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Home My WebLink About2758 AUBURN AVE; ; CB002617; PermitVlOlCll City of Carlsbad 07/14/206D Electrical Permit Permit No:CB002617 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 1674900400 Lot #: 0 Applied: 07/14/2000 Reference #: Plan Approved: 07/14/2000 2758 AUBURN AV CBAD Entered By: RMA Issued: 07/14/2000 Project Title: GANEY RES-ELECT,MOVE WASTE Inspect Area: LINE FOR DISHWASHER&DRYWALL-KITCHEN Total Fees: $72.00 Total Payments To Date: $0.00 Balance Due: $72.00 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 :, ,, '"_, TOTAL PERMIT FEES .. .. f ,. $0.00 $52.00 .',.I ~ FINAL APPROVAL Inspector: Date: %L%@ Clearance: NOTICE Piease 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 Vle date vlis permlwas issued to protest imposition of these feeslexactions. If you protest them. you must follow the protest procedures set forth in Government Code Section 66020(a), and 61e 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 anack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specfied feeslexactions DOES NOT APPLY to water and sewer connection fees and Capady changes. nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitabns has previously otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 .. . ,. . ,,. ,., ., .. -1. PROJECT INFORMATION ., , , - ,,..,,,,, Business Name lat this addrsss) Legal Description Lot No. 'Subdivision NameINumber Unit NO. Phase No. Total #of units AES~SSOI'S Parcel X Existing Use Proposed Use fo?-'P?O c OLt. 00 X of Bathrooms , . ,,. ,. , ., , ., ,,, .. -, . , . .. .. ,, . , , .. I 6. CONTRACTOR. COMPANY.NAME . ." isec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolish or repair any ItrUCtUre, 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 IChapter 9, commending with Section 7000 of Division 3 01 the Business and PrOfeSSionS Codel or that he is exempt therefrom. and the basis for the alleged Name - &5c. Address pn state License tl m07bf I' Designer NA Address City StateIZip Telephone State License X Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the foliowing declarations: 0 of the work for which this permit is issued. 'kts the applica t B civi penalty of not ore n five hundred dollars 1$5001 &f74M, &. 4mr8 7m 724 ,ws4 Statelzip Telephone X Nlg - City &X%;rjy vioialion o Section 31.5 by any a 'can License Class 13-1 City Business License X .. .. ,,< 6. WORKERS COMPENSATION: ' , ~ I ...' 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 tha performance of the work for which this permit is rmce carrier and policy number are: Insurance Company td4 Policy No. 229 -ao uNl'u537 Expiration Date 01 -01 -0 I ITHiS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IdlOOl OR LESS) 0 to become subject to the Workers' Compensation Laws Of California. WARNING Failure thousand dollars is1 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued. I shall not employ any pereon in any manner so a6 wage is unlawful. and shall subject an employer to criminal penalties and civil finer up to one hundred mpensation. damages 8s provided lor in Section 3706 of lhe L bor co ' , interest and attorney? fees. DATE I+ 403 t ,,. . 0 with wager as their $018 compensation. will do the work and the StrUCtUre is not intended or offered for 6818 isec. 7044, Business and Profe~~ions Code: The COntractOr'S License Law doer not apply to an owner Of property who builds or improves thereon, and who does such work himself or through his own empIoyees, provided that such improvements are not intended or Offered for sale. if, however. the building or impiovemsnt 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 PU~POSB of 5~181. 0 I. as owner of the property. am exclusively contracting with licensed COntrsCtOrS to ConstrUCt the project ISec. 7044, Burinerr 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 contractoris) licenssd pwsuant to the Contractor's Licenis Law). 1. 2. 3. I. as owner of the property or my I em exempt under Section I pers~nslly plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have / have not1 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide th8 proposed COnetrUCtion (include name I address I phone number I Contractors license number): Business and Profe55ion0 Code for this reason: 4. number I cOnfractOlS license number): 5. of work): PROPERTY OWNER SIGNATURE DATE I plan to provide POR~O~S of the work, but I have hired the following person to coordinate, supervise and provide the major work linclude name I address I phon8 I will provide Some of the work. but I have contracted ihired) the following persons to provide the work indicatsd (include name I address I phone number I type ,, .. , . ,, ,., , COMPLETE THIS SECTION FOR ~ON~ESlD~~L0Ul~~lNG~~~R~l~S~~N .,, ,, Is the applicent 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 Preslsy-Tanner Hazardous Substance Account Act? 0 YES NO is the applicant or future building Occupant required to Obtain a permit from the air pollution Control district or air quality management district7 Is the facility to be Constructed within 1,000 feet of the outer boundary Of a school site1 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 4NO THE AIR 0 YES 0 NO YES NO UTlON CONTROL DISTRICT. 8.- CONSTRUCTION LENDING AGENCY . ' ". i hereby affirm that there is a construction lending agency for the performance of the work far which this permit is iswed iSec. 3097111 Civil Code). LENDERS NAME LENDERS ADDRESS ., .. .. ,),. .. , . ,. 9. APPLICANT CERTIFICATLON:. ' , ,, I CeRify that I have read the application and state that the above information is correct and that the information on the plans is BCCUrate. I agree to comply with all City ordinances and State laws relating to buildng construction. I hereby mthodze representatives of the Citr of Cerlsbed to enter upon the above mentioned property for inspection PWPOEBS. 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 COnStiUCtiOn of stwctures 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 comm of Such permit or if the builaing or work authorized by such p8rmit is suspended or abandoned at any time after the work is commenc 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ELLOW Applicant PINK: Finance City of Carlsbad Bldg For 8/24/2000 Permit# CB002617 Title: GANEY RES-ELECT,MOVE WASTE Description: LINE FOR DISHWASHER&DRYWALL-KITCHEN Type: ELEC Sub Type: Job Address: 2758 AUBURN AV Suite: Lot 0 Location: APPLICANT WORTHING INC, B. A. Owner: GANEY JOHN&JILL Remarks: Inspection Request Inspector Assignment: SR Phone: 7604348231 Inspector: a- Total Time: Requested By: GENE LUNA Entered By: CHRISTINE CD Description 39 Final Electrical Associated PCRs InsDection History Date Description Act lnsp Comments 712012000 17 Interior LathlDrywall AP SR 711712000 21 UndergroundlUnder Floor CO SR NEED TO RUN WATER TO CHK FOR LEAKS 7/17/2000 34 Rough Electric AP SR City of Carlsbad Bldg Inspection Request For 8/23/2000 Permit# CB002617 Inspector Assignment: SR Title: GANEY RES-ELECT,MOVE WASTE Description: LINE FOR DISHWASHER&DRYWALL-KITCHEN Type: ELEC Sub Type: Job Address: 2758 AUBURN AV Suite: Lot Location: APPLICANT WORTHING INC, B. A. Owner: GANEY JOHN&JILL Remarks: Total Time: CD Description 39 Final Electrical 0 Phone: 7607293965 Inspector: L Requested By: B.A. WORTHING Entered By: CHRISTINE Act Comments co m%3 b.&!aQ.Ft Lx!&L(6 - Associated PCRs InsDection History Date Description Act lnsp Comments 7/20/2000 17 Interior Lath/Drywall AP SR 7/17/2000 21 UndergroundlUnder Floor CO SR NEED TO RUN WATER TO CHK FOR LEAKS 711712000 34 Rough Electric AP SR SO =ATE F u N D P.O. BOX 807. SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPeNSATlON I N S.U RA N CB ISSUE OAE 01-01-00 CITY OF CARLSBAD ATTN: BLDG DEPT 2075 LAS PALMAS DR CARLSBAO CA 92009 POLICY NUMBER 229-00 UNIT 0006537 CERTIFICATE EXPIRES 01 -01 -01 JOE: ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a from approved by the California insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not n insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. notwithstanding any requirement, term, or condition of any contract or with respect to which this certificate of insurance nuy be issued or may pertain, the insurance afforded by the policies described herein is subject to a11 the terms. exclusions and conditions of such policies. other document -1 PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDINO DEFENSE msn: si.ooo,ooo.oo PER OCCURRENCE ENDORSEMENT 12065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01/01/00 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. - I EMPLOYER B.A. WORTHING INC. PO BOX 1041 CARLSBAD CA 92018 LEQAL WE B.A. WORTHING. INC. PRINTED: 12-18-99 PO409