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Home My WebLink About1310 CHUPAROSA WAY; ; CB111315; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-16-2011 Electrical Permit Permit No: CB111315 Building Inspection Request Line (760) 602-2725 Job Address: 1310 CHUPAROSA WY CBAD Permit Type: ELEC Status: ISSUED Parcel No: 1561105300 Lot#: 0 Applied: 06/16/2011 Entered By: LSM Reference*: ^ Plan Approved: 06/16/2011 PC#: \^ Issued: 06/16/2011 Project Title: HAGLER RES- INSTALL 2S-WAMP Inspect Area: CIRCUIT Applicant: Owner: ARS HAGLER JACK H&BETTA H TRS STEA 9895 OLSON DR 1310 CHUPAROSA WAY SAN DIEGO CA 92121 CARLSBAD CA 92008 8584576557 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0,00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 FINAL APPROVAL Inspector: V" &>*£^<> Date: °^N It 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. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No.I [ "~5 I ^ Est. Value Plan Ck. Deposit Uo "S3 "OP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) PATIOS (SF) DECKS (SF)FIREPLACE YES D # NO D CONTACT NAME (If Different Fom Applicant) STATE ZIP q 2.12.1 CITY BUS. LIC.#io.^rr>oo (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 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 ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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. i* i nave 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 workers' compensation insurance carrier and policy / ''number are: Insurance Co. I—,\ O-g T T'i-4 Policy No. **") Cp *3 j 5 Oa CP 3 iQ|D Expiration Date \Oftffl This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 shall subject an employer to criminal penalties and civil fines up tp one hundred thousand dollars (&100.000), in addition to the cost of compens£tevd£jnages as provided for jn-Spdion 37u/6-of-th«-La,bor code, interest and attorney's fees. / hereby affirm that I am exempt from Contractors License Law for the following reason: 3 I. as owner of the property or rny 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). 3 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 contracls for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 3 I am exempt under Section Business and Professions Code for Ihis reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 3 Yes 3 No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maj or work (include name / address /phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE OAGENT DATE . > . , v. ^ " -> % > i - - > "• •• • - •> • j__J » ; ^ - i ' s -• Is the applicant or future building occupant required to submit a business plan, acutely hazardous malerials registration form or risk management and prevention program under Sections 25505.25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? n Yes 3 No ~~" n NOrequired to obtain a permit from the air pollution control district or air quality manIs the applicant or future building occupanli& me etpijiiLdiiiui miuie Ljuiiuuiy uu*upam requiieu ID uumin a pemm irom me an pom Is the faculty to be constructed within 1,000 feet of the outer boundary of a school site? 1C AUV f\C TUC AMG\AfCDC ADC VCC ACIilAI rCDTICIr^ATC AC Arri ID A klrV Rflir rtn i ur i nc MI^O^VCRO MRC ico.AruNMLucKiiriuMicvjr uoour^ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I hereby affirm that there is a construction lending agency for the performance of the work 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 representative of the City 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 the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^ City of Carlsbad Bldg Inspection Request For: 07/13/2011 Permit* CB111315 Title: HAGLER RES- Description: CIRCUIT Inspector Assignment: Type: ELEC Sub Type: Job Address: 1310 CHUPAROSA WY Suite: Lot: 0 Location: APPLICANT ARS Owner: HAGLER JACK H&BETTA H TRS Remarks: Total Time: CD Description 25 Water Heater/Vents Act Comments Phone: 7607295729 Inspector: Requested By: DEBRA, ARS Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments