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HomeMy WebLinkAbout2229 CORTE ANANAS; ; CB101041; Permit06-10-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB101041 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: KING MASONRY 1137 OAK DRIVE 92084 760 727-8830 2229 CORTE ANANAS CBAD ELEC 2552614100 Lot#: PRZESMICKI RESIDENCE EXTEND GAS & ELEC TO FIRE PIT AND BBQ Status: ISSUED Applied: 06/10/2010 Entered By: MDP Plan Approved: 06/10/2010 Issued: 06/10/2010 Inspect Area: Owner: PRZESMICKI STEVEN M 2229 CORTE ANANAS CARLSBAD CA 92009 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 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 TOTAL PERMIT FEES $47.00 Total Fees:$47.00 Total Payments To Date:$47.00 Balance Due:$0.00 ,7 Inspector: FINAL APPRQVAL 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 "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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. <^^1> Building Permit A| vS^/' 1635 Faraday Ave., Carlsba N^ CITY OF 760-602-2717/2718 /"* A n i e*n A I~N Fax: 760-602-35 CAKLbbAU www.carlsbadca.i JOB ADDRESS -j rt CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS nnlirnK™ P'a" Ch6Ck N°'PpllCQtlOfl j, CA 92008 Est. Value /2/1958 Plan Ck. Deposit m Date SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) £?*4<y\<A 4d5s L-W^ T~O iSSQ GHY\A, "P^v-e. I?\T oAs<!> fclPcVv\c TO P5® w EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (It Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME _ t _ ADDRESS CITY STATE ZIP PHONE/ . FAX EMAIL *• ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES O NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS <^ CITY | STATE ZIP ^ - PHONE ^ FAX V"7bOj "7 "2- "I A^^o -TL-T 8X"?c> EMAlt j f ^lV\ fli hAlu^drt /U ^J 1 ^^**'* » ' STATE LIC.# J I CLASS— CITY BUSJ|LICL# oT.^.s§J ^ ^~ oS\T **^ (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 iemjance, alsoJequires 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). c omf. EH * &~n:&m Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: G 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. TJy 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 workers' compensation insurance carrier and policy number are: Insurance Co. _ Policy No. _ Expiration Date _ This section need not be completed if the permit is for one hufldred dollars ($100) or less. O Certificate of Exemption: I certify that in the performa/ioB 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 secur/woVkMVlcomieisation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, Bamaafesras/jrovnm for in Section 3706 of the Labor code, interest and attorney's fees. j / (0 // £) / / OCONTRACTOR SIGNATURE f\OAGENT DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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). n 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 contractors) licensed pursuant to the Contractor's License Law). I am exempt under Section _Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, a Yes a No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): >eTpROPERTY OWNER SIGNATURE OAGENT DATE s'e.crri0w "ir'OR NON-RES to ENT i AL a u ILD i NG t> E RM ITS 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? Q Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes CJ No Isttieracilitytobeconstructedwithin1,000feetoftheouterboundafyofascnoolsite? CJYes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. :£O N $ T 8 M C T I O N J.*.« 0f.ISI.G I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address A P P i I C A NT C B B T11H :C AT J.y&liJ I certify that I have read the application and state that the above information is correct and that the infomvrtkm on rJie plans is accurate. I agree to oxtiplywitt all r^ I hereby authorize representative of Ihe City of Carlsbad to enter upon tie 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 SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. EXPIRATION: Every permit issued by the Building Offcpl under Inewisians of this Code shall expire by limitation and become null and void if Ihe building or work authorized by such permit is not commenced within 180 days Sxm the date of such penrnt or if Ibe^ilding ^ v^ a^hcfeef bj su^ ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 08/24/2010 Permit* CB101041 Title PRZESMICKI RESIDENCE Description: EXTEND GAS & ELEC TO FIRE PIT AND BBQ Inspector Assignment: PD 2229 CORTE ANANAS Lot: 0 Type: ELEC Sub Type: Job Address: Suite: Location: OWNER PRZESMICKI STEVEN M Owner: PRZESMICKI STEVEN M Remarks: Phone: 7604588500 Total Time: CD Description Act Comments 21 Underground/Under Floor '~- Comments/NoticesyHolds Requested By: BRAD Entered By: JANEAN Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 06/17/2010 23 Gas/Test/Repairs AP PD 06/17/2010 31 Underground/Conduit-Wiring AP PD 06/15/2010 23 Gas/Test/Repairs CO MC 1147 F2, NOTICE ATTACHED 06/15/2010 31 Underground/Conduit-Wiring CO MC f CITY OF CARLSBAD BUILDING DEPARTMENT DATE (760)602-2700 1635 FARADAY AVENUE TIME LOCATION PERMIT NO. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT "?bg> £»<X2~ ~2^J U YES BUIUMNG INSPECTOR CODE ENFORCEM6NT OFRCEft ,.12. City of Carlsbad Bldg Inspection Request For: 06/15/2010 Permit* CB101041 Title: PRZESMICKI RESIDENCE Description: EXTEND GAS & ELEC TO FIRE PIT AND BBQ Inspector Assignment: 2229 CORTE ANANAS Lot. 0 Type: ELEC Sub Type: Job Address: Suite: Location: OWNER PRZESMICKI STEVEN M Owner: PRZESMICKI STEVEN M Remarks: Phone: 7604588500 Inspector: Total Time: CD Description 23 Gas/Test/Repairs 31 Underground/Conduit-Wiring Act Comments Requested By: BRAD Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments