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Home My WebLink About123 CHANNEL RD; ; CB023749; Permit12-13-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB023749 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Tjtle: 123 CHANNEL RDCBAD ELEC 2146000901 Lot#: DIVERGE RES-ELECT TO SPA-ABOVE GROUND Applicant: DIVERDE MICHAEL D&RONDA M 123 CHANNELRD CARLSBAD CA 92009 Status: ISSUED Applied: 12/13/2002 Entered By: RMA Plan Approved: 12/13/2002 Issued: 12/13/2002 Inspect Area: Owner: DIVERDE MICHAEL D&RONDA^0 123 CHANNELRD CARLSBAD CA 92009 02 20 = 00 Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due:$20.00 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 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Inspectors FINALAPPROVAL Date: 3 ~ l\ ' *?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 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*/• t • • CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. ' Plan Ck. Deposit Validated Bv Date Address (include Bldg/Suit CA Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No. Total # of units Assessor's Parcel # X/Description of Work $ ftflflllfiw Existing Use Proposed Use SQ. FT. 2. CONTACT PERSON (if diffafeht from applfcant) . , #of Stories # of BedroomswMvr ~: # of Bathrooms Name Address City 3. APPLICANT Q Contractor Q Agent for.Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax ft .ame '4. PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone # 5. CONTRACTOR • COMPANY NAME c. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repajntfly'structure, prior to its issuaftoe^also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions^efffie Contractor's License Law [Chapter §>eommending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt^thefefrom, and the basis for the alleged exemption. Any"v«j[ation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty qf^wrfmore than five hundred dollars [$500]). Name State License # Address License Class City ^s^ State/Zip City Business License # Telephone # Designer Name \^ddress ^/^ City . State/Zip Telephone State License # 6. WORKERS' COMPllSATION Workers' Compensation Declaration: I hereby affirm under pe«a1ty~o^fterjury one of the following declarations: D I have and will maintain a certificate of consent^self-insure for worRers^compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C] I have and will maintain workers' cp/Plp"ensation, as required by Section 3700 of tnVLabor Code, for the performance of the work for which this permit is issued. My worker's compensation ipedfance carrier and policy number are: Insurance Company ^^ Policy No. '—^ Expiration Date_ (THIS SECTION NEED NOrtiE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE^OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not"! 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" thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and atl SIGNATURE . DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Ivl 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). l~l 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~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, f] YES I~|NO 2. |MhavsV have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to oiovide the proposed construction (include name / address / phone number / contractors license number): oy any person in any manner so as 4. I plan to provide portions of the wor/, but I number / contractors license number): 5. I will provide some of the work, of work): le following person to coordinate, supervise and provide the major work (include name / address / phone :e^(hired) the following persons to provide the work indicated (include name / address / phone number / type ROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NOrtyRESIDENTIAL BUILDING PERMITS ONLY IsTha-apoiisant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention Presley-Tanner Hazardous Substance Account Act? CD YES O NOprogram under Sections 255 Is the applicant or future building occupant required to obtain a permit from the air poTT Is the facility to be constructed within 1,000 feet of the outer boundary of a scho district"? D YES D NO D YES strict or air "3 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIRCAJE-eF-OCEUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET O~R" REQUIREMENTS OF THE OFFICE OF EMERgENGV-SE^viCES AND THE AIR POLLUTION CONTROL DISTRICT. «. I.herebyjaf^iwrtfTaTthere is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). ENDER'S NAME . LENDER'S ADDRESS. 9. APPLICANT 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 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 M OSHA: An OSHA permit is required for excavatioi s over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit iss authorized by such permit is not at any time after the work is APPLICANT'S SIGNATURE the lY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. jfioial under the provisions of this Code shall expire by limitation and become null and void if the building or work days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned f!80 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/20/2003 Inspector Assignment: PDPermittf CB023749 Title: DIVERDE RES-ELECT TO SPA-ABOVE Description: GROUND 123 CHANNEL RD Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT DIVERDE MICHAEL D&RONDA M Owner: DIVERDE MICHAEL D&RONDA M Remarks: Total Time: Phone: 7604680600 Inspectoj Requested By: MIKE Entered By: ROBIN CD Description 59 Final Pool 51 Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments