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Home My WebLink About1251 CANNON RD; ; CB991469; Permit04/15/1999 City of Carlsbad Electrical Permit Permit No:CB991469 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1251 CANNON RDCBAD ELEC MEDIAN IRRAGATION Lot#: Status: ISSUED Applied: 04/15/1999 Entered By: MDP Plan Approved: 04/15/1999 Issued: 04/15/1999 Inspect Area: Applicant: HAZARD JR INC, R.E. 5404 NAPA ST SAN DIEGO, CA 92110 619-297-1831 Total Fees:$35.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AM Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES 22 04/15/99 OOOi 01 02 C-PRHT 35-00 ;e Due: $35.00 0.00 5.00 0.00 .0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONUY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date r?- O Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use s \ t f3-L.&^j__ Proposed Use Description of Work 2. CONTACT PERSON Of dtffmnt from apptfcmt} SQ.FT.#of Stories # of Bedrooms # of Bathrooms Name 3. APPLICANT O Contractor Address Q Agent for Contractor «»sJ D Owner City Q Agent for Owner State/Zip Telephone #Pax* Name 4. PROPERTY OWNER Address *_ ** r*> A- (^ City State/Zip Telephone Name Address City State/Zip Telephone * 6. CONTRACTOR - COMPANY NAME . (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, 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 thet 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 |$ Name Address . State License # f^O & *j "2 - License Class XT Designer Name Address State License # City State/Zip Telephone # City Business License # City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. H 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 f»100| OR LESS) D 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 ah*N subject an employer to criminal penattiea and civil fine* up to one hundred thouund dollen ($100,000), in addition to the coet of compensation, damage* •* provided for in Section 3706 of the Labor cod*, tntemt end attorney's tees. SIGNATURE__ DATE 7. OWNER-BUILDER DECLARATION 1 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 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 ere not intended or offered for sale. If, however, the building or improvement to 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the prefect (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 contractors) licensed pursuant to the Contractor's License Law). D 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. D YES QNO 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 t have contracted (hired) the following persons to provide the work indicated (include name / address / phone number Atype of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-R£SiDENTJAL BUILDING 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? D YES Q NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? Q YES D 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 I hereby affirm that there is e 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 ___^__ 9. APPLICANT.CERTIFICATION ....';';._ ::_':.• •:• .;:..,;.,„7,. ;.„•..:_. :v.. ,...;....,..,•,."; . ~~ " 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 Crt» 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 excavetions, 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 shell expire by limitation and become null and void if the building or work authorized by such permit is not comn*W«i within 365 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 cMifttenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE " — //jVJ - f\ ,rm- Wtf-tr*^*j *?k<O rV*-T7_ DATEIrr^i WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 5/13/99 Permit# CB991469 Title: MEDIAN IRRAGATION Description: Inspector Assignment: Type: ELEC Sub Type: Job Address: 1251 CANNON RD Suite: Lot 0 Location: APPLICANT : HAZARD JR INC, R.E. Owner: Remarks. EXTEN OF CANNON RD EAST OF LEGO DR Phone: Inspector: Total Time:Requested By: NA Entered By: CHRISTINE CD Description 39 Final Electrical Act Comments Inspection History Date Description Act Insp Comments \ ^v^.-. \ \ \\•\v\ x \v \ \N \\ A \\\v \ \;\^ S&o_ \ o <N JHD=^J^-ty-o "35 •^fo; "S—1(/) 8in QDoCM ^CNJ Oj3c ^*£ *> F^(/>§ -J(n \: ;^,\>>;>> If.?3gisl>aa2tt^rxoSW-QOTI lu ^,0*' & A+ & ^»' \ A" \ -< ^ \ \\ ^r"\ \ \ -X X •pu> \ ' \ \ \ N \\\W \X X \ X X o> AcoRD DATE (MM/OO/YVt 12/22/98 PRODUCER John Burnham & Company 610 West Ash Street P.O. Box 122910 San Diego, CA 92112-2910 619-231-1010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A INDUSTRIAL INDEMNITY COMPANY (San Diego) INSURED Hazard Construction Company R.E. Hazard Contracting Co. P.O. Box 229000 San Diego CA 92192-9000 COMPANY 8 COMPANYc COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTH TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE 1MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY)LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY j CLAIMS MADE [ ] OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE lAny or* fire) MED EXP (Any one person) AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY(Perpewxi) BODILY INJURY(Ptr accident! PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY JY520649-1 1/01/99 1/01/00 WC STATU-TORY LIMITS OTH- ER EL EACH ACCIDENT 1000000 THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: INCL EXCL EL DISEASE - POLICY LIMIT 1000000 EL DISEASE - EA EMPLOYEE 1000000 OTHER DESCRIPTION OF OPERAT10NS/LOCATIONS/VEHICLE8/SPECUU. ITEMS RE: CANNON ROAD WEST REACH 1, CONTRACT #3184 WAIVER OF SUBROGATION INCLUDED PROJECT #98090 CITY OF CARLSBAD 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009 ACQRD25-S:n/95* ^i^iEi^j^Tic&foaiWHP^o^;^, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL elffijK&XXl MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. KXXJtiWXX^XXX^ T2