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Home My WebLink About1901 CALLE BARCELONA; TP; CB033447; PermitL. 12-1 1-2003 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: PAUL'S ELECTRIC P 0 BOX 2557 VISTA CA 92085 760 941-9737 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Electrical Permit Permit No: CB033447 1901 CALLE BARCELONA CBAD St: TP ELEC Status: ISSUED Lot #: 0 Applied: 1211 1/2003 Plan Approved: 1211 1 /2003 Issued: 12/11/2003 Entered By: MDP THE FORUM Inspect Area: TEMP POWER POLE FOR BLDG 6 Owner: Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By Date Total # of units Phase No. Legal Description Lot No. Subdivision NamelNumber Unit No. Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City Statelzip Telephone # Fax # Name Address City Statelzip Telephone # (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 he 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 Codel or that he IS exempt therefrom, and the basts for the alleged mpti ,n. Any violati n of Section 7031.5 by any applicant for a permi su jects the applicant to a civil penalty of not mora than five hundred ollars 155001). CA 9z0@5-z%-5-7 740- 9y9/- 9737 city Statelzip &fr'c 70 &K2<<7 d%l& Address ?wL E;/ Name State License 7 d6 - ~3 7 License Class &-LO City Business License \ -2- &<% ' Designer Name Address city Statelzip Telephone 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. $r 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 Expiration Date Ju- ''3 1 0 issued. My worker's co r and policy number are: [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE n the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t aws of California. WARNING: Failu ion coverage Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars I t of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. Insurance Company -$ poiicy No. 6~- DATE /z-//@3 0 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). 0 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 contractork) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type Business and Professions Code for this reason: ON0 I, of work): PROPERTY OWNER SIGNATURE DATE 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? YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDERS 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 representatives of the Cit). of Carlsbad to anter 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 EXPIRATION: Every permit authorized by such permit is and demolition or construction of structures over 3 stories in height. provisions of this Code shall expire by limitation and become null and void if the building or work 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 on 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE [2-1/-03 . - Y WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request G= For: 12/12/2003 Permit# C6033447 Inspector Assignment: Title: THE FORUM Description: TEMP POWER POLE FOR BLDG 6 Type: ELEC Sub Type: Job Address: 1901 CALLE BARCELONA Suite: TP Lot 0 Location: APPLICANT PAUL'S ELECTRIC Owner: Remarks: Phone: 760941 9737 EX 102 InsPector: Total Time: Requested By: MARK ROWEN Entered By: CHRISTINE CD Description 32 Const. Service/AgricuItural Associated PCRs/CVs InsDection Historv Date Description Act lnsp Comments