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Home My WebLink About1300 BASSWOOD AVE; ; CB041279; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 04-1 5-200i Electrical Permit Permit No: CB041279 You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions 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 ~ Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 2050522700 Lot #: 0 Applied: 0411 512004 Reference #: Plan Approved: 0411 512004 Issued: 0411 512004 Project Title: RUSSELL RES-TEMP POWER POLE Inspect Area: 1300 BASSWOOD AV CBAD St: TP Entered By: RMA FOR CONSTRUCTION OF ADDITION Applicant: RUSSELL GREGORY J&YOLANDA I 1300 BASSWOOD AVE CARLSBAD CA 92008 Owner: RUSSELL GREGORY J&YOLANDA I 1300 BASSWOOD AVE CARLSBAD CA 92008 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodellAlteration 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 $1 0.00 $0.00 $0.00 $0.00 $20.00 ~ ~~ ~ ~ Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 PERMIT APPLICATION Clfl OF CARLSBAD BUILDING DEPARTMENT Legal Description Lot No. Subdivision NamelNurnber Unit No. Phase No. Total t of units FOR OFFICE USE ONLY PLAN CHECK NO.[ho /A 77 EST. VAL. Assessor's Parcel t Existing Use Proposed Use escription of Work V / Name Address City Hatemp Telephone t Fax t 4 a Agant'tor Contiaator D'Owner c f3 &aent for Owner Name Address City Statelzip Telephone t (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 Codel or that 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 1$5001). Name Address City Statelzip Telephone t State License t License Class City Business License t Designer Name Address City State License t Telephone Statelzip I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 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 workars' compenaatlon coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addltlon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE 0 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 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). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The 7 Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: plan to provide the major labor and materials for construction of the proposed property improvement. 0 YESAO building permit for the proposed work. (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. number / contractors license number): 5. I plan to provide portions of the work, but ing person to coordinate, supervise and provide the major work (include name / address / phone I will provide some of the work, but I have contrasted (hired) the fgllpwing persons to provide the work indicated (include name / address / phone number / type OPERTY OWNER SIGNA program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO 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? 0 YES 0 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. 0 YES 0 NO 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 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 Cit) 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 excevations over 5'0" deep and demolition or construction of structures over 3 stories in height. authorized by such permit is not at any time after the work is co APPLICANT'S SIGN and become null and void if the building or work orized by such permit is suspended or abandoned TE City of Carlsbad Bldg Inspection Request For: 04/27/2004 Permit# CB041279 Inspector Assignment: Title: RUSSELL RES-TEMP POWER POLE Description: FOR CONSTRUCTION OF ADDITION Type: ELEC Sub Type: Job Address: 1300 BASSWOOD AV Suite: TP Lot 0 Location: APPLICANT RUSSELL GREGORY J&YOLANDA I Owner: RUSSELL GREGORY J&YOLANDA I Remarks: Total Time: Phone: 94942231 61 Inspector: Requested By: STAN Entered By: CHRISTINE CD Description Act Comment 32 Const. ServicdAgricultural /UP 777.. Associated PCRs/CVs InsDection History Date Description Act lnsp Comments