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Home My WebLink About1694 DOCENA RD; ; CB111714; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-05-2011 Electrical Permit Permit No: CB111714 Building Inspection Request Line (760) 602-2725 'job Address: 1694 DOCENA RD CBAD Permit Type: ELEC Status: ISSUED Parcel No: 2159103100 Lot#: 0 Applied: 08/05/2011 Entered By: KG Reference*: Plan Approved: 08/05/2011 PC#: Issued: 08/05/2011 Project Title: IKEDA RES ADD SUB METER FOR Inspect Area: EXISTING EV CHARGER Applicant: Owner; BAKER ELECTRIC INC IKEDA 1998 FAMILY REVOCABLE TRUST 11-06-98 2180 MEYERS AVENUE 1694 DOCENA RD ESCONDIDO, CA 92025 CARLSBAD CA 92011 619-745-2001 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 FINAL APPROVAL \r\spector*-<Z—Z-—— Date: & ~f ' ' Clearance: NOTICE: Please take NOTICE that 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. C STY OF V* jfTJ \ 1«« Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.ca rlsbadca .go v Plan Check No(%//'/?/</ Est. Value Plan Ck. Deposit * SWPP SUITE#/SPACE#/UNIT# CT/PROJECT*PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: toc/uete Square Feet of Affected AreafsJ '/ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D APPLICANT NAME (Primary Contact) lAtf^ti/V ^_ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX PROPERTY OWNER NAME /)CONTRACTOR BUS. NAME ADDRESS f\t > PI. STATE ZIP CITY STATE ZIP PHONE FAX ARCH/DESIGNER NAME & ADDRESS 76/7 civil penalty of not more than five hundred dollars ($500)). demolish or repair any structure, prior to its issi|a/5e, also requires thee Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the— Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affim under penalty of perjury one of the following declarations: 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, LTI I have and will maintain workers'conjpensation.as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance earner and policy number are: Insurance Co. ./7///g*-*-! •"/ . Policy No. ~> /-a rxrs/-^. I Expiration Date fO/t / f I This section need not be completed if the permit is for one hundred dollars ($100) or less. l/l^ C^ O$jJ ^t(Q\ / / n 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 coverage is 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 as provided-far in Section 3706 of the Labor code, interest and attorney's fees, , '"} / / CONTRACTOR SIGNATURE *^y—^~) </Z~S ~^~-~~~'—" " O^GENT DATE ^ / S / ' / / hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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). 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 Law). I am exempt under Section Business and Professions Code for this reason: D No1 . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. 1 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 / contractors' license number): 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / 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? O Yes d 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 D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes a No IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 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 representative of the City of Carlsbad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD OSH A: 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 authorized 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 abandoned at any time after the work is commenced for a period of 1 §8 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE ^*<*- ~~~^' ^~^ I ^ ~~ DATE City of Carlsbad Bldg Inspection Request For: 08/16/2011 Permit# CB111714 Title: IKEDA RES ADD SUB METER FOR Description: EXISTING EV CHARGER Inspector Assignment: Type: ELEC Sub Type: Job Address: 1694DOCENARD Suite: Lot: 0 Location: APPLICANT BAKER ELECTRIC INC Owner: IKEDA 1998 FAMILY REVOCABLE TRUST 11-06-98 Remarks: Phone: 7606905169 Inspector Total Time:Requested By: LYNN Entered By: JANEAN CD Description 39 Final Electrical Act xi Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments