The URL can be used to link to this page

Home My WebLink About2383 TERRAZA GUITARA; ; CB041492; Permit~ • ,h 1 \l~i,,~~r.~~ ~~~!!.~!~,,,. 12-07-2004 ~ \) Electrical Permit Permit No: CB041492 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2383 TERRAZA GUITARA CBAD ELEC Status: Parcel No: 2155820200 Lot#: 0 Applied: Reference #: Project Title: KLUKA RES ELEC FOR PORTABLE SPA Applicant: GIFFORD CONTRACTING 1348 DARWIN DR 92056 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: KLUKA NICHOLAS A&KRISTI L W 2383 TERRAZA GUITARA CARLSBAD CA 92009 ISSUED 05/04/2004 SB 05/04/2004 05/04/2004 JM $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $10.00 $0.00 $30.00 Total Fees: $30.00 Total Payments To Date: $20.00 Balance Due: $10.00 FINAL Inspector: Date: A [/ 7002 .12/07101+ 0002 01. Ct:,F .. Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositio "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 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/exactions of which uh ve reviou I been iv n N TICE similar to this or a to which th t lute of limit lions h PERMIT APPLICATION FOR OFFICE usE ~C)d IL{ 9c PLAN CHECK NO. ____ _ ' ' CITY OF CARLSBAD BUILDING DEPARTMENT EST, VAL _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 .1. fllOJECTINfORMATIQN 'x{"<-3.?3' [E%/?Av'4 Gu,Z:l'!tt-" i:,a •• , Business Name (at this address) / :ddress (include Bldg/Suite #) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel # Proposed Use SPA #of Stories # of Bedrooms # of Bathrooms Address ia~-,;-. tAPP~tCArJT<. [J ·CQ~tl'a~~or''· E:FAtienh0f'.!ti:>l1tra0:;0r· :'.0,-0.W_nBr Address 2 3111 City []>Agent for-Owner City State/Zip State/Zip Name Address City State/Zip \(1;. • · CONTRAQTOR'" CQMPANY,tlAM~ Telephone# Fax# Telephone# Telephone# (\ ~Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demohsh or repair any structure, prior to its issuance, also requires the apphcant for such permit to hie 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 ption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). -.t v Q, ~ tl7'1J· w ,,., ,:i ,t C&,<v..,s, ~1. 92 ~, State Ucense # _,Zc..,c:J.c,_,9,._,o'-=~'-=2=---License Class _ _,_f>-______ _ City State/Zi~ ,.. Telepb,gne # City Business License # /Lf£/ ( pc) ~ Designer Name Address City State/Zip Telephone 6, ,WQRg~RS/"COM~iN!tATl<lN" Work~rs' ·compensation· Declaration: thereby affirm under penalty of perjury one of the following declarations: l State License # 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 work for which this permit is issued. D 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: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ • l!JS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ~ CERTIFICATE OF EXEMPTION: l 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 la unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thouaand dollars ($100,000), In addition to the coat of compensation, damagea as provided for In Section 3706 of the La r co , interest and attorney's fees. X;~c::~:n1a~~11Ar!G;',7# --. 'cih-"'*" -' " "' ' DATE S, d I hereby affirm that I am exempt from the Contractor's license Law for the following reason: 0 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). 0 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). 0 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. D YES ONO 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 I 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): __________________________________________________________ _ DATE _________ _ 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 Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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,,. CJ;Q,NSTRU!>TIQN LENDINGAGENC'I'. 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 __________________________ _ ·~• ,;APPIJCMITCERTIFICIITION 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 Cit\' 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 PPLICANT'S SIGr,ATURE _¥,~...,6,~~c::'.'.'.!:._>=4~~'._J______________ DATE .!s,Lty~ 4/ Jat any time after the work Is commenced for a peno of 180 da s (S tion 106 4 4 Umform Bu1ldmg Code) / / YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/08/2004 Permit# CB041492 Title: KLUKA RES ELEC FOR PORTABLE Description: SPA Type: ELEC Sub Type: Job Address: 2383 TERRAZA GUITARA Suite: Lot 0 Location: APPLICANT GIFFORD CONTRACTING Owner: KLUKA NICHOLAS A&KRISTI L W Remarks: Total Time: Inspector Assignment: JM --- Phone: 7604318265 "TT' Inspector: --J W',.,; Requested By: NICHOLAS KLUKA Entered By: KAREN CD 59 Description Final Pool Act Comment Wvvlu1/vJ ~ N0 Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 10/12/2004 31 Underground/Conduit-Wiring WC JM 10/12/2004 34 Rough Electric WC JM 10/12/2004 39 Final Electrical co JM SELF CLOSE BOTH GATES 05/06/2004 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 05/06/2004 34 Rough Electric WC JM