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Home My WebLink About2728 CHESTNUT AVE; ; CB042457; Permit06-18-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB042457 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2728 CHESTNUT AV CBAD ELEC 1673921000 Lot#: GONZALES RESIDENCE SERVICE UPGRADE TO 200 AMPS Status: ISSUED Applied: 06/18/2004 Entered By: MDP Plan Approved: 06/18/2004 Issued: 06/18/2004 Inspect Area: Applicant: BRUNO GARDINER CONSTR PO BOX 687 CARLSBAD CARLSBAD CA 92018 760-729-8786 Owner: GONZALES BELYNN R 2728 CHESTNUT AVE CARLSBAD CA 92008 06/18/04 0002 01 02 CC3P 35-00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP , Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES > 100 0 0 0 $10.00 $25.00 . $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees:$35.00 Total Payments To Date:$0.00 Balance Due:$35.00 Inspector: FINAL APPROVAL Date: .Clearance: NOTICE: Please take NOTICE/fiat 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 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ifc44l?RQiiECT-INFORMATION- ,-. FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite It)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total tt of units Assessor's Parcel tt Existing Use Proposed Use Description of Work SQ. FT.#of Stories tt of Bedrooms tt of Bathrooms Name Address City Agent for Contractor-.^ O Owner <£pAgerTt for Owner" S77 P,4, ..--- State/Zip Telephone tt Fax It Address Name Address City State/Zip Telephone tt (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 IS500D. Name State License # !?<j? Address License Class City State/Zip City Business License tt Designer Name State License tt Address City State/Zip Telephone , . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: |__ 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. __| 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 _ _ _ Policy No. _ , _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) JS CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as /toDBCome subject to the Workers' Compensation Laws of California. WARNINQ: Failure tojuacure workers' computation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($*t)0,f_00), In addttrolfTcPWa^ost of abfpdensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE /)^^^t^/--l ___ . _ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). 0 '• 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). d 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. 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 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 / address / phone number / type of work): _ . _ _ PROPERTY OWNER SIGNATURE DATE [COMPLETE THIS SECTION FORWOff-JieB/OHVTMt BUILDING' PERMITrONLYs.i,iUi;':* '. „..--.•_. k.9-4-*... .' -t .-,.-> J --.,'' , 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? - D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district 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 O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED L-CJLEGS TH- 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 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 and become null and void if the building or work authorized by such permit is not commenced within 180 days fronyme date ofsuejt permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cormnelTega for a period ot*80~aaj«'|S^ction iRAA Uniform Building Code). J APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/24/2004 Permit* CB042457 Title: GONZALES RESIDENCE Description: SERVICE UPGRADE TO 200 AMPS Inspector Assignment: 2728 CHESTNUT AV Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT BRUNO GARDINER CONSTR Owner: GONZALES BELYNN R Remarks: PLEASE INSPECT NOON TO 1PM Phbne: 7604148285 Inspector: Total Time: CD Description 33 Service Change/Upgrade omment Requested By: BRUNO GARDINER Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments