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Home My WebLink About1250 CARLSBAD VILLAGE DR; ; CB054303; Permit12-21-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB054303 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1250 CARLSBAD VILLAGE DR CBAD St TP ELEC 0000000000 Lot # 0 COLE LIBRARY TEMP POWER POLE FOR TRAILERS Status Applied Entered By Plan Approved Issued Inspect Area Applicant NATIONAL CONSTRUCTION Owner ISSUED 12/21/2005 MDP 12/21/2005 12/21/2005 14551 ANDELDR 92335 909574-1400 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 t , $1000 $0001 $000 $000 $000 _ $000 $1000 $000 $000 $000 $2000 Total Fees $20 00 Total Payments To Date '$20 00 Balance Duo $000 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 II you protest them, you must follow the protest procedures set forth tn Government Code Section 66020(a) and file the proles! and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure lo timely follow thai 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 DOE.S IT APPLY to any feesJexactions 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 ,PROJECINRMATIQ FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address {include Bldg/Suite ft _ Business Name (at this atldress) Legal Assessor's Parcel # h 2& Lot No Subdivision Name/Number Unit No Phase No Total # of units Existing Use Proposed Use Description of Work {J (/ ' ~ ' // > SQ FT [2"" ^ CONTACt'PERSON^If different, tram 'applicant) * #of Stories it of'BeJfrooms it of Bathrooms Name iS' ^APPLICJ v> W]> >D Contractor? Address (SfAgent, for, Contractor^ [3 Ownerj „ [ City J'Agentifor Owner - 1 *" _ j _ State/Zip - i h i '- '' Telephone If Fax # 7-Name Address City Telephone •:"£_-- ' I'T- State/Zip Namrf Address City State/Zip Telephone ff |5llF "CONTRACTOR^COMPANY NAMEi;%~ '^" * V- ' '" > * " ' '1| IlT '"" '< M, " 'V '•" ^l* '/' ,r* > *'t* '" ' -^ ' !J 1 (Sec 7031 5 Business and Professions Coda 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 exerjjnptio^ Any vipjatio/i^bf Seqtion 7Q31 5 by any. applicant for a permit subjects the applicant]^ a civij penalty of not more than five,hundred dollars IS 500}) Name /*.-" State License # *& C ~- -~. j Address 1 s/(? & License Class f City State/Zip /£? • City Business License # /tr*-. Telephone ff _ Designer Name State License it Address ~—m^ City State/Zip Telephone r COMPENSATION? *"',,£'1 >0<> • ' "^ < ' •' -i- "", u'f - & ^ "''"-< /"^ .' """.•'•• ^^: ,, ', .'' ,! '\ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 Ai^J3 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 earner and policy number are . Insurance Company __^//'">g </&e&t*2 Policy No /Wj^^^/^^^gT/^^ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) P) CERTIFICATE OF EXEMPTION 1 certify that in the performance of the work for which this permit is issued I shall not amploy any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workerS^compensafton coverage is unlawfyJ-piend shall subjegpSrTTemployer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), irxaddition to the costAf cornpaps^tioA^O^j^se^Ss provjdCTfor in Section 3706 of the Labor p6de Interest and attorney s fees SIGNATURE ( j^^j^^^^^>!::::^^-^^^^- DATE 17 T* blrVNERTBUILDEF ' " . I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intenaled-tjfrjffered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or irnpurtfes thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, hgjvsv'eT 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 improvefpptffe purpose of sale) PI 1, as owner of tha property, am exclusively contracting with licensed contractors to construct the prpjecfTSec 7044 Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereoji»--SnrJ contracts for sut h projects with contractor(s) licensed pursuant to the Contractor's License Law) Q I am exempt under Section Business and Professions Code fgj-ttfls reason 1 I personally plan to provide the major labor and materials for consjtucfion of the proposed property improvement Q YE5 2 I (have / have not) signed an application for a building perpjrffor the proposed work 3 1 have contracted with the following person (firrnKtiprovide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work^todTl have hired the following person to coordinate, supervise and provide the ma]or work (include name / address / phone number / contractors license number)_,X_ . 5 I will provide some of thejwtSfk, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNEFrSIGNATURE DATE (COMPLETE THIS.SECTION\V:QK NON-RESIDENTIAL BUILDING'PERMITS ONLY '; -r^ -'i fff-*, 7'1"' ffc Ti > ," 7 ' "Is liie*nppin,ant or future building oi,i,upjni-reu.uired to submit a business pl<in acutely ha^ardou^ materials registrat.on ioim oi-nik j program under Sections 25505, 25533 or 25534 of tna Presley-Tan nee Hazardous Substance Account Act?"" Q YES Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES YES ^° IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR tS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT ,>" . , , ' ! > <> Ui •>' i ''ft_ - t^ g F i--_„ - _,' £, ,„ .-,•. I hereby affirm that there is a construction lending agency for the perJpjjBanclToTthe work for which this permit is issued (Sec 3097(i) Civil Code) LENDERS NAME ^^^ LENDER S ADDRESS I certify that I have read trva 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 ttj&-BGiTclingxQf1icial under the provisions of this Cgale shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 130 days from tha dale of such parfmor if the building or work authorized by such permit is suspended or abandoned at any time after the work \s commenced for a perioj*¥fVl 80 dajia^SeaJtofi 10644«niform Building Code) APPLlCAri S SIGNATURE I *7 6^/^^Y^^L^^^ DATE WHITE File YELLOW Applicant PINK Finance .«-C[jty of Carlsbad Bldg Inspection Request For 12/22/2005 Permit* CB054303 Title COLE LIBRARY Description TEMP POWER POLE FOR TRAILERS Inspector Assignment 1250 CARLSBAD VILLAGE DR TP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT NATIONAL CONSTRUCTION Owner Remarks Phone 9095741400 Inspector Total Time CD Description 32 Const. Service/Agricultural ct Comment Requested By NA Entered By CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments Q4SS.1Tpm TZ-Q5-2Q05 1/1 NOTeiNSPECREO'D PRIOR 70 SET a STATE OBtBW. CUSTOMER IWOWUTOM EMSTKGQ - W mh. - fi^araK. fttw Oafch gw* <o «rt« dm o( mfltsrlHu* ^ PrevWaatt Wow basaa md imto1 ««vn daoonNota (mat be locgfotf vt «t ft^vont » ooch oihtf <nd he UetiSSad ndh addnw and ion* nwnlura BBIVBS. WERHEAPSERVICEB PROVIDE MINIMUM GBOtiNO CLEARANCE OF- .('fp 1. PnyaNttonfudua DAPPUCABLE DNGTAPPUWBLE 2. Pho»SDG*E*l_«i 3 mridnp tbys prior 4. Actuate b»noh, btstatt catduO and aarvfc* wtmnc* aqupmert at nwtor tocestn OfU. ABOVE PTO« » WH WSPECTKB*. Do Ml «»&r conth* KVtotri »9p«twlfl twflePtftppwval to tucMtt 5. Cdlnjpodon^imti^bBdcAtttntffiiiii^^ wfttnca «q*nwnt t hotted altar tedffit, C«X ABOVE ft«N6 t F=DR INSPECTION OF THE EQUIPMENT- aqoipiTtCfll. »nd nMtfpt of cftyfcflonqrwrta' hapocKtai cteofflnofl. 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