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Home My WebLink About1902 MARRON RD; ; CB992824; PermitCity of Carlsbad 07/28/1999 Electrical Permit Permit No:CB992824 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1902 MARRON RD CBAD ELEC TEMP POWER POLE Lot#: 0 PINERY CHRITMAS TREET TEMP POWER POLE Applicant: Pl NERY CHRISTMAS TREE 10665 BROOKVIEW LANE SAN DIEGO CA 92131 619-566-7 466 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/28/1999 JM 07/28/1999 07/28/1999 2315 07/28/99 0001 01 C-PRHT Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $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. $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Clearance: ------ at approval of your project includes the "lmpositio • 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 Cartsbad 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 spec~ied fees/exactions DOES NOT APPLY to 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT CA 92009 FOR OFFICE USE ON!/-?O '( PLAN CHECK NO . L/DP EST. VAL._~~~~~~~~~ Plan Ck. Deposit-:::;:;,....,..-----......-- Validated Bv_....::....:....1:.._--;,_.,.b,,..,..':J-ir..41~ Phase No. Total II of units ~or's Parcel II Existin~e _r, Proposed u3e /1 lcmPtJ~/1:&Y Pt!Jwe,e &t.E H?/l PU11P1t1AI r/lr~ /AL S.IAJ. CNNE,c_ Telephone II Address City State/Zip Telephone II 5. 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 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 Code] or that he is exempt therefrom, and the basis for the alleged exemption. 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 $5001). Name Address City State/Zip Telephone II State License # ----------License Class----------Qty 8uiiriiii IJciMe # ------- Designer Name State License II---------- i. WORKERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. 0 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. My worker's compensation insurance carrier and policy number are: • Insurance Compan, Policy No. Expiration Date ____ '------- <THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 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 la 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 for In Section 3706 of the Labor coda, Interest and attomay'a fees. SIGNATURE DATE ________ _ 7. OWNER-BUILDER DECLARATION 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 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). 'Rf I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Qtractor'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). 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 l!!:fNO 2. I (have I h~t) 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 number): 4. I plan to provide portions of the work, bu I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number):. __ ... ~a+..:...L-"7'1,------------------------------------------ 5. I will prov· of work):_.OC....,L..:...L... __________ _,,'"'7"7--7':.t---------------------------,--:-------------- DATE _"Ju..V.....;;..J_,~A_.1..,c.f __ _ acted (hired) the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGNATURE ---.....£.-~a.!.~~====------------ COMPLETE THIS SECTION FOR NON-RE 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? 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? 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 (Sec. 3097(i) Civil Code). LENDER'S NAME--------------- 9. APPLICANT CERTIFICATION 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 representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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. for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. DATE I~ • en J .... i= i~ C/l Q. ~ i ~ ~ "d ll"o , 0 Ji» i ~-0 ::::, . l ·1 1:!''ll'''lll I': •tj• 1111 IJ ): . ::1 Jiill11, M 11 11••11111 I ti• ii, l • ~ I