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HomeMy WebLinkAbout2800 CACATUA ST; MP; CB993578; Permitb9/28/1999 City of Carlsbad Electrical Permit Permit No:CB993578 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 09/28/1999 Reference #: Plan Approved: 09/28/1999 Issued: 09/28/1999 Project Title: LA COSTA 8-IRRIG METER PEDISTL Inspect Area: 2800 CACATUA ST CBAD Entered By: RMA I FINAL APPROVAL Inspector: Date: 97 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 feeslexactions. 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 Cadsbad 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 feeslexactions 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 feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE PLAN CHECK NO. EST. VAL. Plan Ck. Deposit A. Date Legal Description Lot No. Subdivision NameNumber Unit No. Phase No. Total # of units ~ ~ Assessor's Parcel # Existing USE Proposed Use c5s &- TL-v-r&A+w L 3 ec!e*ar\ Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 8. CONTRACTOR - COMPANY NAME ISec. 7031.5 Business and Professions Code: Any Cny or County whch requires a permn to const~ct, 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 Codel or that he is exempt therefrom, and the basis for the alleged n 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mo e than fiv hundr d dollars 1$5001). VhtSSOKfli/=iD PA -42~1 r@) 502 +/I/ Name Address city Statelap Telephone # State License # 73S-7 5 4 License Class % City Business License # ! WsB-74 Designer Name Address city Statelzip Telephone State License (I 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the dave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is UqD La A\-& ork for which this permit is issued. ce carrier and policy number are' pih5cL-b Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOWRS [$lo01 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permtt 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 workem' cornpenantion coverage h unlawful. md ahall subject an employer to aknkul pennltks and civil fines up to om hundred thousand dollars ($100,000~. in addition to the cost of compensation. damagea as provided tor in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 improvemen? is sold ithin 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). m? I as owner of the property, am exclusively contracting wlth licensed contractors to construct the project (Sac. 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 contractorb) licensed pursuant to the Contractor's License Law). 1 2 3 7. OWNER-BUILDER DECLARATION I am exempt under Section I personally plan to provide the major labor and matenals for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: number I contractors license number): 5 I will provide some of the w COMPLETE THIS SECTION FOR Is the applicant or future building 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 sae? 0 YES 0 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code) LENDERS NAME LENDER'S ADDRESS 3. APPLICANT CERTIFICATION 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 wnh all City ordinances and State laws relating to building construction. I hereby authonze representatives of the Ck) of Cadsbad to enter upon the above mentioned property for inspection purposes. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENS ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE QRANTING OF THIS PERMIT. OSHA: An OSHA permit is required and demolaion or construction of structures over 3 stories in height. EXPIRATION: Every per work authorized by such or abandoned at any time APPLICANT'S SIGNATUR DATE 0 YES 0 NO er the Provisions of this Code shall expire by limnation and become null and void if the building or riod of 180 days (Section 106.4.4 Uniform Building Code). days from the date of such permit or if the building or -- - ._ -~ - City of Carlsbad Inspection Request For: 11/2/99 Permit# CB993578 Inspector Assignment: RB Title: LA COSTA 8-IRRIG METER PEDISTL Description: Type: ELEC Sub Type: Job Address: 2800 CACATUA ST Suite: Lot 0 Location : APPLICANT AVALON HOMES Owner: Remarks: Phone: 7609299577 Inspector: p17 Total Time: Requested By: BOB CD Description Act Comments ) //-3-yp Entered By: CHRISTINE 32 Const. ServicelAgricultural I Inspection History / Date Description Act lnsp Comments 1011 3/99 39 Final Electrical NS RB 10/14/99 39 Final Electrical CO RB SEEPERMIT c3 /’ )d