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HomeMy WebLinkAbout2629 SUTTER ST; ; CB062042; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-18-2006 Electrical Permit Permit No: CB062042 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2629 SUTTER ST CBAD ELEC 1675112600 Lot#: 0 MOORE RES-ELECTRIC, LIGHTS, GFl'S FOR KITCHEN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/18/2006 LSM 07/18/2006 07/18/2006 NEW LIFE CONSTRUCTION MOORE ROBERT C&STUPPY-MOORE LAURA 8340 VICKERS ST SAN DIEGO CA 92111 858-277-8075 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 0 0 0 0 2629 SUTTER ST CARLSBAD CA 92010 $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: lnspecto : FINAL 1PPROVAL Date '1 ·I'!· cl Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the ''Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/exactions." You have 90 days from the dale this pem1it 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. 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/exaction f hich ou have r vi I een iven a NOTICE imilar t hi or as o whi h h t f limita ions ha reviousl th rwi FOR OFFICE USE OJIIL Y PERMIT APPLICATION PLAN CHECK NO. CB.O~!>-04,::i. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _______ _ Validated By ___ ~u..~=...:...:::.· __ _ Date, ___ __.7._1,_/ .LC! '6j2-'-/...,Q'-'C;,...__ __ Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units :;::-rL_ Assessor's Parcel # Existing Use Proposed Use Name Address I y a Fax # /C<"fl ."•,''"c<;',<i'J•",:,.,' •,,, .. •."',,,,.,., 7 Name Address ity ~-----..,~t~~l*~itjf~t1~S~/j;1fut~Jt;;<z~~~~~,,:~~j:ffl+-· -;.)) ,, ,,\i (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure1 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 exemption. Any viplatiop,C;t Section 7031.5 by any ap icant /or _a IJermi~ubjects the applicant to a civil enalty,g! not more t n five hundred dollars ($50011. CV, J. I~ G,..,rt: 2 '7 0 V /e;fetLJ • /l . . 'r ( ( 7 ~ r Name State Ucenso # _ _,,C:,=-c..§_9..c.___,7'-7.,__7..__ Address -::-=:> License Class __ JP~------City State/Zip Telephone II City Business License # I 0. l 't: 1,, :::>. 3 Designer Name Address Citv State/Zip Telephone State License # _________ _ ~alliUl~~~~~$'ffl$~~1~-~iffj~t)-h,'i:J1kf,1i~2iiiiiA~l4!!ft£if::;Jj~~~?ikf~tlW6t.!i~Jf£1~uari~~,JJ~~-®¼~~'ijjj 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 th_!-,)York for which this permit is issued. cg,'" 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: 7 Insurance Company S'[ I/ 'f C &~ Policy No. t3Q &:'?f 3 Expiration Date Q / --tJ (THIS SECTION NEED NOT BE COMPI.ETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit ls 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 .. cur• worken' companaatlon coverage la unlawful, ■nd lhall 1ubj■ct an ■mpioy., to Grimlnal penllhfu and civil ffnu up to ~ tumdr■id thou1and dollar■ ($100,000J, In addition to the co1t of compen1ation, damage• a• provided for In Section 3708 of thti Labor coda, lntereat and attom■y'1 faaa. SIGNATURE,____________________________ DATE ________ _ ltniiWilDllilllJa~~~~~!'l>i!.\llk~:\'!li;jl'f~~-~1!!1 I hei-eby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or mv employees with wage, as their sole compensation, will do the work and the structure la not intended or offered for sale (Sec. 7044, Business and Professions Coda: The Contractor's UcenH Law does not apply to an owner of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvementl are not Intended or offered for sale. If, however, the building or improvement ls 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 own■r of the property, am exc/uaively contracting with licensed cont11ctora to construct the project (Sec. 7044, Business and Profesalons 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(&) licensed pursuant to the Contractor's LlcenH Law). 0 I am exempt under Section ______ Business and Professions Code for this reoson: 1. I personally plan to provide the major labor and materials for construction of th• propoaed property Improvement. 0 YES ONO 2. I (have/ have not) signed an application for a buUding permit for the proposed work. 3. I have contracted ,with the following person (fitm) 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/ addraJs / 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 lrmMlil.'iti!ffi'll~U:!t~1ilfB~~1L~NIJ~.l!ill\illi!i!!Abl~st-- 1s 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 25634 of the Presley. Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant raqulred to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 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. 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). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ "'"'"'••••• ..... ,._,,,..,.,,..-!'"'""'"'"'"'•"1'!ll,;,;~/.1r<"c~,:;,n,;;;;'.a';<'±'\:,.,.,::,'."'l''"'"""1"''''£',T\i'IY,;"",1ii<'b,:?s:rutt1;;e,ra,,-,,.,,,,,.,,.!n',<';J~,""'J!\WIW,-,m,,.,,,a,,,-,,,c.,,,.,,,,,,,,, ltfJffilllillt~JUO,«:Jitii.U,f~,1~J!l!!l't~'!lliJ,.... //,"'-'M.:.'<iMfiiWW:,,,.,..,\",fe',J.:,41111µ.,,;,,.,·,~;;,.,-, •!'10,t,i>'ll'X.'';•__,7, ;:ec!i<i"1,:~1_,.",..;.~~~.,.£"'-r_\f.1$,,:,"'-(l!~~ i\.'l!t'""'~•..'.'l'.ti'.t:~~ I ~ertify ~hat I have read the applicati?n and st~t• that the abO_ve 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 budding construction. I hereby authorize representatives of the Citt 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 ovar 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIA_ATION: Every pe~n:irt issued by the bul~di~g Offlcial under the provisions of this Code shall expire by limitation and become null and void If the building or work authon~ed by such permit !s not commenced within 180 days from the date of such permit or If the building or work authorized by such permit ls suspended or abandoned at any time after the work 1s comma ·ad of 180 days (Sectio 6.4.4 Uniform Building Code). APPLICANT'S SIGNATUREi.c;c==-L_=:==::i.=='--_::::::::;:::'.::~~------- City of Carlsbad Bldg Inspection Request For 09/12/2006 Permit# CB062042 Title: MOORE RES-ELECTRIC, LIGHTS, Description: GFl'S,NEW SINKS BATH/KITCHEN Type: ELEC Sub Type: Job Address: Suite: Location: 2629 SUTTER ST Lot 0 OWNER MOORE ROBERT C&STUPPY-MOORE LAURA Owner: MOORE ROBERT C&STUPPY-MOORE LAURA Remarks: pm please Total Time: CD Description 29 Final Plumbing ~ Comment 39 Final Electrical Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 07/26/2006 34 Rough Electric Act lnsp Comments AP PD Inspector Assignment: PD --- Phone: 7606022719 Inspect~ Requested By: LAURA Entered By: JANEAN