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Home My WebLink About2846 VIA CONQUISTADOR; TP; CB990479; PermitCity of Carlsbad 02/03/1999 Electrical Permit Permit No:CB9904 79 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2846 VIA CONQUISTADOR CBAD ELEC Lot#: 0 TEMP POWER POLE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/03/1999 OT 02/03/1999 02/03/1999 POWER PLUS 6076 02/03/99 0001 01 02 846 N QUINCE ST ESCONDIDO CA 92025 760-839-9430 Total Fees: $20.00 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 TOTAL PERMIT FEES Total Payments To Date: $0.00 FINAL APPROVAL Date:?· f {· f [ Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 C-PRMT 20-00 $20.00 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 capactiy 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY • PEAf9'11T APPLICATION PLAN CHECK N0l/2 99C>4 79 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck. Depo!Yi---=:-------- Validated By_J..,.""')'---'-\_--__ _,.._""""=~ Date 8;/ ~ ,/9 9 Address (include Bldg/Suite #) BusineS1 Name (at this address) Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel , Existing u .. Proposed Use Description of Work SQ, FT. #of Stories II of Bedrooms. II of Bethrooms Name AddrNS City St■ta/Zip __ _,,,.Telephone II [l'.;.~ONTIIACTOli,':.-'CbMPANYiNAMfi!~~~~~~-==-"'~;;E~~;.~,:¾·•z:t':i~,~;: ... (Sec. 7031.6 BuainHs ■nd Profusions Cod■: Any City or County which requira ■ permit to construct, altar, improve, demolish or repair any structure, prior to its issuance, alao requires the applicant for such permit to file a signed statement that ha la licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of th■ Business ind Profasions Code) or that he Is exempt therefrom, and the basis for the alleged exemptlo~ Any violation of~-n 7031.5 by any applic■n r ■.P9"mit subjects ti\• ,'pplicant to a ci ·1 penalty of noJ_J'}ore tl)an five hupdrerdoll■rs ($5001). , 61 ~r r1v_g. ~..5tl.N;t c11. .. ,& :P-r .,, .J, Ji-s(,e,nc/1J'I' Name l-,)...? T?C Lic■ns■ Cl11s _..;::c;;;...._('....;/ ____ _ City State/Zip Telephone II State License II __ .J ___ -7 ____ _ City Businus Uc■nse II 12 0 (p 2 -rr- Designs, Name Addre11 City State/Zip Telephone State License II _________ _ ,e:~.:~ .. ~OAKERr~C0MPENSATJONr~~)f~-;;7"f~~~~~~~~~..;±~.,!?~~~~~~(:i~.;1~~;~~i.-:!-~!~J~~-.~!f~:.;;~J-~~~::.. ~:;-,~~:~:~!'· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of th■ following daclaration1: 0 I have and will maintain • certificate of consent to aelf-inaure for workers' compens■tion II provided by Section 3700 of the Labor Code, for the performance of the work for which this permit 11 i11ued. Ii:'.: I have and will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation ins~r,nce carrier and policy number ■re: 9 ..-:t_ :7/ -91'- lnsurance Company ff / H Policy No. C. ~ 0 (J 5-f / I OJ Expiration Date. __ .;/_:.? ___ _.1'--- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLlARS ($1001 OR LESS) 0 CERTJRCATE OF EXEMPTION: I cartify that in tha 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 C11ifomia. WARNING: Failure to ■■an wortt .. • companntlon ,,,,.,-va la unlawful, and ah■II aubjac:t an employer to crtmlnal panllltla1 and clvR flnH up to -hundred thousand dollars <•1 ,0 0 addition to th■..e'n ci,t,cornp41111111t1ain, dam■gu u pn,vldad for In Section 3708 of the Labor Cjl.de, Interest and 11ttomay'1 fH1. SIGNATURE ....., J. _,,,u-~-• DATE ;z. ..--~ ,-? ? 7.,·,~~\VN!R~1i.l>EwoECU:RAnoii;~~~~'f;, ~~U~E&~.~~~~~-ff.5?~::~?.,';]"~~~~±~~~~~~~~m~;_~~~~~!~1~f:1.!i\ftw.: I hereby affirm that I am exempt from th■ Contractor's Ucense Llw for th■ following re■son: 0 I, as owner of the property or my employ-with wages as their sole compensation, will do the work and th■ structure is not intended or offered for 11le (Sec, 7044, BusineH and Professions Coda: Th■ Contractor's Uc-• Law does not apply to an owner of property who builds or improves thereon, and who dOH such work himself or through his own employees, provided that such improvements are not intended or ottered for s■la. 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 th■ purpose of s■lel. 0 I, as owner of the property, am exclusively contracting with licensed c0ntractors to construct th■ project (Sac. 7044, BusinHs and Professions Code: The Contractor's License Law does not apply to an o-of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucenu Lawl, 0 I am exempt under Section ______ Business and Professions Code for this reason: 1 . I personallv plan to provide the major labor and materials for construction of the propoHd property improvement. 0 YES ONO 2. I (have/ have notl signed an application for• building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the propos■d construction (include name / addtHs / phone number / contractors license number): 4. I plan to provide portions of the work, but I hive hired th■ following person to coordinate, supervise ind provide the major work (include name / addre■s / phone number/ contractors license number):. _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following parsons to provida th■ work indicated (include neme / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPtE'tE'.tiilS 'SECI'ION:FOR iirJ,u;a,r,emAl..ai.iliDINCl~;(t~t;.~~~~l~"[:{;[·C:.":~..:'7.:7;;:;.z;_~-z:~~,": Is the applicant or future building occupant required to submit I buainus plan, acut91y hulrdoua m1teri1l1 registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Praley-Tanner Hazardous Substance Account Actr D VE& O NO . Is the applicant or future building occupant required to obtain• permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be construct ad within 1,000 ffft of th■ outer boundary of a school sit• 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTJRCATE 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. a:~'CQNs:niVcn~·-l'Bm!Nii'•GEN~~.s_~~~¼.~F~~'mF"~.J;;~:~T;Vi;ff<p.;-::.i,l;;:".:·:~.-·,.:•.;:j~1-:·~ I hereby affirm that there is a construction lending agency for th■ performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). ~~~~~~~RCAtio~'.~~~~~~:!:E~.s~,~~-i irii.~-Si•i·""i #:!ii·i."i~~-i.iii~~%i"'il~••~:k:~\""rlZ~--~[~_;:,•~-::--~._;_~.:,~.,~:.~~::-;-''.t:::...~·:.:..:·-=-~. :~~:-: .. _~.:=-=--~-::~::;::::-:-: I certify that I have read the application and state. that th• above information is correct and that th■ information on the plans is accurate. I egree 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 AU LIABILITIES, JUDGMENTS. COSTS ANO 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" dHp ind demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by thl Building Official under the provisions of this Code shall expire by limitation and become null end void if the building or work authorized by such permit is not commenced within 365 vs from the date of such permit or if the building or work authorized bv such permit is suspended or abandoned at any time after the i commenced a P. od of 180 days (Section 108.4.4 Uniform Building Codel. DATE _;2._-_::J_-_r_r ___ _ YELLOW: Applicant PINK: Finance