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Home My WebLink About1490 FARADAY AVE; ; CB002658; Permit07/18/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB002658 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No; Reference #; Project Title; 1490 FARADAY AV CBAD ELEC Lot #; 100 AMP FOR PRESSURE STA Status; ISSUED Applied; 07/18/2000 Entered By; MDP Plan Approved; 07/18/2000 Issued; 07/18/2000 Inspect Area; Applicant; SOUTHERN CONTRACTOR CO 559 N TWIN OAKS SAN MARCOS, CA 92069 619-744-0760 • Owner; CITY OF CARLSBAD 3340 07/18/00 0001 01 02 C-PRMT 35.00 Total Fees;$35;00 n . i. 'rX Total Payments To Date;$0.00 Balance Due; $35.00 ,/ / Electric Issue Fee, Single Phase per AMP Three Phase per i^P, Three Phase 480 Per AMI^' Remodel/Alteration per AfyIP \Remodel Fee Temporary Servlce.Fee Test Meter Fee Other Electrical Fees, ' - . \ 1 . * TOTAL PERMIT FEES. 100 0 ,0 , • 0 A ,$10.00 ,r-/ $2^0". ' ' i I $o:o0 , ; t $c):do . i :■ $0.00r /' $0;00. . / $0.00 $0.00 . $0.00 : / ;• $35.00 ■ ! Inspector FINAL APPROVAL Date;Clearance; NOTICE Please take NOTICE fliat approval of your project hchKles ttie ■Imposition' of fees, dacficatlons, reservations, or ottier exactions tiereafter collecllvelyreferred to as "fees/exacflons.' You tiave 90 da^ from ttie date this permit was issued to protest imposition of ttiese fees/exactions. If you protest them, you must ■follow the protest procedures set forth In Govenvnent Code Sectton 66020(a), and file the protest arid any oSier required Information witti the City Manager torprocessing In accordance with Carlsbad Municipal Code Secflon 3.32.030. Failure to timely follow that procedure wID bar any subsequent legal action to attack, review, set aside, void, or annul their Imposiflon. You are hereby FURTHER NOTIRED that your right to protest the specified feesfexacttons DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, gradhg or other similar application processing or service fees to connection wtth this pto^ NOR DOES IT APPLY to any fees/exacflons of which you teve prevlousiv been given a NOTICE similar to this, or as to which the statute of limitations has previousiy otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bidg/Suite Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No. Total # of units Assessor's Parcel S Existing Use Proposed Use Description of Work / 2. CONTACT PERSON (H different from appDcant) Name Address City 3. APPLICANT □ Contractor Q Agent for Contractor O Owner Q Agent for Owner State/Zip Telephone U Fax S Name Address City State/Zip Telephone # PROPI Mis 9m Address City State/Zip Telephone #State/Zip Telephone #Name B. CONTRACTOR - COMPANY 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 Itsissuance, 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 7(X)0 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the allegeditiOPn-AriyyViRlfltigiMtfiscIlcil7fl31-51^ peripJt;mbjpc}s,#5l^PQ^ggpt to a dvll penalty ~[L.TTHp^Hf 9, l^llililtmuiliy Wllll OOULIUM U1 L/IVIsIUII O UI IIIO DUmIOOO aiiu riUl03OlUli9 N^uuaj ui u H3 L no La OAOiii|Ji uroionsjiiif aiiu LI lo uaaia iw« uau ui^ Name State License # Address License Class City State/Zip City Business License # elephone # Designer Name State Licer^e # _ 6. WORKERS' COMPENSATION Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to selfJnsure for workers' compensation as provided by Section 3700 of the (jbor Code, for the performance of ttework for which this permit Is issued. 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. Mv worker's.comoensatloD Insurance carrier.and.Dollcv number are:'Issued. My worker'j rhich this pormi Insurance Company Policy No._Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [«100] OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for wfilch tfils permit Is Issued, I sfiall 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 atdiject an employer to criminal penalties and civil fkies up to oik lumdied thousand dollars (4100,000), In addition to the cost of compensation, damages as provided for bi Section 3706 of the Labor code. Interest end attorney's fees. SIGNATURE DATE 7. OWNER.SUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Ucansa Law for the following reason: l~l 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 Coda: The Contractor's LIcansa 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 tlK burden of proving that he did not build or Improve for the purpose of sale). □ 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 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 the proposed property improvement. □ YES QNO 2. I (have / have not) 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 (Include name / address / phone number / contractors license number): 6. I will provide some of the work, but I have contracted (hired) tire following persons to provide the work Indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR yV01V-AE5WaV7ZAL BUILDINa PERMITS ONLY . Is the applicant or future building occupant required to submit a bualrKss plan, acutely hazardous materials registration form or risk management and prevention program under Sections 2550B, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? Q YES NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES NO Is the facility to bo constructed within 1,000 feet of the outer boundary of a school site? O YES IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE 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 CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCYI hereby affirm that there Is a constnad^n lending agency for the performance of the work for whlch^a permit Is Issued (Sec. 3097(1) Civil Code). y ^ LENDER'S ADDRESS "/nLENDER'S NAME 9. APPUCANT 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 CItV 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 6'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the tiulldlng Official under the provisions of this Code shall expire tiy limitation and become null and void If the bulltfing or work authorized tiy such permit Is not commenced within 180 days from the date of such permit or If the txjilding or work authorized 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). APPLICANT'S SIGNATURE DATE WHITE: RIa YELLOW: Applicant RNK: Rnance Account NO. 0013610-4223 CITY OF CARLSBAD REQUEST FOR REFUND Vendor No. Fee Paid For: Building permits CB002659.CB002657.CB002658.CB0026 56Amount of Refund $1^0.00 Date Fee Paid: 07/18/00 Pee pgid By: SOUTHERN CONTRACTING CO Facts Supporting Request: These permits are duplicates of permits already puiied by the City of Carlsbad Engineering Department for a municipal project. Name of Applicant:.^1.,-ri+TrR-A /V)uT-rMCT7*'6 O, loc; Address: OlrlSS\SMi^^U UMVi. Q.. Street City State Zip Signature of Applicant Dept. Justification: Rec:□ Approve Rnance Investigation: Rec: □ Approve City Manager's Action: □ Approve □ Disapprove □ Disapprove □ Disapprove Date Telephone 'g- -7.9-00 Dept. Head Signature Date Date City Manager Signature Date