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Home My WebLink About2101 TWAIN AVE; ; CB052079; PermitJob Address: Permit Type: 2101 TWAIN AV CBAD ELEC Status: Parcel No: 2081811500 Lot#: 0 Applied: ISSUED 06/03/2005 LSM 06/03/2005 06/03/2005 Reference #: Project Title: COZENS RES-ELECT TO SPA Applicant: RICH ELECTRIC 8339 AQUA VIEW CT 91977 (619)4728203 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: COZENSTHOMASR&MARGARETM 2101 TWAIN AVE CARLSBAD CA 92008 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Inspector: 97 61 06/03,.-05 0002 01 CCiP 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 20., 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.{J.e, Q 6 oV79 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit_..,..,___-+----- Validated B Date S:- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# '2_ ;xisti~Use Proposed Use .so ,4,,,..,~ ~°' e r'2 f.-s,, :; )'1 Descriptionofork ' SO. FT. #of Stories # of Bedrooms # of Bathrooms _i. ,f;!.UHACJ PHSON lif·!ltff-.nt froll\ ~pJlc•ntl Name Address City State/Zip Telephone# Fax# 0 Agfnt for Contractor ,,0 Owner , 0 ,<\genHor Owner Address City State/Zip Telephone# tJ____ 4 • 76Q~T)'. O.WJEt ~-Z-f y"/ 5· • -l' , i.., Address City State/Zip Telephone# N4me Ji. . ,C.QNTMCTOR.-·C0'1PANY NAA'I-' !'' (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 tor 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. y vi lation pt j:,ection 7031. 5 by any applicant for permit subjects the applicant to a civil ppnalty o ?'1 more than ive h~dred dollars I$ 5001). ' t:l~c.:ir1C. 3 • !el,./ {'T ~ ~J /II 7 I -a:;; Name State License # ....,7'--tJ~LJ'--'7'--"-&,_5"",c._ __ license Class __ c_-_l_t?"-------City Business license # _______ _ Designer Name Address City State/Zip Telephone State license I _________ _ if. WQ,.KERS~ (;,QM.tllNJATtON' ' ;, . , ,, , , •. \ ... . 1 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the l abor 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 ($100) OR LESS) f8l CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to •· compensation coverage la unlawful, and ahall aubject an employer to criminal penaltiea and civil fines up to one hundred thousand dollar• ($ tJon to the coat of compenaatlon. damagea as provided for In Section 3706 of the Labor code, intereat end attorney'• fees. IGNATURE_-1,,£---L...,,_s,.-,0:::....-----------------------DATE _________ _ t~., ,OWtjeR•AUJtPtf.flti.t:~TIQM -\::· .. <:· -.,, •. :',. 1.,;.; I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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. 0 YES ONO 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 I 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 -----------,CQ!',1PlJ;TE,.Jijl$,§l:CTlON FOR /ll'ON..-RQ/PffiUM'.Jl!JII.Ql.N~'P:fflttllll'.$'Q~CY ,,. w; ' .. ,, .,. 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 AND THE AIR POLLUTION CONTROL DISTRICT. •8. ~QNSTRl,ICTIO~ l;,1;,NQIN<i~.Gl;N<;Y .. • ~, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 9 .• ';; •Atel,.lCAN.1'.C:i8TJFJCA:rlQN ,i:,. 1 , '.i'.' 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 Citt 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 if the building or work authorized by such permit is not comme within 180 days from the date ol such permit or if the building or work authorized by such permit is suspended or abandoned {'\ / at any time after the work is com r a period of 1 BO days (Section 106.4.4 Uniform Building Code). ~PPLICANT'S SIGNATURE "-7,r....;:,....._~--,&"'-:::-~~------------------DATE _____________ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/01/2005 Permit# CB052079 Title: COZENS RES-ELECT TO SPA Description: Type: ELEC Sub Type: Job Address: 2101 TWAIN AV Suite: Lot 0 Location: APPLICANT RICH ELECTRIC Owner: COZENS THOMAS R&MARGARET M Remarks: CELL 760 420-9098 Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7609290020 Inspector: ____L_ Requested By: TOM Entered By: CHRISTINE 39 Final Electrical #2 ----- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 06/06/2005 31 Underground/Conduit-Wiring AP JM