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HomeMy WebLinkAbout2763 ASCOT AVE; ; CB062248; Permit08-07-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB062248 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2763 ASCOT AV CBAD ELEC 2131811100 Lot#: VU RES-ELECTRIC TO FOUNTAIN Status: ISSUED Applied: 08/07/2006 Entered By: RMA Plan Approved: 08/07/2006 Issued: 08/07/2006 Inspect Area: Applicant: TED MYERS 1550 BURGUNDY RD. ENCINITAS, CA 92024 760-579-1239 Owner: - VU JOHN D&TRUONG KIM P 2763 ASCOT AVE CARLSBAD CA 92009 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 $10.00 $0.00 ' $0.00 $0.00 $0.00 $10.00 $0.00 -$0.00 $0.00 $0.00 $20.00 Total Fees:$20.00 Total Payments To Date:$20.00 Balance Due:$0.00 Inspector: FINAL APPROVALi /vvV? •' U^Clearance: NOTICE: Please take NOTICEJhat 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 E>6020(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 vou 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 FOR OFFICE USE Or&Y PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total tt of units Assessor's Parcel #Existing Use Proposed Use Description of Work • , SQ.E ^/V^^ tt of Bedrooms tt ot Bathrooms Name Address City State/Zip Telephone tt ^5«ldiCONTR£CTpR,£ COMPANY? NAM M (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 j 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 I [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 viojationjjf Section 7031.5 by arjy^agplicant for |,permit subjects the applicant to a civil penalty of not^ngre than five hundred dollars ($5001). Name State License # — <-^ •> , — s 0 "^ ' < £j& Address License Class City State/Zip city Business License # f*~ \ ^ - Telephone # •** *<Sfo Designer Name Address. City State/Zip Telephone State License # feJiHwp RKERS^CO M PENSATION iffMfljjj Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. \Zf I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy numbei are: &J#$ t , -ox"" / j •— Insurance Company *S/r772Z COfWr^M^/fflCM ('&>£'£fw3%2 Policy No./O^-"/^ '^ Expiration Date / "" ' / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION; I certify that in thft performance of the work for which this permit is issued, I shall not employ any peison in any manner so as to become subject to the Workers' Compensation Laws of California. • ' WARNING^-FaHuqi to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred I thousand Collars (SJ^P.OQDj^jajddition to the cost of compensation, damages as provided for In Section 3706 of the Labor codA, Interest and attorney's fees. ___ DATE 6/7/0 J i- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). -Q 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 contractors) licensed pursuant to the Contractor's License Law). • o 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 [qpjyjpLEfijjrffis ~ "' DATE. P E R M ITS i O N L YJ-J*«*< n $K \1P fl h Br< ,iA ;C : c sfSM^fe-SS ^S'fLwPSSp.-t;!1 £!'.[%'& !»>!s>r •-, ms; am j,,r,c«™ i^VP'^ <&&«B«RJffi«^^^ 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? Q YES Q 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 Q 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ISlflcM^fWCTi^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec, 3097ti| Civil Code). LENDER'S NAME LENDER'S ADDRESS f9?^P^?c7^(~Em^^ 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 CitV 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 pe/fnit is^suspended or abandoned at any time after the work is/#mnXnced for 3 period of 180 days (Section 106.4.4 Uniform Building Code). <-~.ff /*-? APPLICANT'S SIGNATURE V /^^T^ '\T ~**2- ~^ DATE ' WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/22/2007 Permit# CB062248 Title: VU RES-ELECTRIC TO FOUNTAIN Description: Inspector Assignment: PY Type: ELEC Sub Type: Job Address: 2763 ASCOT AV Suite: Lot 0 Location: APPLICANT TED MYERS Owner: VU JOHN D&TRUONG KIM P Remarks: GO INTO BACK YRD IF NO ONE HOME (NO DOG) Phone: 7605791239 Inspector: Total Time:Requested By: JOHN VU Entered By: CHRISTINE CD Description 39 Final Electrical Act Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/08/2006 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY ;^m-H»<i/ vX-Ji: v-'"1'''11".1;?^' ,^N >' License Detail -CaJifotnia.Hoffie Page 1 of2 Monday, Aug License Detail Contractor License # 851126 CALIFORNIA CONTRACTORS STATE LiCEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071.17. only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 08/07/2006 * * * Business Information * * * OUTDOOR SPACES A LANDSCAPE COMPANY , . PO BOX 232664 ENCINITAS, CA 92023 Business Phone Number: (760) 579-1239 Entity: Sole Ownership Issue Date: 12/11/2004 Expire Date: 12/31/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. *** Classifications *** Class [C27~ Description LANDSCAPING * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 544457C in the an $10,000 with the bonding company http://w\vw2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/07/2006 License Detail Page 2 of 2 DEVELOPERS SURETY AND INDEMNITY COMPANY. Effective Date: 11/10/2004 * * *Workers Compensation Information • This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1824095 Effective Date: 04/13/2005 Expire Date:-04/01/2007 I Personnel List •License Number 1 Request • Contractor Name Request • Personnel Name Request Salesperson Request 1 Salesperson Name Request © 2006 State of California. Conditions ofJJse Privacy_Ppjjcy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/07/2006