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Home My WebLink About1280 HOOVER ST; ; CB030240; Permit\ 01-23-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB030240 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference tt: Project Title: 1280 HOOVER STCBAD ELEC Lot#: PATEL RES TEMP POWER POLE Status: ISSUED Applied: 01/23/2003 Entered By: SB Plan Approved: 01/23/2003 Issued: 01/23/2003 Inspect Area: Applicant: INTEGRITY CONSTRUCTION Owner: 4656 BRAIR RIDGE RD 92056 497-5039 6439 01/23/03 0002 01 (p CGP 20- 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 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due:$20.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE; Please take NOTjjCE that afoSroval 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 vou 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 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Valid atedJBy^ Date _.„ f _ Business NameQaf thistaooAddress (include Bldg/Suite *)istaooress) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use (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 Code] or that he is exempt therefrom, and the basis for the alleged ^ny violation of SectiqW/DSI .5 by any applicant for a permit subjects the appliqefl\to a cjyiJ penalty of nojjpote than five hundj*d dollars KUmC f~S L/SS* /> Address ^ State Licenser ^5 S* 5 ^ ' License Class £) City State/Zip Telephone # City Business License # /&f1rf»/ C* Designer Name Address State License # City State/Zip Telephone 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. D 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 1*100] OR LESS) ^VO 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*ba£ome subject to the WorfceTOpoiTipen3SjjoM.Bws of California. WARNING: Failure to eeorfe^oirHefS' cprnpensWlon coverage is unlawful, and shatt subject en employer to crIminaljfShaltiM and elvH fines up to one hundred thousand dollars (MOOJroO/ln^WKtorno thafitatof kompmsation, damages M provided for hi Section 3706 of the^Uhor cod*, interest and attorney's fees. SIGNATUBS -^-—T7</X SY_ \ V*Xt~f-^ft* // ^ •* '\ hereby affirm That I am exempt from the Contractor's-License Law for the following reason: D 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 doe* 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). D I am exempt under Section Business and Professions Code for this reason: 1. I personally pfan to provide the major labor and materials for construction of the proposed property improvement. Q 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 I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE 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? Q YES n NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES O NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES D 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. I hereby affirm that there is a 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 I certify that I have read the apphcation 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 C!t» of Carlsbad to enter upon the above mentioned property for inspection purposes, ) 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 excavatiops_over 5'0* deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bujkjfiig QOTjfrl*JJjwjmvisions of this Code shall expire by limitation and becomj^ll and void if the building or work authorized by such permit is not commenced<witniryjpfi&frgirfthe d£e of such permit or if the building or work authorized by such Jermit is suspended or abandoned at any time after the work is commenced^ a pwfyr*y 1 SUdays (Se«fcn 106.4.4^)niform Building Code) APPLICANT'S SIGNAT YELLOW:)Applicant PINK: Finance Inspection List Permit*: CB030240 Type: ELEC PATEL RES TEMP POWER POLE Date Inspection Item Inspector Act Comments 02/10/2003 32 Const. Service/Agricultural JE AP HANDOUT GIVEN TO ELECTRICIAN 02/06/200332 Const. Service/Agricultural - Rl CALL WITH ETA 02/06/2003 32 Const. Service/Agricultural JE CO PROTECT CONDUIT LOWER METER 01/24/2003 32 Const. Service/Agricultural JE NR NOT SET YET Tuesday, February 11, 2003 Page 1 of 1 UNSCHEDULED BUILDING INSPECTION DATE 0*^ ~t° ~° INSPECTOR PERMIT # C*03QZ-fO PLAN CHECK # JOB ADDRESS _ DESCRIPTION _ CODE DESCRIPTION ACT COMMENTS 7» N 2611'55"E A > tl «ii n NO3 3 3 • 19— ORi 3o 8D s: S• > s Ofo OQ<» atfijfiogggwg "•J^rR S ^-^5 Si^o°^i5o I3| 5=.|«ciN3=i »o301 rn *OJ ^ 1 . ""-I 21* * * \^|N^?./ 24> r ^»/x B' r * K. , x\^\_vr\\ - J 1 A. \\ (115.21') ^ V S 2611'23"W X 115.32' ^^ JS * 'Iv> «_*2» 1".^* * uqop 20 BO