The URL can be used to link to this page

Home My WebLink About1530 MAGNOLIA AVE; ; CB011111; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/22/2001 Electrical Permit Permit No:CB011111 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1530 MAGNOLIA AV CBAD ELEC 2052205700 Lot#: 0 MAGNOLIA GARDENS/ TEMP POWER POLE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/22/2001 CB 03/22/2001 03/22/2001 TEMP UTILITY SERVICES SHEAREN FAMILY TRUST 12-19-96 1167 LAW ST 1530 MAGNOLIA AVE CARLSBAD CA 92008 SAN MARCOS, CA 92069 619-471-5494 4892 03/2~:1/-::, __ : 'JO(:.·~-_):_ ;:~-c G~r· Total Fees: $20.00 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 TOTAL PERMIT FEES Inspector; Total Payments To Date: 0 0 0 0 $0.00 Balance Due: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 EXPIRED P£~~"~T PFPM!T HAS EXPIRED 1N .~ ~'CORr s~ .;'iiON lOo.4.4 SIGNATURE aA.J FINAL APPROVAL Date: Clearance: C. NOTICE: Please take NOTICE 1hat approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collecuvely referred to as 'fees/exactions.' You have 90 days from the date this permtt 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 lo water and sewer connection 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 given a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired. PERMIT APPLICATION "CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PRo.iECT 1NFORMATIO ~ 3D TF FOR OFFICE USE ONLY PLAN CHECK No.CJ&')/ t t I I EST. VAL,. _________ _ Plan Ck. Deposit ________ _ Validated By..:U=:Y:z:.:...::;_ ...... ...,...------ Date "?--2:t;--£) / Address Hnclude Bldg/Suite #} Busirjass Name lat this address) rC1t11s Legal Description Lot No. Unit No. Phase No. Total # of units Assessor's Parcel/ '/ /dS1#1' f. Existing Usi fJ1:v el" /'D t. Proposed Use Description of Work SQ. FT. #of Storie!I I of Bedroom11 fl of Bathrooms 2. .... CONTACT PERSON {If dlff..-nt from ■ppllc:entl, Name Address City State/Zip Telephone# Fax# :~meAPPli:e;□ Co?:ij~~:~Agen::?r~~~;;··: ·:9,j;r ',·,•:rn1Jio c,,·· State/Zip Telephone# 4. PROP Name Address City State/Zip Telephone# 1i; .. CONTRACTOR ·~·coMPANY NAME••'' ' (Sec. 7031.5 Business and Professions Code: Any City or County which r■quires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant tor 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 ot the Business and Professions Cadet or that he is exempt therefrom, and the basis for the alleged exemption . .Anv. violation of Secti np031.5 by anY,.!fPlicant for_lpermit sub;ects the applicant to I c}vil 1enalty of not more than fiv~undred dollars [$5~01), / e>" tt/S J~ # {¥1)/nU S'f F..9C(PGtef(J f.tcJS-~,co~ '13 r-7t,,/;/ Name City State/Zip Telephone# State License # _S._..c;:2;.;._3_~......;;.'4_r ___ _ License Class __,(.___I_/ _____ _ City Business License , _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' COMPENSATION 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. i;) I have and will maintain workers' compensation, as requirecl,by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insuranc carrieyand policy number are: 3 _ 3/--d( Insurance Company h 4 Polley No./ f.5~J/ 0 ~ 60 Expiration OBte ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) 0 CERTIFICATE OF EXEMPT10N; I certify that in the performance of tha 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 Hcure worlcers' compen■atlon coverage I• unlawful, and ■hall 1ubject an employer to crimlnal peneltie• and civil fines up to one hundred thouHnd dolla,. 1$10 I, In addition co■t of compenHtion, damages II provided for In Section 3706 of the Labor code, lntareat and attomey'1 fffl, SIGNATURE _ __,:!...,::~tu,ff/_._Jii.:~:,:::Z!::!l:::::______________ DATE ,.. , /-,,t 7. 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 th11 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 offer11d 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 ■ale>. D I, ■s owner of the property, am exclusively contracting with licensed contractors to construct the proiect (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 pro1ects with contr11ctor(s) licensed pursuant to the Contractor's License Law). 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 I 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 I address I phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the mejor work (include name I address / phone number I contractors license number): _____________________________________________ _ 5. 1 will provide some of the work, but I have contracted lhiredJ the following parsons to provide the work indicated (include name / address / phone number / type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant requir■d 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., CONSTRUCTION LENDING AGENCY· ; ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued JSec. 3097(il Civil Code). LENDER'S NAME ______________ _ 9. APPLICANT CERTIFICATION· I certify that I hav,i, 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 Citv 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 this Code shall expire by limitation and become null and void if the building or work euthorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the o · commenced r period of 180 days (Section 106.4.4 Uniform Building Code). · DATE '3 -.2. I .-O I YELLOW: Applicant PINK: Finance