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Home My WebLink About1251 BASSWOOD AVE; ; CB012061; Permitvq so( 06/13/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Electrical Permit Permit No:CBOI 2061 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 2051122600 Lot #: 0 Applied: 06/13/2001 Reference #: Plan Approved: 06/13/2001 Issued: 06/13/2001 Project Title: ORTH RESIDENCE Inspect Area: REWIRE HOUSE, NO UPGRADE OF SERVICE 1251 BASSWOOD AV CBAD Entered By: MDP Applicant: ORTH GREGORY 1251 BASSWOOD AV CARLSBAD CA 9201 8 760 729-2284 Owner: ORTH GREGORY Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration 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 $1 0.00 $0.00 $0.00 $0.00 $0.00 $20.00 FINAL APPROVAL Inspector: rL Date: 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 'feeslexactions" 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 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 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 01 -?[ EST. VAL. Plan Ck. Deposit Validated By Date Address (include BldglSuite #) Business Name (at this address) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use escription of work # of Bedrooms # of Bathrooms 5. CONTRACTOR - COMPANY NAME (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 to a civil penalty of not more than five hundred dollars [$5001). Name Address city Statelzip Telephone # State License # License Class City Business License # Designer Name Address City StatelZip Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit IS issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 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 ($lOO,OOOL in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION 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 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). 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). 1. 2. 3. 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 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 I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 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: UNO 4. number I contractors license number): 5. 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 I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): I ROPERTY OWNER SIGNATUR /+ COMPLETE THIS SECTION Fb 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? 0 YES 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 site? 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. 0 YES 0 NO CONSTRUCTION LENDING AGENCY by affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097(i) 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 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 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 ays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is 80 days (Section 106 4 4 Uniform Building Code) /APPLICANT'S SIGNATURE DATE 6 11 ?IC), WHITE: File YELLOW: Applicant PINK: Finance .. . . . . City of Carlsbad Bldg Permit# CB012082 lnspectio Inspector Assign1 n Request nent: JC Title: ORTH RES/ 162 SF Description: 208 SF DECK Type: RESDNTL SubType: RAD Job Address: 1251 BASSWOOD AV Suite: Location: APPLICANT ORTH GREGORY Owner: ORTH GREGORY A Remarks: Total Time: Requested By: NA Entered By: CHRISTINE CD Description 39 Final Electrical Act Comments + Associated PCRs 7 Date 12/19/2001 12/07/2001 12/03/2001 11/16/2001 11/16/2001 11/13/2001 1013 1/2001 10131 /2001 10/17/2001 InsDection Historv Description 17 Interior Lath/Drywall 16 Insulation 14 Frame/Steel/Bolting/WeIding 14 Frame/Steel/Bolting/Welding 83 Roof SheathinglExt Shear 17 Interior Lath/Drywall 13 Shear PaneMHD’s 21 UndergroundlUnder Floor 11 Ftg/Foundation/Piers Act lnsp Comments AP RC OKTOTAPE AP JC AP JC FRAMING STRAP AT BATH WC JC AP JC CO JC NAILING NOT PER PLAN PA JC AP JC AP JC TRAILER ON SITE? CODE ENFORCEMENT?