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HomeMy WebLinkAbout1668 CORTE ORCHIDIA; ; CB023753; Permit12-13-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No Building Inspection Request Line (760) 602-2725 CB023753 Job Address Permit Type Parcel No Reference # Project Title 1668 CORTE ORCHIDIA CBAD ELEC 2159501600 Lot# 0 CHANDLER RES/GAS & ELEC TO BBQ Status ISSUED Applied 12/13/2002 Entered By CB Plan Approved 12/13/2002 Issued 12/13/2002 Inspect Area Applicant CARL'S CLASSIC RESTORATION 1011 RANCHEROSDR SAN MARCOS 92069 603-8257 Owner RYLAND HOMES OF CALIFORNIA INC 5740 FLEET ST #200 CARLSBAD CA 92008 Total Fees $6700 Total Payments To Date $000 Balance Due $6700 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 $1000 $000 $000 $000 $000 $1000 $000 $000 $4700 $000 $6700 3476 12/13/02 0002 01 02 CGP 67-00 Inspector JJKA FINAL AR 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 lees/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 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 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date j -2-- Address (include Bids/Suite £) ^_ „ Legal Description Assessor's Parcel tt Description oLWork / f _ ,. /^ Aftf/1 Business, Name lat this address) Lot No Subdivision Name/Number Unit No Phase No Existing Use Proposed Use .,. SQ FT #of Stories # of Bedrooms Total # of units # of Bathrooms'f<* 2 CONTACT PERSON (if different from applicant) Name 3 APPLICANT I Contractor Address D Agent for Contractor: /Oil Owner City CJAgent for Owner State/Zip Telephone #Fax # Name 4 PROPERTY OWNER Address City State/Zip -"-• : - Telephone # C Address City State/Zip Telephone #Name 5 ^CONTRACT OR -COMPANY NAME™ '" -:;T: " -"' "-.lO .. " '-.- • ,: :;|L.. '"....•',.. ;.., (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 [$500]) Name State License #(c-Address License Class City State/Zi City Business License # Designer Name Address ^Ax/TT- City State/Zip Telephone State License t> e WORKERS:COMPENSATION „ : • ' ,, .. ... :s Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 1he performance of the work for which this permit is issued l~1 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 ^J / h— Policy No Q O<f- V Y 0 ' ~& Expiration I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 Failureto-secure'workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars^WTOO o6^l).rirr^djt^Ho the cost of compensation, damages as provided for in Section 3706 of the Labor code/mteresf and attorney s fees SIGNATURE 7. OWNER-BWfCDER DECLARATION DATE I hereby aftmrMbat-t-cffn exempt from the Contractor s License Law for the following reason |~l 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) ; l~l 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 l~1 YES fjNO 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 / 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 SECtJQN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY : ...„"" t '-/ "" •; .:: 1. V 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? O 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? f~l YES l~1 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l"~| YES l~l 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(i) Civil Code) LENDER S NAME LENDER S ADDRESS 9 ^APPLICANT CERTIFICATION ".<:'"• ":"" ,.:F .,•••' ; ;... ; „ , ^ ,.. . -•••:• ;. "• •• 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 < omply 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 PhRMIT 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 OfficjflLunder 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 withjn-fgodays jfprn 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 commenced for-a period of Ij^bfjays (Section 106 4 4 Uniform Building Code) / •!.^^ ~ Cw^f**- DATE /*&>'•" HITE File YELLOW Applicant PINK Finance APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For 05/13/2003 Permit* CB023753 Title CHANDLER RES/GAS & ELEC TO BBQ Description Inspector Assignment JM 1668 CORTE ORCHIDIA Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT CARL'S CLASSIC RESTORATION Owner CHANDLER BRYAN K&PAMELA A Remarks AM PLEASE Phone 7609290980 Inspector Total Time CD Description 29 Final Plumbing 39 Final Electrical Act Comment Requested By PAM Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/05/2003 21 Underground/Under Floor CO JM NO ONE HOME GATE LOCKED 12/16/2002 21 Underground/Under Floor WC SR 12/16/2002 23 Gas/Test/Repairs AP SR 12/16/2002 31 Underground/Conduit-Wiring AP SR CONDUIT ONLY License Detail Page 1 of2 California Home Friday Dpcember 13 2002 License Detail Contractor License # 803428 CALIFORNIA CONTRACTORS STATE LjCENSE BOARD DISCLAIMER A license status check provides information taken from the CSLB license data base Before relying on this information, you should be aware of the following limitations • CSLB is prohibited by law from disclosing complaints until they are referred for legal action • Per B&P 7071 17, only construction related civil judgments known to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base * * * Extract Date 12/13/2002 Business Information * CARL'S CLASSICS RESTORATION INC 1011 RANCHEROS DRIVE SAN MARCOS, CA 92069 Business Phone Number (760) 603-8257 Entity Corporation Issue Date 01/22/2002 Expire Date 01/31/2004 * * * License Status * * * This license is current and active All information below should be reviewed * * *Classifications * * * Class C27 | Description [LANDSCAPING * * *Certifications * * * Cert HIC Description HOME IMPROVEMENT CERTIFICATION * * *Bonding Information * * * http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 12/13/2002 License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number 9050571 in the amount of $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 11/26/2001 BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual number 9056424 for JILL ANN LACKEY in the amount of $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date 01/14/2002 * * * Workers Compensation information * * * This license has workers compensation insurance with the 11 G INSURANCE COMPANY Policy Number 80593554 Effective Date 04/01/2002 Expire Date 04/01/2003 Workers Compensation History Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2002 State of California Gray Davis Governoi Conditions of Use Pnvjiy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 12/13/2002