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Home My WebLink About157 WALNUT AVE; ; CB031881; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-09-2003 Electrical Permit Permit No: CB031881 Building Inspection Request Lin e (760) 602-2725 Job Address: Permit Type: 157 WALNUT AV CBAD ELEC Status: Parcel No: 2041211300 Lot#: 0 Applied: Reference #: Project Title: FLORA PROPERTY UP GRADE EXISTING SERVICE Applicant: C&S ELECTRICAL CONTRACTORS P O 2119 CARLSBAD 92018 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 100 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: MORLEY STEPHEN A TR PO BOX 2332 CARLSBAD CA 92018 ISSUED 07/09/2003 MOP 07/09/2003 07/09/2003 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 9275 07/09/03 ~~~ Inspector: Clearance: _____ _ t 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 ired. 02 35-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTM ENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO . d;:,,.. \ 'd<i\ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Z.,c,C.(-\'t..\'" \~ .. OJ Assessor's Parcel # Existing Use Proposed Use V p& e ~ £.L.fz7Jet<...A-<-9 ~ti IC !F Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ON~.llf dJUer!!)jJrom applicant) {s.o{s FL~ Name Address 3, A J>LICAN"-T,.__,._~,,Contr.actor Name Address City O ,.P.ge_.n,t for Owner City City State/Zip Telephone# Fax# State/Zip Telephone# State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair eny structure, prior to Its issuance, also requires 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 the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exe~tfn. 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 ($6001). c... ~ Bt:crnc.-4-<... Co~cn;,e> ,~, i?o"-"2...l t PJ '760 4C/7-1c£>t Name 61 t:, Address City State/Zip ~elephorf\ # State License# b 56b~~ License Class C-IO City Business License# '3' '\ ""(:-" Designer Name Address City State/Zip Telephone State License # __________ _ I!., &l)RKERS' COMPENSATION 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 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 [$100fOR LESS) ;;zJ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as (o~ome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure w orker•' compensation coverage Is unlawful, and •hall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars ($ 0 a ltlon to th f compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. DATE J -C, -0 > 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, t he 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 / phone number / contractors license number): 4. I plan to provide portions of the work, but I ha'!e 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 IS SECTJQN FOR N::O:::N-:-•R=E.=s::,o:::E.:'N::T,.:::A:L:8::U:IL:D:IN::0:-:P:E:R::M:;;;IT::-;:::;;;:;;:;;;;::;;:;:;---;---DAT~---------- ls 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 25506, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 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 CQNSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performa_nce of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ 9. AePLICANT 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 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 authorize1 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 tir after the work Is commence a • of 180 da1~=i>c.1-106.4.4 Uniform Building Code). APPLIC.A PINK: Finance DATE _7.....__-~9.__-_0_9 __ ~-- \ ,.. • City of Carlsbad Bldg Inspection Request For: 07/10/2003 Permit# CB031881 Title: FLORA PROPERTY Description: UP GRADE EXISTING SERVICE Type: ELEC Sub Type: Job Address: Suite: Location: 157 WALNUT AV Lot 0 APPLICANT C&S ELECTRICAL CONTRACTORS Owner: Remarks: Total Time: Inspector Assignment: Phone: 7604979051 Inspector: ---- Requested By: NA Entered By: CHRISTINE CD 33 Description Act Comment .1 _s_e_rv-ic_e_c_h_a_n_ge_,_u_pg_r_a_de __ &f= __ tf __ J_~_,L _____________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments