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Home My WebLink About2271 AVENTURINE PL; ; CB063399; Permit11-302006 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Electrical Permit Permit No CB063399 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2271 AVENTURINE PL CBAD ELEC 2132421200 HOFMANN RESIDENCE GAS & ELEC TO BBQ SPA FIREPIT Status Lot # 0 Applied Entered By Plan Approved Issued Inspect Area Applicant SURFSIDE CONSTRUCTION 1877 131 MATIN CIRCLE SAN MARCOS CA 92069 7602150527 Owner HOFFMAN JERRY V&DOROTHY M 2271 AVENTURINE PL CARLSBAD CA 92009 ISSUED 11/30/2006 MDP 11/30/2006 11/30/2006 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 $1000 $000 $000 $000 $000 $1000 $000 $000 $2700 $000 $4700 Total Fees $47 00 Total Payments To Date $47 00 Balance Due $000 Inspector FINAL 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date PI Business Name (dt this address)Address (include Bldg/Suite #) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work ID \/ 4z> 2 '^CONTACT PERSON (if.differenffrom appli SO. FT # of Stones # of Bedrooms # of Bathrooms Name Address 3 APPLICANT* ^Contractors _CTAgentforCo City State/Zip Fax# Name ' Address 5 ^CONTRACTOR COMPANY NAME . (Sec 7031 5 Business and Professions Code Any Qty or County which requires a permit to construct alter improve demolish or repair any structure prior to its issuance 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 p&rraf subjects the applicantto a civil nenalfy of not more than five hundred dollars ($500}) Name State License # ^fty^^ Designer Name State License # Address __ J^ License Class fS Address Crty City StateyZip City Business License # C? ^j? O State/Zip % Tetephcme # \ >»-f- V,i/ T*~t W Telephono # ^ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 trie work for which this permit is 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 [$100] OR LESS) Xl}^ 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 mamer so as to become subject to the Workers Compensation Laws of California WARNING Failure to secuiy workers compensation coy/rage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundn d thousand dollars($100 000) in addraiC^he cost of conK^ej^tKrfftydamages are provided for in Section 3706 of the Labor Code interest a d attorney s tees / SIGNATURE J*s£^U4*-<{ f/L/fllsCKS _ DATE }lA?O/d& __ 7"OWNER BUILDER DECLARATIONS^-"W&&. VI$IW&JL ^gi^?^3*. v« t < ,-^ , *„, *, , . ™, \ hereby affirm that I am exempt from the Contractor s License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon atd who does such woik himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or imftforement 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) D I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors 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 Contractors License Law) D 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 D NO 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 / /ontractors 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 / typt of work) PROPERTY OWNER SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance PERiyi IT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR A/ON RES/DEW™^ BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? DYES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncf D YES D NO Is the facility to be constructed within 1000 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 MEHTING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSJl|Uej£N LENDING AGENCY^ ^ -^SlL, "^^SlKj " I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDERS ADDRESSLENDER S NAME SlipftPPUCANT 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 City of Carlsbad to enter upon the above mentioned property fc r inspect/on purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGEMENTS 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 of 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 authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180yays/(Section 106 4_4 UmformJ^Ziilding Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/04/2007 Permit* CB063399 Title HOFMANN RESIDENCE Description GAS & ELEC TO BBQ SPA, FIREPIT Inspector Assignment RB 2271 AVENTURINE PL Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT SURFSIDE CONSTRUCTION Owner HOFFMAN JERRY V&DOROTHY M Remarks Phone 7604761880 Inspector Total Time CD Description 39 Final Electrical omments Requested By DOROTHY Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 12/05/2006 23 Gas/Test/Repairs AP RB UNDG GAS LINE 12/05/2006 31 Underground/Conduit Wiring AP RB CONDUIT ONLY v O H ffi £ £ ol Vf ^o -V | c ^ tN O 0 P ° po m O) 25 ^ S D n w § 3 CO T| m