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Home My WebLink About137 MAPLE AVE; ; CB032134; Permit~}~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-0,1 •2003 Electrical Permit Permit No: CB032134 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 137 MAPLE AV CBAD ELEC 2042331700 HUMPHREYS RESIDENCE Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/01/2003 MDP 08/01/2003 08/01/2003 UPGRADE ELECTRICAL SERVICE FROM 100 TO 200 AMPS 0939 08/01/03 0002 01 CGP Applicant: BRUNO GARDINER CONSTR PO BOX 687 CARLSBAD CARLSBAD CA 92018 760-729-8786 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 Total Fees: $35.00 Inspector: 100 0 0 0 Owner: HUMPHREYS MARVIN S 140 ACACIA AVE PENTHOUSE CARLSBAD CA 92008 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL j,/ 12./ o:', Date: Clearance: $35.00 NOTICE: Please take NOTICE at 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 . n v r vi I n iv n N Tl E imi r hi h h flimi i h I 02 35-00 PERMIT APPLICATION ) CITV OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Existing Use Designer Name Address State License # _________ _ 6 . ...WORIS,ERS' COMPEN§ATION City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: FOR OFFICE USE ONLY PLAN CHECK NO. 0~,..... G(~ ~ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ Phase No. Total # of units Proposed Use # of Bathrooms State/Zip Telephone# Fax# O 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. O 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 _______ _ i lS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ecome subject to the Workers' Compensat'on Laws of California. WARNING: Failu v rage 11 unlawful, and 1hall aubject an employer to criminal penaltlea and clvll fines up to one hundred ($ panaatlon, damage• ea provided for In Section 3706 of the Labor code, intereat and attorney'• fees. DATE ?-/-(22 {;1,2..,_ ~ 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 to·, 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). O 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 Lawl. 0 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firml to provide the proposed construction (include name / address / phone number / contractors license numberl: 4. I plan to provide portions of tha work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license numberl: ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO 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? 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? 0 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8. ONSTRUCTION LENDINO AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION 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 excavations over s·o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Offici 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 c enced within 180 s from th e of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft• the work Is co ed for a · d days e on 106.4.4 Uniform Building Code). ~PPLICANT'S 3NATU~R~E:j_~:::;:::,~~~2..!~~~~~~:=::===------------DATE YELLOW: Applicant PINK: Finance 7 ) ' , City of Carlsbad Bldg Inspection Request For: 08/11/2003 Permit# CB032134 Inspector Assignment: Title: HUMPHREYS RESIDENCE Description: UPGRADE ELECTRICAL SERVICE FROM 100 TO 200 AMPS Type: ELEC Sub Type: Job Address: Suite: Location: 137 MAPLEAV Lot 0 APPLICANT BRUNO GARDINER CONSTR Owner: Remarks: AROUND NOON PLEASE Total Time: ----- CD 33 Description Act Phone: 7604148285 Inspector: ---- Requested By: BRUNO GARDNER Entered By: KAREN Comment E /YI IZ Service Change/Upgrade M.._ ~~'l~~~~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments