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HomeMy WebLinkAbout2842 CAZADERO DR; ; CB050358; Permit02-07-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB050358 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2842 CAZADERO DR CBAD ELEC 2153401200 TUMILLO RES REDO ELEC & PLUMB TN10TStJEN,W/DRYWALL Status Lot # 0 Applied Entered By Plan Approved Issued Inspect Area VICKERS ST S A 858-277-8075 Owner TUMINELLO LEWIS G&KIMBERLY J 2842 CAZADERO DR CARLSBAD.CA 92009, ' , ISSUED 02/07/2005 KG 02/07/2005 02/07/2005 / \ Electric Issue Fee - , Single Phase per AMP ' Three Phase per AMP / / Three Phase 480 PenAMP/ ~ "" Remodel/Alteration per AMP Remodel Fee '-^ -,. j / x Temporary Service Fee ' . _" - Test Meter Fee - Other Electrical Fees / ~. Additional Fees ,--/•/ ' ,, •" ' 'I * ••' \ ' '0 ' -v- "^ ' Jo \ " v 0 / , ' ' •* 0 ' *• ^' """/''""-•""'""' r ~\ / - „. y- x'/^// ^ " ",-•'-" ^ *'' "f-~ -'' -, ^ ^ •" / /" * ' ' $1000 "t\ $000/"1 > $000 " $000 - _.«$ooo. ' t *$1000\ ^ " '' $0 00 , x $000 - . - $9500 \ '•- , $o'oo TOTAL PERMIT FEES $11500 Total Fees $115 00 Total Payments 'To Date \, ^/.00 Balance Due $11500 \ 1238 02/07/05 0002 01 02 / CGR 115- Inspector FINAL Date Clearance NOTICE Please fake NOTICE that 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 dale 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 , PROJECT INFORMATION TV-, 92*04 FOR OFFICE USE ONLY PLAN CHECK EST VAL Q Plan Ck Deposit Validated By Date J^~~. Address {include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use , Proposed Use Description of Work (^)^Mj>/£ f-(•> CfOO Q 2 CONTACT'PERSON (if different from applicant) SQFT *of Stones of Bedrooms # of Bathrooms S Of Name Address City 3 ^APPLICANT M Contractor* E3 Agent for Contractor D Owner Q'Agent for Owner State/Zip Telephone # Fax # Name 4, PROPERTY OWNER Address City State/Zip Telephone* Name Address City State/Zip Telephone # 5V CONTRACTOR - COMPANY NAME 4 'V ' '" - < -' " - , > (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 tojj civil penalty ofnot more than five hundred dollars [$500]} Name ^ State License # ^2 ^~*~s-, Address ^> Y / "2 "7 License Class /"^ City State/Zip_ O./» Telephone # . City Business License # \^ t'Cp^-^ \f ^> SsQ — \ Designer Name State License tt Address City State/Zip Telephone i6^ ".WORKERS' COMPENSATION ,-/,,'' , " , 1 - , ' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 0 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 , 0 Exiration Date C.3/-" Q (QInsurance Company Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (M007oOO)Tin^d d It ion to the cost of/Compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE - ~ _ Z - ' _ ---- JP~^X - _ DATE cA/V/^'3' 7 OWNER-BUILDER.DECLARATION ! > - ' ' - „ % ~( ' ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason [3 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 contractor(s) licensed pursuant to the Contractor's License Law) Q 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 (~]NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firmj 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 FOR NON-RESIDENTIAL BUILDING PERMITS ONLY • <- • ' , . > 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? C3 YES D 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 30970) Civil Code) LENDER'S NAME _ LENDER'S ADDRESS _ ____ 9 , 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 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 from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aftpr the work is cpmmeTiced foha period of 180 dpys-fGection 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE ; commeTiced foha period of 180 d^ys-fSecho;) 1 ( j ^^_ C_^_-,DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/06/2005 Permit# CB050358 Title TUMILLO RES REDO ELEC & PLUMB Description IN KITCHEN,W/DRYWALL Sub Type 2842 CAZADERO DR Lot Type ELEC Job Address Suite Location APPLICANT NEW LIFE CONSTRUCTION Owner TUMINELLO LEWIS G&KIMBERLY J Remarks AM PLEASE Inspector Assignment PC Total Time CD Description 39 Final Electrical Act _ Comment Requested By NA Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/09/2005 15 Roof/Reroof WC PC 03/09/2005 17 Interior Lath/Drywall 03/01/2005 16 Insulation 03/01/2005 24 Rough/Topout 03/01/2005 34 Rough Electric AP PC AP PC INSPECTION REQUIRED OF REPAIR OF EXISTING MASONRY FIREPLACE AP PC AP PC