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HomeMy WebLinkAbout1497 REGATTA RD; ; CB032600; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-22-2003 Electrical Permit Permit No: CB032600 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1497 REGATTA RD CBAD ELEC 2150742100 Lot#: THORNTON RES-ELECT FOR FUTURE BBQ/REFRIG & SPA-ABOVE GROUND 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/22/2003 RMA 09/22/2003 09/22/2003 THORNTON MICHAEL T&MICHELLE L THORNTON MICHAEL T&MICHELLE L 1497 REGATTA RD 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 TOTAL PERMIT FEES Total Fees: $20.00 Inspector: 0 0 0 0 1497 REGATTA RD CARLSBAD CA 92009 Total Payments To Date: $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Balance Due: $20.00 4674 09/22/03 0002 01 CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "feesfexactions." 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 f fwhi Tl i ii hi Ii I 02 20.00 FOR OFFICE· USE ONLY PERMIT APPLICATION PLAN CHECK No.CJ (j 2 too CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By _____ ~_.,._ __ _ Date t. J..:.. PROJECT INFORMATION .:.__.___._..__7..,___,; ...... 9=::=i....,-=..=_--=""'-"='-'=---=-ll:..>.-=-<=-:...<---->.--"""'---c ........ "'"""-~--,--..,..,....--,------------ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use V Description of Work() 1a. FT. #of Stories /1 # of Bedrooms # of Bathrooms -'\i E:l~c.+v,·L..._.x -{i,r ~-tv...,r-<-'36Q ~a..1Gi .2. CONTACT PERSON (If different from ap11llcentl (1\V'-J <:::iedv. c.-....11 ~ ~tc.ML. iA\oo.Jc. ~o..,..-,c\ ~ Name Address 3. APPLICANT O Contractor 0 ~gent for Contractor O Owner Name Address City 0 Agent for Owner City State/Zip State/Zip '\J. .4. PROPERTY OWNER A Mil: t:1 iAEL. 'IH-oa...rt";:)N l':;l<3n R Ec-q,e.::zr& Name Address City State/Zip 6. C..ON!f'ACTOR • COMPANY NAME Telephone# Fax# Telephone# 7bo "J)OI C>"'/o/7 Telephone# (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 Ille 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 Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMP~SATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. O 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 ____________________ _ Policy No. ___________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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 aecure worker•' compenaatlon coverage la unlawful, and shall aubjact an employer to criminal penalties and civil fines up to one hundred thousand dollar• ($100,000), In addition to the coat of compensation, damages es provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE ___________________________ -=----DATE OWNER-BUILDE!U)EC!ABATION --:::::::;;::;;:=:=:;;:;::::;::::=-a_,,,..,......,-~--.,--, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: )8( 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). D I am exempt under Section ______ Business and Professions Code for this reason: , . 2. 3. I ~~ally plan to provide the major labor end materials for construction of the proposed property improvement.~ YES ONO I~ have notl 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): 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 I 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): ____________ --,,---+--,,..--T7'~---,,<'---------------i>---------------------- PROPERTY OWNER SIGNATURE --..<,A-u.d~;/;,.~.,d~=:::::S:!i;;.;;;;;:;L.. _____ _:: DATE __ q~. _z~z~-~o'-,3_ COMPLETE THIS SECTION FOR NON-RE. 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 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. l~. CONSTRUC_IIQ_N 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 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 Cit\' 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 ii the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime afte, 'he work is commenced for a eri of 18 ays ( e ·on 106.4. lform Building Code). _ \ Y PPLICANT'S < ]NATURE __ L(.4a..~~~::::....k..L=~3:::::i ____ ~:._} DATE 9. z z.. -0 3 YELLOW: Applicant PINK: Finance City of Carlsbad B1.dg Inspection Request Permit# CB036309 Title: <!,\!,O!.-U.00 Description: Type: Job Address: Suite: Location: Owner: Remarks: Total Time: For: 07/20/2004 Sub Type: Inspector Assignment: ;:s N\ Phone: 7608010497 Inspector: _J\[\I\ ---- Requested By: MICHAEL Entered By: CHRISTINE CD Description Act Comment 23 Gas/Test/Repairs f::(-. ___________________ _ ~--A"'-"-~~~ ~-t~~~~~~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments lnspe~ion List Permit#: CB032600 Type: ELEC Date Inspection Item Inspector 10/10/2003 23 · GasfTest/Repairs JM 10/10/2003 31 Underground/Conduit-Wirin JM 10/09/2003 34 Rough Electric JM 10/07/2003 31 Underground/Conduit-Wirin cw Tuesday, July 20, 2004 Act AP PA NR CA THORNTON RES-ELECT FOR FUTURE BBQ/REFRIG & SPA-ABOVE GROUND Comments BBQ/FUTURE FIREPLACE Page 1 of 1