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Home My WebLink About1906 PALOMAR POINT WAY; ; CB060050; Permit01-05-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB060050 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1906 PALOMAR POINT WY CBAD ELEC 2120810300 Lot#: CITY LAND 100 AMP METERED PEDISTAL FOR IRRIGATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/05/2006 RMA 01/05/2006 01/05/2006 Applicant: PATTIMMINS Owner: CITY OF CARLSBAD PUBLIC AGENCY 00000 Electric Issue Fee $0.00 Single Phase per /\MP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per /\MP 0 $0.00 Remodel/Alteration per /\MP 0 $0.00 Remodel Fee $0.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees • $0.00 TOTAL PERMIT FEES $0.00 Total Fees:$0.00 Total Payments To Date:$0.00 Balance Due:$0.00 building plans -^IN STORAGE -^ATTACHED Inspector .^HvL final^prqVal Date:Clearance: NOTICE: Please take NOTICE that approval of your project Includes the 'Imposfilon' of fees, dedications, reservations, or other exactions hereafter collecttvely referred to as fees/exactions.' You have 90 days from the date this penntt was Issued to protest Imposition of these fees/exactions. If you protest them, you must fotow 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 Caristjad Municipal Code Section 3.32.030. FaBute to tknely follow that procedure wi bar any subsequent legal action to attack, review, set aside, void, or annul their Imposlion. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to and sewer connection fees and capacity changes, nor planning, zoning, grading or other sknliar application processing or service fees In connection with this project NOR DOES IT APPLY to any fees/exactfons of which vou have orevkxislv been given a NOTICE simlar to this, or as to which the statute of Unttatlons has oreviouslv otherwise exDlTBd. PERMIT APPLICATION V , , n CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ,1. * PROJECT INFORMATION-iiV. /N . i:' /JJm/ Address (include Brdg/Suite #) • P FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. ONLY Plan Ck. Deposit Validated By Date 01 Qp C1a-(Llsb>a-^ i raaBusiness rtame (at this address) , n (2^^0 us -PaJ 'ZiT on t '<D^ vLeqar Description Lot No.Subdivision Name/Number Unit No.Phase No.Total U of units v^^essor's Parcel # Existing Use ^ Proposed Use Fb/L xajza cy,yLT?.^ (TU^/ — Description of Work SQ. FT. #of Stories ^ of Bedrooms f ff of Bathroo'ms 2. ^ CONTACT. PERSOiM (If diffefeht'from apijlicant) ^ ' u yr(/Tvr/A/-S>Name ' ' Address City State/Zip Telepho F 3'.r^' APPUCAINIT GJ^^^htractor Q^Ageht for Coritractor Q Owner ^ ED Agent for Owner ne #ax # Name 4. r PROPERTY OWNERr Address City State/Zip Telephone # Name 5. . CONTRACTOR - COMPANY NAME Address City State/Zip Telephone U . ft- v' (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 [$500]). Luh/\RS:>1 <CoA>s.rx^/r-7?tfO v/.nta "Dr Si\^Name ^ ^ cJ> 1 Address f City State/Zip T^e^one' # r" License Class City Business License # fnfOcOState License # Designer Name Address City State/Zip Telephone State License # :6/- WORKEiRS'COMPEN$AtlON ' n U t;- r . v V ' ^ , J Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fallowing declarations: □ 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 performanceof th^work for which this permit is issued. I have and will maintain workers' compensation, as requirsd-j^y Section 3700 of the Labor Code, for the performance of the work for whie^ ^s .pefmVis^issued. My worker^ compeu^^JiJjJ^iriJu^^^p^'^ii^mip^ltdi'/itfDlbBrTareS,^-" I AO 2 9 cT^ L/7 V Insurance Compa (THIS SECTION Nl □ Date [$1001 OR LESS) CERTIFICATE OF EXEfUPTION: 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^cure worker^ compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundredthousand dollars ($10^OO)^n.additi^n to the cost of compensation, damages as provided for in Section 3706 of the La^r cod^interest and attorney's fees.SIGNATURE /I P DATE //^7CO (/>7.- -OWNER-BOliLDERIDECLAI^ ' Csl-- ' ^ ^ - • T -I hereby affirm that 1 am exerttpT from the Contractor's'License Law for the following reason: □ 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 doessuch work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement issold 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). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: TheContractor'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: 1. i personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES OnD 2. i (have / 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 / address / phone number / contractors license number): 4. i plan to provide portions of the work, hut i have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. i will provide some of the work, but i have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VOW.flfS/£>£WT/Ai BUILDING PERMITS ONLY . • 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? 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? Dl YES L] NO is the facility to be constructed within 1 ;0OO feet of the outer boundary of a school site? □ YES □ 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 THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY" * . , 1 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 LENDER'S ADDRESS is. APPLICANT CERTIFICATION - : ' . ' ; ^ - ~~~~~~~ ——T— 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 ailCity ordinances and State laws relating to building construction, i hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentionedproperty for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIESJUDGMENTS, 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 workauthorized 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 abandonedat any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For 01/23/2006 Permiti^ CB060050 Title: CITY LAND 100 AMP METERED Description: PEDISTAL FOR IRRIGATION Inspector Assignment TP Type: ELEC Job Address: Suite: Location: APPLICANT PATTIMMINS Owner: Remarks: Sub Type: 1906 PALOMAR POINT WY Lot 0 Phone: 7804972834 Inspector: Total Time: CD Description 39 Final Electrical Ad & Comment Requested By: PAT Entered By; JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/19/2006 34 Rough Electric AP TP PED 01/19/2006 39 Final Electrical AP TP