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Home My WebLink About1330 MAGNOLIA AVE; ; CB020492; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB020492 Building Inspection Request Line (760} 602-2725 Job Address: Perm it Type: Parcel No: Reference #: Project Title: Applicant: HONDA HIROSHI 1330 MAGNOLIA AV CBAD ELEC Lot#: 0 THE CARLSBAD NURSERY POWER POLE FOR NURSERY Owner: HONDA HIROSHI Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/15/2002 MDP 02/15/2002 02/15/2002 1050 02/15/02 -:>002 ]1. 1328 MAGNOLIA AV 92008 1328 MAGNOLIA AV 92008 CGP· Total Fees: $35.00 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 Inspector: Total Payments To Date: 100 0 0 0 $0.00 FINAL APPROVAL Date: 3,a,/4) Balance Due: $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $35.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project inch.ides the "Imposition• of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these lees/exaclioos. II you proiest them, you nrust 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 wtth carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to atlaCk, 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 waler and sewer oonnection 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 vou have oreviouslv been olven a NOTICE similar lo this or as to which the statute ot limitations has oreviouslv OCherwise exoired. 02 ..,. 'I- FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 62· l-\~ '2.._ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ ·1. ,PRQj ECT INFORMATION -.u \,, l 3<?Jo 11 AG NO'-t A Aue" CJaooB Ho@.T1cuLrullA t. 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 Proposed Use Description of Work SO. FT. #of !;!ies # of Bedrooms # of Bathrooms 7>E'2+-t~t-J.E,-.,lr ~o,..lf{t --=i>o\..(... . . -.,;:,~ ;. CONTAJ)T ~RSO,NJlf different from eppllca"tl . full. td tJ ,Q ~,.. tJ u lt.S E." '-{ 5 Name Address City State/Zip Telephone# Fax# [3. APPLICANT O Contractor □ Agent for Contra(l!Ot , 0 Owrie~ ' 18,.Agent fqr Owner ' w,~l e-M ~-3:>v...., iJ .]> o :::1:,o-t so ,s.2':l S:MJ "'1>10:;0 Name Address City State/Zip Telephone # ,•,·_ , •-;c· • h t1AGJ:tJOU A CAA<..S Mi;> Name Address City S.tate/Zip Telephone # )j, ~Q,~TI\ACTOR • COMPANX.NAME •• (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 ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class ________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOIJl(ERS' COMPENSATION .L, • , e., , .. 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. 0 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 ($100] 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 workers' compensation covar■ga la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,000), In addition to the cost of compensation, damages ea provided for In Section 3706 of the Labor code, Interest end attorney's fees. SIGNATURE______________________________ DATE :f. " OWNER-BU,LDtR pet:µ~A:nor• "' ~-;::::;;;;:;:::=:;:::::;;;;;;::;;;:;;;;;;;;~=- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 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!l I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cont ractor'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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. 4. I plan to provide portions of th work, but I have hired the following person to coordinate, supervise and provide the 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)=------------,--;-..-----:----::-+------------------------------------- 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. is. : C9NSTflUCTiQII! LENDING ~G~NCY ' i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971i) Civil Code). LENDER'S NAME ______________ _ ,,: 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 Citt 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 t · Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenc d wi in 180 days from the date of sue ermit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc ~~~f 180 da io .4 Uniform Building Code), APPLICANT'S SIGNATURE ~~ • DATE ;:2 -It./ -O"L- WHITE: File YELLOW: Applicant PINK: Finance .. • City of Carlsbad Bldg Inspection Request . For: 03/26/2002 . Permit# CB020492 Title: THE CARLSBAD NURSERY Description: POWER POLE FOR NURSERY Type:ELEC Sub Type: Job Address: Suite: 1330 MAGNOLIA AV Lot 0 Location: APPLICANT HONDA HIROSHI Owner: Remarks: g.f.c.l. inspection Total Time: Inspector Assignment: JC --- Phone: 8583950656 Inspector: ~ Requested By: WILLIAM Entered By: CHRISTINE CD Description 34 Rough Electric Act Comments --11£~4»= Associated PCRs Inspection History Date Description 03/22/2002 34 Rough Electric 02/22/2002 32 Const. Service/Agricultural er ______________ _ fi/llft; Act lnsp Comments AP JC FINAL CO JC SEE NOTICE ATTACHED (GFI)