICAL 4)" Additional Fees — \ TOTAL PERMIT FEES \1:/3 \\ // TED \\ 1952 1 . FINAL APPROVAL inspector: Date: 2/z/' - 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Business Name (at this address) 3g Lot No. Subdivision Name/Number erooms . # of Bathrooms Existing Use Prol It SQ.-FT. #of cries . # of-I ca Address (include Bldg/Suite #) AW4§ P.m occo 41 Legal Description 'Assessor's Parcel '# 54/CL.. - DCøe AZ A Description of Work Y( t13.. A.... Phase No. Total ,# of units £e-f/ 77q-L osed Use - -.--. --'---- FOR OFFICE USE ONLY PERMIT APPLICATION - PLAN CHECK NO CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. '. . -• 1635 Faraday Ave, Carlsbad, CA 92008' Plan Ck Deposit - Validated By. )1Zl Date . AT i L/ 1? U _7 iiA-J1'W & LDC.fr' A/ !.L/W CI YWPJ 750 Y70 Name ' Address ' . ' City . State/Zip Telephone# Fax # 13 APP _O,çt DiContractcar QvnT Donj . Z.44y6 '& 7 fli6'VI'. D9'zAf CI 92a4. -7éd -7'0 Name . - Address ' City State/Zip - Telephone # - - n..tit5"5 ' L4ettaPRO PEROWNERkea*. .-ippm -- Name Address City State/Zip Telephone # 7 1 2 '(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 ris exempt therefrom, and the basis for the a11eged exemption. Any violation of Section 7031.5 by any applicant for a permitsubjects the applicant too civil Penalty of not more than five hundred-dollars I$50011' & - ...... Name - , -. . Address . City - -- State/Zip Telephone # State License # License Class - . ,'- City-Business License # Designer Name Address - City State/Zip Telephone State License .# - •' - , . -, .:- - - ', ' - . . woRKERSCoj NSA O4 ' - ... i TJ.. * 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 thO work for which this permit is issued. 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: 'Insurance Company - Sri r- /fAf.O . Policy S9 0 Expiration date 3 --01 - CL (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (51001 OW LESS) 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 civil fines up to one hundred thousand dollars -(5 100.000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,SIGNATURE . - . -- 'DATE - - - - e OWNER BUILDER PEbARATIONGIA RMOMEffm2mm I hereby affirm thoti am exempt from the Contractor's License Law for the following reason: 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 - (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 ownimployees, provided that such improvements-are not intended or offered for sale. If, however, the building or improvement is sold within one y4r 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. improvesthereon, and contracts for such- projects with contractor(s) licensed- pursuant to the Contractor's License Law). - -. - - 0 ram exempt under Section Business and Professions Code for this reason I personally pla tprovide the major labor and materials for construction âf'thè prOposed property improvemOnt.' YES "ONO' - t signed an application for a building permit for thO proposed works I have contracted with the following person (firm) to provide the proposed construction (include name I 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 pr-ovide 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 thework indicated (include name / address /'-'phone number / type - of work): PROPERTY OWNER SIGNATURE 41144tL0 4_4i. DATE YE THISC _RESIDEN77A1 __ERMI - - 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'air pollution control district or sir quality management district? 0 YES 0 NO Is the facility to be constructed within 1,060 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 rUNLESS THE APPLICANT HAS METOR IS MEETINGTHE .- - REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION CENDING AGENCY 1. I hereby affirm that there is a construction leidin9 agency for the performance 'of the work for which this permit is issued (Sec 40970)'C , i vAl Cod I a). -' LENDER'S NAME -- - -, 'LENDER'S ADDRESS ......................................................................- _-gi&ul - 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 ordinnces 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 storiesin height.-. EXPIRATION: Every permit issued by th 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 dOte 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 180 days (Section-1 o6.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE - -' - WHITE: File YELLOW: Applicant PINK: Finance - .•. - - - -, . - City of Carlsbad Bldg Inspection Request For: 02/08/2002 Permit# CB013707 Inspector Assignment: Title: FUKUDA RES-REPLACE WINDOWS,NEW / Description: ELEC UPGRADE 100 TO AMPS 200 Type: MISC Sub Type: OTHER Job Address: 2726 MORNING GLORY LN Suite: Lot 0 Location: APPLICANT LANE FUKUDA Owner: FUKUDA LANE Remarks: PLEASE INSPECT 1PM Total Time: Requested By: WAYNE Entered By: CHRISTINE CD Description Act Comments • 33 Service Change/Upgrade ,41 Associated PCRs Inspection History Date Description Act Insp Comments Phone: Inspector: