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Home My WebLink About1184 MAGNOLIA AVE; ; CB032997; Permit10-30-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB032997 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1184 MAGNOLIA AV CBAD ELEC 2052108600 Lot# SHAMSHOIAN RES UPGRADE ELEC FROM 125 TO 200 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/30/2003 SB 10/30/2003 10/30/2003 Applicant SHAMSHOIAN MICHAEL J&LUCIA E 1184MAGNOLIAAVE CARLSBAD CA 92008 Owner SHAMSHOIAN MICHAEL J&LUCIA E 1184 MAGNOLIA AVE CARLSBAD CA 92008 7689 10/30/03 0002 01 02 CGP 28=75 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 75 0 0 0 $1000 $1875 $000 $000 $000 $000 $000 $000 $000 $000 $2875 Total Fees $2875 Total Payments To Date $000 Balance Due $2875 PEWIT HAS EXPIRED IN ACCORDANCE WITH U 3 C SEC HUN 106 4 4 DATE JiW^^- SIGNATURE Inspector FINAL APPROVAL Date 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 nght 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 > * PROJECPINFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite ft)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel tt Existing Use Proposed Use 'escription of Work :. CONTACT PERSON (if different from applicant) SQ FT #of Stories tt of Bedrooms fa 2-00 A ft? * # of Bathrooms Name Address City 3 "APPLICANT Q^Qntracfpr%!%Q Agentjfor Contractor HJIQ Owner fj D Agent'fpr Ownef State/Zip Telephone #Fax* Name 4«Mi|pROPERTY*OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name fi CONTRACTOR!'iCOMiANYNAIVlM*^ (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 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 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 ($5001) Name State License tt Address License Class City State/Zip City Business License # Telephone tt Designer Name Address City State/Zip Telephone State License tt eV WORKERS COMPENSATION < „! T k "* '' "^ "IB* 11 »-" ,J*: Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 1~) 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 [$100] OR LESS) f~) 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 secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE 7 OWNER BUILDER DECLARATION ' *\ *-"„ ^ - v. ** C < •> - !>l^ I hereby affirm that I am exempt from the Contractor s License Law for the following reason Gtf 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) CD 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) CD I arn 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 CD YES CDNO 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 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 work) r"~x,^ / / s? /J PROPERTY OWNER SIGNATURE iCOMPLETE JHIS SECTION FQB NON fl£S/D£/V7M/5«tf^DING PERMITS ONLY 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~1 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? f~l YES 1~1 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 K\ CONSTRUCTION LEADING AGENCY, " i * " ^1, m " 3^- —. ^« . T" L * s 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 t~~APPLICANT CERTIFICATION .^ j.f'\ « *£„ f ts ^K i"""" ^"»— •**- * " "Tru *, 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 City 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 commenceikwithin 180 days from the^ate of such permit or if the building or work authorized by such permit is suspended or abandoned it any time after the work is commenced,for\pe'riod/of ISO^Iys^^ection ]£§& 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad March 2, 2004 LUCIA SHAMSHOIAN 1184 MAGNOLIA AV CARLSBAD CA 92008 RE BUILDING PERMIT EXPIRATION PERMIT TYPE ELEC Building Department Permit Number CB032997 Issue Date 10/30/03 ADDRESS 1184 MAGNOLIA AV PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 4/27/04 The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state "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 commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560