HomeMy WebLinkAbout2071 GAYLE WAY; ; CB950974; PermitB U I L D I N G P E R M I T Permit No: CB950974
Project No: A9501388
Development No:
07/21/95 12:13
Page 1 of 1
Job Address: 2071 GAYLE WY
Permit Type: ELECTRICAL
Parcel No: 205-152-04-00
Valuation: O
Construction Type: NEW
Suite :
Lot#:
Occupancy Group: Reference#: Status: ISSUED
07/21/95
07/21/95
RMA
Description: KITCHEN REMODEL-SINK,110 V & Applied:
: 220 OULTLETS-APPLIANCES,3-20 AMP BREAKER Apr/Issue:
Appl/Ownr : DISTINCTIVE KITCHENS & BATH
1844 MISSION RD
ESCONDIDO, CA 92029
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter 11y11 for Electric
Remodel/Alter Per AMP
Enter oy11 for Remodel
Other
* ELECTRICAL TOTAL
***
67.00
.00
67.00
Issue Fee
* *.,._
)
)
)
)
Entered By:
619-480-9199
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
67.00
***
Units Fee/Unit Ext fee Data
10.00 y
60 15.00
10.00 y
32 .0 0 PLUMB
67.00
2819 07 /21/95 0001 01 02
PERM
C-PRMT t,7 .r~
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
7l!RMlT APPLICATION
City of Carlsbad Building Depart-,t
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161
I. PkkMli NPK
~ ~
From list I (see back) give code of Permit-Type: -~!..O.P\ __ \"):..;· ______ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ------~'--F_t:> __ . _______ _
Net Loss/Gain of Dwelling Units
2. PR<llECf INFORMATION
Address :.2.u "1 I b, A<//<. \.,,J 1
Nearest Cross Street Ko.<:\, ,S.O '--1
Bmldmg or Suite No.
U:CAL DESCRIPI ION fut No. Subd1vis1on Name/Number "Z..o~-1 S°2-OL/ -oo.
CHECK BEIDW IF SOBMII IEO:
D 2 Energy Cales D 2 Structural Cales • 2 Soils Report • 1 Addressed Envelope
FOR OFFICE USE ONLY
Omt No. Phase No.
DESCRIPTION OF WORK ~ .!-'" e-,G i 'i,r,-'f C..C. \,; --d-,"/ 1'! G' f V <.t nas ::;= ,J I<;; •re. i......J -_,__oJ>.1«
A--AJci.,d;.Jc, 2.. iJ•.J 110 "''-r" ~ 1-z t.o V9L..-;,-<:t.o A,J,p) '-•"-'-'4~• a-..d ,;;;,.1i,. • SQ! Ff. # OF STORIES°"" # OF BEDROOMS # OF BATilROOMS
NAME (last name first) M.lJL-L1 ,J,S:
CI1Y C:..S~l:> I
6. WN tRACIUK
NAME (last name first)
CITY
.,...1-1,.f"t tJ.
STATE ':4, ZIP CODE
STATE ZIP mDE
ADDRESS "Ul 1 I (:i4 '1 / f 1../ '1•
DAY TELEPHONE
ADDR!':SS
DAY TELEPHONE
STATE UC. # $".)."1):)\ UCENSE CLASS B -! CITY BUSINESS UC. # (;)/J F" I [2 ' / a.(/'Z.(,,-~:3
DESIGNER NAME (last name llrst) jftwit; fl\'~ l'ld'P'-•4,J-i--. ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WdkkERS-' WMPENSA:IlON
Workers1 Compensation beclaranon: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE mMPANY S'~ F-Nd' Lo .n-,>1JJs.
SIGNATURE DATE
8. OWNm-DDllDRil Ofi!IARXIKJN
•
•
•
Owner-Builder Declaration: I hereby afnrm that I am exempt from the Confracfofs license Law for the followmg 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 Llcense 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).
I am exempt under Section _______ Business and Professions Code for this reason:
(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, commencing 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]).
SIGNATURE DATE
WMPLEIE IRIS SECIION FOR NON-RESlbEN IlAL HulWlNG PERMIJS 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? •YES •NO Is the applicant or future building occupant required to obtain a permit from [he air pollution control distric[ or air quality managemen[ district? •YES •NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF TIJEANSWERS AREYES, AFINALCERTIFICATEOFOCCUPANCYMAYNOTBEJSSllED AFTER JULY I, 1989 UNU'.SSTIJEAPPUCANT
HAS MET OR JS MEETING TilE REQUIREMENTS OF TilE OFF1CE OF EMERGENCY SERVICES AND TilE AIR POLLUTION CONTII.OL DISllUCT.
9. WNSIROCIIUN IJ!NDING AGENCY
I hereby affirm that there 1s a construcbon lend mg agency for the performance of the work for which this pernut 1s issued (Sec 3097 (I) C1VU C&ie).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CFJtiiFlCA:IION
I certify that I have read the apphcaaon and state that the above mformat1on ts correct. I agree to comply wtth all City ordmances and State laws
relating [o 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 TilE CflY OF CAR!SBAD AGAINST AIL IJABIIITIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY A(XJUJE AGAINST SAID CflY IN CONSEQUENCE OF TilE GRANTING OF TilJS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of strucrures 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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or a doned any time after the work is comme ced for a period of 180 days (Section 303(d) Uniform Building Code).
APPUCANT'S SIGNATU DATE: ?-:ll -'I $.
t PINK: Fmance
0
,... CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950974 FOR 07/25/95
DESCRIPTION: KITCHEN REMODEL-SINK,110 V &
220 OULTLETS-APPLIANCES,3-20 AMP BREAKER
TYPE: ELEC
INSPECTOR AREA
PLANCK# CB950974
OCC GRP
JOB ADDRESS: 2071 GAYLE WY
APPLICANT: DISTINCTIVE KITCHENS & BATH
CONTRACTOR:
PHONE:
CONSTR. TYPE NEW
LOT: STE:
619-480-9199
OWNER:
REMARKS: MW/AM PLEASE
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB950526 PLUM
PHONE:
PHONE:
INSPECTOR
STATUS
ISSUED
ACT COMMENTS
-
___ 1J/? ___ _ 39 EL Final Electrical Z/F
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS