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Home My WebLink About1061 HOOVER ST; TP; CB090200; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-03-2009 Electrical Permit Permit No: CB090200 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1061 HOOVER ST CBAD St: TP ELEC 0000000000 Lot #: TEMP POWER POLE FOR SEWER REPAIR FOR CITY PROJECT 0 Applicant: Owner: NATIONAL CONSTRUCTION 14551 ANDEL DR 92335 909 574-1400 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 Total Fees: $20.00 Total Payments To Date: Inspect Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/03/2009 RMA 02/03/2009 02/03/2009 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 Balance Due: Clearance: $0.00 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 fefslexactions. 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 x in fwhih o hv rvi I n in N hi r whichh u flimi in~hs r iusl othe is xir City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. 01u@}c) Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application DESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ # OF UNITS # BEDROOMS Est. Value Plan Ck. De11oslt Date SUITE#/SPACE# /UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF) FIRE SPRINKLERS YES O NO □ CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS CITY BUS. LIC.# I!.-, {~ec. 7031.5 B111inm and Proft11ioni Code: Any City or County which requires a permit to conmuct. _aim/ improve, demolish or reP.air any muctull!1_ prior to it1 inuanu, also requires the aP.pliunt for such permit to lilt a signed statement that ht is rictnstd _J)ursuant to the provisions of the Contractor's License Law {Chapler 9, commending with Section 000 of D1•ision l of 1ht Bu1intn and Pro!t!Slions Code} or !hat ht i1 mmpt thert from, and the baiis For the alleged exemption. Any Yiolation of Sttrion 7031.5 by any applicant for a ptrmit subjul! !tie applicant to a ciYil penalty of not more than five hundrtd dollars {$500}). WORKl!RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D ~nd wlll 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 worl( for which this permit is issued. B'j have and will maintain wor~penaatio~,a¾;.q~~ed by Section 3700 of the Labor Code, for the performance of the work for w . _ h this permit is issued. M workers' compensation in ranee rrier and policy number are: Insurance Co. ~~ Policy No. r,, 2 Expiration Date ...!./.,,,~,,_..,'-.2'.LU.W'--~~ This section need not be completed ii the perm~ is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the worl< 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 secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag vid for In Section 3706 of the Labor code, interest and attorney's fees. / ~ CONTRACTOR SIGNATURE mfll!r:l!lllll DATE J O 'I I hereby affirm fhat I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my empl s 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 ner 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. II, however, the build' 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). □ !, as owner of the prop y, 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). □ I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major rand materials tor construction of the proposed property improvement. □ Yes □ No 2, I (have/ have not) signed an cation for a building permit for the proposed work. 3. I have contracted with allowing person (firm) to provide the proposed construction (include name address I phone/ contractors' license number)· 4. I plan to provide ions of the work, but I have hired the tallowing person to coordinate, supervise and provide the major work {include name I address I phone/ contractors· license number): 5. I will provide ome of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): J!S PROPERTY OWNER SIGNATURE DATE 'coM~&.'l!ii!:l!i,,'l!tlU lEtTIOff ifDR ,,i'ifiil:li1:s1111"fill'Hii' riinioiNG fi''l!!lilfi"I l,;NLY ' ' -ft , ' Is the appl\canl 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 ol the Presley·Tanner Hazardous Substance Account Act? □ Yes □ No rs 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? O 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. I certify that I have read the application and state that the above information Is col1'8Cland 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 representative of the City of Ca~sbad 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 permrt is required for excavations over 5'fJ deep and demolition or construction of structures over 3 stories in height. EXPIRAllON: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt the building or worl< authorized by such perm rt is not commenced within 180 days from the date of such permrt or tt the ilding or work authorized bys perm rt ·s suspended or abandoned at any time after the worl< is commenced for a period of 180 days (Section 100.4.4 Unttorm Building Code). ES APPLICANT'S SIGNATURE DATE UNSCHEDULED BUILDING INSPECTION DATE )-ZJ-OJ INSPECTO@~ PERMIT# Cr3o1 o-J--b O · PLAN CHECK# ___ _ JOB ADDRESS /()? f ffeo ,I t11..,, 5 I DESCRIPTION ___ -____________ _ CODE DESCRIPTION ACT COMMENTS f /J,-1c,(4 k Sc Ml 1 'l-rt--