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HomeMy WebLinkAbout2748 BERKELEY AVE; ; CB013207; Permit*, -. .. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-09-2001 Electrical Permit Permit NoCBO13207 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 1675631 400 Lot #: 0 Applied: 10/09/2001 Reference #: Plan Approved: 10/09/2001 Issued: 10/09/2001 Project Title: FREDERICK RES-REMODELELECTRIC Inspect Area: 2748 BERKELEY AV CBAD Entered By: RMA IN KITCHEN Applicant: owrtfar: MIRABELLA CONSTRUCTION FREDERJCK DANEL c;slSUSA%M 10/09/01 0002 01 02 P 0 462696 I ESCONDIDO CA 92046 760-738-7446 1522 SHELLY COURT RARlEN IL 60561 CGP aEo.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeUAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees $10.00 0 $0.00 0 $0.00 0 $0.00 0 $0.0 $10.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $20.00 FINAL APPROVAL Inspector: z-, Date: 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 'feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactims. 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 Catisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal aclin to attack, review, set aside, void, or annul their imposition. Yw are hereby FURTHER NOTIFIED that ywr mht to protest the specifii feedexadions DOES NOT APPLY to wabr 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 feedexactions of which YOU have Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. f . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use Description of Work # of Bedrooms M!SC. €dEc7IeH/ c # of Bathrooms 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 Codel 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 t$5001). Name State License 679 YS License Class 6 City Business License # /~o~~z 7 Designer Name Address City State/Zip Telephone LLL& &.S7 /o&r fl6Zk96 FCC- e4 p2aW 7d023P79vk Address City Statelzip Telephone # &/A% 0 of the work for which this permit is issued. 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 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 zed. My worker's compensation insurance carrier and policy number are: Insurance Company L%Y?- (br/l? XNS. Fi(~7 Policy No.0~'dv~~07J Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t51001 OR LESS) 0 to become subje WARNING: Fall thousand dollars 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 lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred 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). 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 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). FOR OFFICE USE ONLY PLAN CHECK NO.@/3&'7 EST. VAL. Plan Ck. Deposit Validated By I Date //$!/s/A/ /I) /kc r-v - 0 1. 2. 3. 4. am exempt under Section personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO (have / have not) signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): Business and Professions Code for this reason: 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. of work): 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 PROPERTY OWNER SIGNATURE DATE 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 air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES c] 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 OFflCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. c] YES 0 NO 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). LENDERS 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 Cit). 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: Evely permit authorized by such permit is at any time after the work is c APPLICANT'S SIGNATURE DATE ode shall expire by limitation and become null and void if the building or work or if the building or work authorized by such permit is suspended or abandoned WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/04/200 1 Permit# CBOl3207 inspector Assignment: JC Title: FREDERICK RES-REMODELELECTRIC Description: IN KITCHEN Type: ELEC Sub Type: Job Address: 2748 BERKELEY AV Suite: Lot 0 location: APPLICANT MIRABELLA CONSTRUCTION Owner: FREDERICK DANIEL C&SUSAN M Remarks: MID DAY INSPECTION PLEASE Phone: 61 9520501 5 inspector: Requested By: JOHN Total Time: CD Description 39 Final Electrical Associated PCRs lnsoection History Date Description Act lnsp Comments 1011 812001 17 Interior Lath/Drywall AP JC AP JC 1011 a2001 34 Rough Electric