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Home My WebLink About1418 FARADAY AVE; ; CB030363; Permit02-05-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB030363 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1418 FARADAY AV GBAD ELEG TEMP POWER POLE Lot#: Status: ISSUED Applied: 02/05/2003 . Entered By; MDP Plan Approved: 02/05/2003 IssUM 02)2705/25)03002 01 Inspect Area: CGP" 02 20-00 Applicant POWER PLUS Owner 436 N QUINGE ST ESGONDIDO GA 92025 760 839-9430 Electric Issue Fee Single Phase per /\MP Three Phase per /\MP Three Phase 480 Per AMP Remodel/Alteration per /\MP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES $10.00 $0.00' nn $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 n $0.00 $20.00 Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due:$20.00 Inspector FINAL APR Clearance: NOTICE; Plaase late NOTCEthfit approval of your project liidudestlwIrriposW of fees, dedkatkxis, rB3ef\ratiori8, or ottwexacttais hereafter collectively refeoBd to as fees/exactions.' I^tiave 90 days from the date ttils permit was Issued to protest imposition of these fees/exactkm If you protest them, you must fallow 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 Car1sl)ad Mimldpal Code Section 3.3Z030. Falure to flmely folkwr that procedure will bar any sutrsequent legal action to attack, review, set aside, void, or annul their Imposition. You are heretjy FURTHER NOTIRED 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 ptt^ecL NOR DOES fT APPLY to any fBestoxactlons of which vou have Drevtouslv been given a NOTICE simiter to this, or as to which the statute of llmMons has PrgvlOlfily Qlhetwl59 9kD)red, PERSVilT APPLlCATIOSy CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT IWFORI I Bld^ulte tt) I FOR OFFBCE USE OWLY PLAN CHECK NO. <^3 3^*^ EST. VAL. Plan Ck. Deposit Validated By Date Address (Include Bld^ulte Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel f Existing Use Proposed Use pcuycA ^ly )Description of Work #of Stories # of Bedrooms # of Bathrooms 2. CONTACT, PERSON (H dlff^t from appDcBntl Name . Address City 3. APPLICANT n Contractor T^^oent for Contractor O Owner Q Agent for Owner 7^-f-ro7^ Stete/ZIp Telephone #Fax # Name 4. PROPERTY OWNER tUtr fgjr-nrt^s iC? Address City SCt- State/Zip Telephone # r/zjy s'sv Name Address City State/Zip Telephone # CONTRACTOR n COMPANY NAME (Sec. 7031.6 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 statemerrt that he is licensed pursuant to the provisioru of the Contractor's LIcerue Law [Chapter 9, commending with Section 7000 of Division 3 of the Business arrd Professions Code] or that he is exempt therefrom, and the basis for the alleged exemptiorL—^y violation oLSqctlon 7031.5 by any applicant for a^rmit subjects the applicant^ a dvll per^ty of not more than five hundred dollars [$600]).by any applicant for a^rmit subjecti the applicant to a dvl! penalty of not mc C<KAAC^ Name State License t Address License Class Cii/ City State/Zip City Business (Jcense # Telephone # Designer Name Address City State/Zip Telephone State License # a. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the foilowing declarations: r~l 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 pf fi\e work for which this permit is Issued. I have and will maintain workers' compensation, as required by Section 3700 of tfie Labor Code, for the performance of the work for which this permit is d. My worker's compensatlon^nsurance carder and policy number are: ^ / -» Insurance Company Polcy No._ Expiration Date ^ {THIS SECTION NEED NOT BE COMPLi^rED IF THE^RMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) I~1 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 Callfomla. WARNING; Faflure to secure workers' compensation coverage Is unlawfuJ, and shafl subject an employer to criminal penaftlas and c)vil fines up to one hundred thousffiid doQars ($100,000), In tidditipn to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE ~ 7. OWNER-BUILDER DECLA^^ON y I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees wfth 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 L^w does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through Ns own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold wfthin 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). □ I, as owner of the property, am exclusively contracting wfth licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or Improves thsrson, and contracts for such projects with conlractorls) licensed pursuant to the Contractor's License Law). □ 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 tfia proposed property Improvement. □ YES QNO 2. I (have / have rtot) 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 (Includo name / address / phonenumber / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide ttie work Indicated (Include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDBmAL BUILDING PERMITS ONLY Is the applicant or futura building occupant required to submK a bualneas plan, acutely fiazardoua mateiials registration form or risk management and prevention program under Sections 25605, 25B33 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant roqulrad to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO la the facility to be constructed wrthln 1,000 feet of the outer boundary of a school sita? □ YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION COrjTROL DISTRICT. a. CONSTRUCTtOW LENDING 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 authorlza representatives of the Clt^ of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit la 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 llmltatlon and Ijecome null and void if the building or work autfxirized by such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandonedat any time after the work Is commence<j^for|^0ri/)d of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE i DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request i=on 02/18/2003 Permit# CB030363 Title: TEMP POWER POLE Description: Inspector Assignment: PY Type: ELEC Sub Type: Job Address: 1418 FARADAY AV Suite: Lot 0 Location: APPLICANT POWER PLUS Owner: Remarks: Phone: 7608399430 Inspector: Total time: CD Description 32 Const Service/Agricultural Requested By: MICHELLE Entered By: ROBIN Act Comment B Associated PCRs/CVs Inspection History Date Description Act Insp Comments 02/13/2003 32 Const. Service/Agriculturaj NR PY NO SUCH ADDRESS cnP \