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Home My WebLink About1184 MAGNOLIA AVE; ; CB053848; Permit11-02-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB053848 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1184 MAGNOLIA AV CBAD St TP ELEC 2052109900 Lot* SHAMSHOIAN RES TEMP POWER POLE Status Applied Entered By Plan Approved Issued Inspect Area Applicant POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839 9430 Owner SHAMSHOIAN MICHAEL J&LUCIA E 1184 MAGNOLIA AVE CARLSBAD CA 92008 ISSUED 11/02/2005 KG 11/02/2005 11/02/2005 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 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 Inspector FINAL APPROVAL DatelUUtM-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 lees/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 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 , PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date // Address Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Proposed Use Description of Work 2e *CONTACf PtRS Name 3 7iAPPUCANT [mw& - SQ FT #of Stories wA#0L j'tpON (if different from applicant) **„«• I is? Address City 2 , Contractor K^TgentTfor Gbntractor >""C3 Owner D Agent for Owner1, ~ # of Bedrooms # of Bathrooms State/Zip Telephone # Fax # ^ **•*« Name Address City State/Zip Telephone # Address'City State/ZljS Telephone #Name 5 •3^NfRACTQ~R COMPANY NAMEVl (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 Codel or that he is exempt therefrom and the basis for the alleged exernpflon Any vioj^tion of Section 7031 Ji by any applicant for a permit subjects the applicant to a civil penalty of_not more_Jhan five hundre^ (Jolljjjs ttSQOl) •J2-C "76 )n 7031 5 Im-Name State License # Address ' License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS "COMPENSATION N*t «, " ~" i ~ ' |5~ ji***™** " &f*ff * •- "• " ""~"~ "M if" ' w ^« Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 O^ 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 /^/?> ru \/^/7/v' Policy No 6(jC//(£, &\ ~r Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 workew. compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 0(50) in ad|mon to the cost of compensation damages as provided for in Section 3706 of the LaMr code interest and attorney s fees SIGNATURE ^^X^/^fc-41 DATE //f^S"^ 7 * OWNER BUILDER DECLAMATION .,4 * •%, ' V. ^ **** * '• * t ^* 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason fj 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) Q 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) [~l 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 CD 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 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 COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY 4 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? l~l YES [~l 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 Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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 CONSTRUCTION LENDING AGENCY "*> * &." » « V ' '~ ~ |^ " * I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS F"~ APFLICANtrCERTIFTCATION t *~"~ ^' ~~ ^ "' , r" *~ \ ~™' > ,^ ^ 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 CitV 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 commenced withirvf§jpdays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencelfiara peyrod/of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE ff^^L/lf^ ^ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/15/2005 Permit* CB053848 Title SHAMSHOIAN RES TEMP POWER Description POLE Type ELEC Job Address Suite Location APPLICANT POWER PLUS Owner Remarks Total Time Sub Type 1184 MAGNOLIA AV TP Lot 0 CD Description 32 Const Service/Agricultural Act _ Comment 2~ Inspector Assignment Phone 7608399430 Inspector Requested By MICHELLE Entered By JANEAN Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments V A r ^fi) V NO' $CIII|1M F,U <M »n*a.y 1 0/28JQ5 Confirmation of Temporary meter and service request Customer MIKE SHAMSHOIAM Phone 85*2456421 Want date Service Address 1 184 MAGNOLIA AVE TP CARLSBAD DPSS#53244«-090 Contact Michelle Scott Phone 760 839*9490 We have investigated your request tor temporary service and determined that the facilities you have identified as P#22297 is mechanically available for your use in providing temporary power for your project If the temporary service is to be provided overhead please place your facilities no closer than 10 ft or no further than 100 ft from the pole listed above Place temporary pole within 25 ft of a driveable surface, or uw: 25-class 5 climbable pole with depth gauge Attached All facilities should be placed on the premises served. When you provide us with a firm dale voo plan to wsull your facilities we can schedule the installation of your service The meter will be set pending receipt of both billing application and municipal inspection Dlaa« Taylor 760431-7301 fieaeral fustomer Information. Mnif |IL!U|« • 411" niiii -f> 5* max iroin Iliibh jjrtiik 10 icctrrtim "< HM. Miu,n OK riqulrvd to he resdll> scecwihk 24 i IP. a^y Muen must Ix. lULWtd in A '-uk jn,a Kt ot <iny puicniiiil li>i/<inK ur itjiij.i.coLM cinxliiioir, I nividi. 3 <.1 dujr .mil U.«d oiainiL. tpatv n fron 1 1 imlcr Whirs nxNa 11 |iropoM.d «m ac the n.art.M SDO&t ort Meltr tain ami •.«nn,(, diwnudilj> m\iM bt 4dj«.uiii t» v.n.ti uiktr »nd nc i l ai if imimduttlv unl «ait number il >rrVK'« inuM inaiiriiuil & minimum yf 12 ft (u r*"nl af ccKincciion 1<1 ft <S> CLnUt ofslttxl IK 12 from curb whichever is lev;. 16 ft ovLrtivumcrcujl driveways 12fl(ivcr r^i-idcnual rtnvcuijys Mainfon ill required O U 9J clearance^ photw Diy Akn 1-800-422 4] " n loiii 4X hrs prior 10 n vi.iiry OIL locouoii ot undcrg"otind uuliiics it) the viunilv Main SwiichlOOamps Mi Jt.llixc 3 wire irncicrelip* I2i««»o Volis maximuin Limlnbutiun l<i fuuh OuiTLnl 10k ate amns For overhead SVUK« msuli within 100 ft of (he pole CuMunior owned laciliiii.* tu [in. vi. ilcurn srrviwt. ur Hityti,! It <ll i[ipiii.jtili. li.i,jl jrj ^ju, u| C jhti rnu :fipm«n jmhoniy n,i|ui".>Fi,nit jiUrtN-judurm-t t bust, muiibi poMid pnorto HM.UCX: Ititunrwiion »n ihi\>h«xi i> vurt <itKr *> in<ii(li> I KiUC«SL i,rKiniiiicr-. lij/ininiMTUixii. ni.iit.ruil ttluli.|> florrainti. •nnru<.(ioiol vourprojiLi work «ill hull jinincdiatily uud u ID n.inuw. akl/ui' dtjn all luuiitJuU or iCxii. uukrul ,'Tor to SDGib coniinuini; utivmic inn SIX *L vhull hmf iw Imhlliiy or «*l |pi:iao lo Unn . juy Iviuixltmsm IOMC nuttrul Jisit»irt.ii<juili viu ti>itiscol n>r»nu.uon Unks 11K 1184 magnolia av tp cb doe rented] 2/29/00