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Home My WebLink About190 PALOMAR AIRPORT RD; MP; CB000419; Permit02/08/2000 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad Electrical Permit Permit No;CB000419 Building Inspection Request Line (760) 602-2725 190 PALOMAR AIRPORT RD CBAD St: MP ELEC Lot #: 0 INSTALL 100 AMP METERED ELC PD Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 9302 02/08/00 OOOl 01 C-PRMT ISSUED 02/08/2000 GMF 02/08/2000 02/08/2000 02 20-00 /Applicant: FISHEL COMPANY 666 AIRPORT RD OGEANSIDE OA 92054 760 967-6930 $20.00 /-//l^^t^f^ayments Baja $20.00ce DueTotal Fees INCORPOHATED 1952 Electric Issue Fee Single Phase per AMP Three Phase per /\MP Three Phase 480 Per AM Remodel/Z^teration per /^Pi Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOT/M. PERMIT FEES $}I0.00 ,$0.00 0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 eXPIRED PERI PERMIT HAS EXPKED IN Al SECTION 10M4 wmiuj.c. mrnm. Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NGTIGE thai 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 Imposttion of these feestexactlons. If you protest them, you must follow the protest piocedures set forth in Government Code Section K020(a), and file the protest and any other required infonnatton wite the City Manager for processing In accordance with Cartstad Municipal Code Section 3.32.030. Failure to Smeiy follow that procedure wBl tar 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 specBled fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grad'ng or other similar application processing or service fees to connection with this project NOR DOES iT APPLY to any fees/exactions of which you have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has prevlouslv otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr^ Carlsbad, CA 92009 (760) 438-U61 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 -i/:'';:,pRbJ|CTiMFoniiTATiorJ'- V v .rv ino^pAUDM/^ii Airport do FOR OFFICE USE ONLY PLAN CHECK NO. C(b00C> EST. VAL. Plan Ck. Deposit Validated Bv_ Date_ Address (include BIdg/Suito fi]Business Name (at this address) Legal Description Lot No.Subdivision Namo/Number Phase No Total A of units Assessor's Parcel # Existing Use PI/ICE ice AHP ELFCJgie. pgDEST^L Description of Work SQ. FT. ,'21- . CONtACtPF.nsbN (If diffntent from rippIloniuL N: n vT Proposed Use #of Stories t! of Bedrooms U of Batirrooms Name Addrns.s .3:, 'applicant f Q] Cantfnctor O Ag'ont .foRtoritrnctor- ' Q Owner b/iAjie.1.^ C/^Ai£viswA/ P.o, /hx 3^^ City for'OWner ■, , , , d&£LS£p?/) Stntc/Zip Telepfione Pax jV Nnrne Address City State/Zip Telephone // A?/k/£A& Cy9&L^VJS>J0/J C/9P/.SP,/9/^ City State/Zip Telephone PName Address GfVlcoNffiAeTbR^'COMPANY NAKiE'tV'tc/cc,;:: tc'Ciy;;:, ,/t;i:>;.:C:C;c"'r,;vci: "•tricYccccit : c;.:'.,cv:{t;-,.. (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 its issuance, also requires the applicant for such permit to file a signed statement that ho is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codol or that ho is exempt therefrom, and the basis for the allegedexomption. Any violation of Section 7031 .5 by any .applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I S500I) bt^te /^iPfiOPT /AE C/9 -9203^ C7i>o) 9^7--(,930 Namo Address City State/Zip TelophonQ n StntG Liconso ft License Class AC 7 City Business License tf Designer Name Address City StntG/Zip Telephone State License tf 6'. WOhKERS' OOMPaNSATION / '7 / •, ■ u '• • ' 'V T' " •" ' ' ' • Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ ih nvo and will maintain a CGrtificato nf coTisnnt to seif-irisuro for workers' compnnsation as providod by Soction 3700 of tho Labor Code, for the perforrTiancn of tfie work for wliicli this permit is issued. r^K' I have and will maintain workers' compensBtion, as required by Section 3700 of tho Labor Code, for the performance of the work for which this oermtt is issued. My worker's compensation insurance carrier and policy number are: Insurance Company em Policy No. Expiration Date 6-i-OO (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) □ CERTIFICATE OF EXEMPTION: I certify tfiat in tho 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: Fnlluro to secure workers' componsntlon covorngo is unlawful, and shall subject an employer to criminni ponolties and civil fine.s up to one liundred thousand dollars l$100,00fl). In odjiiiion to the cost of compensation, damngos a.s providod for in Section 3706 of the Labor code, interest and attorney's fens. SIGNATURE^ X '2'-7. (iwfR-RTuiiLOEH(nR(;i.AiiAri()rr ^ • ' ■ I iiereby affirm tliat I am exempt from the Contractor's License Law for the following reason: □ I, 0.S owner of tho property or rny ornployoos with wages as tlieir sole cornpensation, will do tho work and tho structure is not intended or offered for sale (Sec. 7044, Bu.sinoss and Professions Code: The Contractor's License Law dons not apply to an owner of property who builds or improves thereon, and who does such work fiimsolf or through iiis own employees, provided tliat such improvements are not intended or offered for sale, tf, however, the building or improvoment is sold witiiin one year of completion, tfie owner-builder will fiavo tfio tiurdon of proving ttiat he did not build or improve for the purpose of sale). I I I, OS owner of the property, am exclusively contracting witfi liconsod contractor.s to construct the project (Sec. 7044, Business and Professions Code: Tfie Controctor's License Law does not apply to an owner of property wfio iiuitds or improves thereon, and contracts for such projocts witfi contractor(s) licensed pursuant to tfio Contractor's Liconso Law). 1 1 I am exempt under Section Business and Professions Code for ttiis reason: 1. 1 personally plan to provide tfio major labor and materials for construction of tfio [iroposed property improvomont. Q YES [ |N0 2. I (fiovo / fiave not) signed an application for a building permit for tfio proposed work. 3. I have contracted with tlie following person (firm) to provide the proposed con.struction (include name / address / phone number / contractors license number) 4. I plan to provide portions of the work, but 1 fiavo hired tfie following person to coordinate, supervise and provide the major work (include name / address / phono number / contractors license number): 6. 1 will provide some of the work, but I have contracted (hired) the following persons to provide tho work indicated (include name / address / phone number / type of v/ork): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON^nESJDENflAL BUILDiNQ l»ERMIT9 ONLY,: ' ; / '.".i : - 1 IT ;,; T ; V;} ' Is tho applicant or future building occujiant required to submit a business plan, acutely hazardous materials regi.strntion form or risk managemont and prevention program under Sections 25505, 25533 or 25534 of the Prosioy-Tannor Hazardou.s Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructed within 1,000 feet of tho outer boundary of a school site? Q YES Q 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. B. u . CONSTRUCTidN LENDING AGENCY yV ! - U! ' ' V: 'i: . 7';; u. h : ':,; 7; ; \ I fioreby aflirm that tfiere is a construction lending agency for tho performance of the work for wfiich this permit is issued (Sec. 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9,-7 applicant CERTIFICATION ' ■ .^ I certify tfiat I have read the application and state that tho above information is correct and that tfio information on the plans is accurate I ngmo in comply wrifi allCity ordinances and Stain laws relating to fniilding construction. I finrnby autfiorizo reprosentativo.s of the CitV of Carlsliad to ontrtr urion the alinvo mr'ntirjnoflproperty 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 WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for excavations over fi'D" deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under tho provisions of this Code shall expire by limitation and become null and void if tho building orwork authorized by such permit is not commenced within 365 days from tho date of such permit or if tho building or work authorized by such permit is suspendedor abandoned at any time after the work if; commenced for a period of 1 80 days (Section 106.4.4 Uniform Building Code) APPLICANT'S SIGNATURE X" DATE HITE. File YELLOW: Applicant P'INK: Finance FEB-04-00 FRI 14:10CITY OF CARLSBADFAX NO. 760 602 8560P. 03IfrQz?5>7^IsAPr'^OV 1FEBO82000City of CARLSBADBUILDING DEPT.an