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Home My WebLink About1186 LARKSPUR LN; ; CB033569; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-19-2003 Electrical Permit Permit No: CB033569 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1186 LARKSPUR LN CBAD ELEC 2054300800 Lot #: 0 BYRNE RES-ADD 100 AMP TO 200AMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/19/2003 MEL 12/19/2003 12/19/2003 BYRNE RICHARD REVOCABLE TRUST 08-23-01 BYRNE RICHARD REVOCABLE TRUST 08-23-01 1186 LARKSPUR LN CARLSBAD CA 92008 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 Total Fees: $35.00 Inspector: 0 0 0 100 1186 LARKSPUR LN CARLSBAD CA 92008 Total Payments To Date: $0.00 Date: $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Balance Due: Clearance: $35.00 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ttso z__36y7 L EST. VAL. __________ _ Plan Ck. Deposit ___ 1..__,....._ ___ _ Validated By :£?£ Date /"1/1/~ ?\~~~~-~~~-:---:---~~-Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor"s Percel I Existing Use Proposed U'se Description of Work SO. FT. #of Stories I of Bedrooms I of Bathrooms K K Name Address City State/Zip Telephone I (Sec. 7031.5 Business an Any City or County which requires ermlt to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the pplicant for such permit to file a signed statemen that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending wit Section 7000 of Division 3 of the Business a ,. Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Se Ion 7031.5 by any applicant for a permits jects the applicant to a civil penalty of not more than five hundred dollars ($500)). Neme Address City State/Zip Telephone I State License I ________ .....,_ City Business License I -~----~- Designer Name State License I Workers' Compensation Declaration: City State/Zip Telephone 0 sent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance Insurance Company------------~--------Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PER IT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the p ormance 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 -e worken' compenutlon coverage la unlawful, WIii ahell aubject en employer to criminal penaltlea end civil finH up to one hundred thousand dollen ($100,000), In addition to the coat of compensation, damegH H provided for In Section 3706 of the Labor code, intereat and attorney'• fHa. SIGNATURE DATE Q !' ,, I hereby affirm that I am exempt from the Contrector's License Lew for the following reuon: .K 0 I, as owner of the property or my employees with weges as their sole compensetion, will do the work end 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 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). rx , I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tractor'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 uant 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 c.onstructlon (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) tha following persons to provide the work indicated (include name / address / phone number / type of work): _____________________________________________________ ~--- OATE 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 Hazerdous Substence Account Act? 0 YES ~ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality m'nagement district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ltflUCTIONlENDINOf,Mw&v.· ''1'~'1"'" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME LENDER'S ADDRESS .,,,_ 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 ordinences 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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" 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 c m need 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 time after the work Is comm f r period of ys (Section 106.4.4 Uniform Building Code). ~~ ) L X'° APPLICANT'S SIGNATURE -A¢:.~.i2~~=:::f.~"!-~~-=----------DATE ~/Z) 3 , \ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/05/2004 Permit# CB033569 Title: BYRNE RES-ADD 100 AMP TO Description: 200AMP Type: ELEC Sub Type: Job Address: 1186 LARKSPUR LN Suite: Lot 0 Location: Inspector Assignment: Phone: 760?9T-- '""_,fj_j;;_ APPLICANT BYRNE RICHARD REVOCABLE TRUST 08-23-01 Owner: BYRNE RICHARD REVOCABLE TRUST 08-23-01 Remarks: Total Time: CD _D_e_s-cr-ip-tio_n _______ M Comment 33 Service Change/Upgrade I Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Requested By: RICHARD Entered By: CHRISTINE