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Home My WebLink About1915 PALOMAR OAKS WAY; TP; CB001548; PermitvC(( /7 City of Carlsbad 04/~i2000 Electrical Permit Permit No:CB001548 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1915 PALOMAR OAKS WY CBAD St: TP ELEC Status: Parcel No: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: TEMP POWER POLE Inspect Area: Applicant: TEMP UTILITY SERVICES 1167 LAW ST SAN MARCOS, Ck92069 619-4 71-5494 Total Fees: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AM Remodel/Alteration per AM Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Inspector: ']{?IRED IN ACCORDANCE WITH tiJlC. ;,4.4 Lvu · o \ SIGNATURE g.. lv.:> FINAL APPROVAL Date: Clearance: ISSUED 04/24/2000 RS 04/24/2000 04/24/2000 $20.00 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 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 vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 0,£,b()/S~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.---------- Plan Ck. Deposit--------- Validated By __________ _ Date. ______________ _ 1. PRo.iECTIN'1~N I Cf 15 rC1. mar Address (include Bldg/Suite #) ((}mmerc,'al Business Name (at this address) legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel I Tn f 1:er (/ a _Ax!sting Use &ieec nle. Proposed Use Description of Work SO. FT. #of Stories I of Bedrooms I of Bathrooms 2. CONTACT PERSON (If clff-.nt from IIPl)llcent) Name Address 3. APPLICANT ja-Agent for Contractor -0 Owner 0 76.$2 Name 6. CONTRACTOR -COMPANY NAME City O~tor<>wner _a. City C. State/Zip Telephone I Fax I Telephone I (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 o! the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged e"ption. Any vie tion of Section 7031.5 by an app~nt f9r a permit s~ects the applicant to a ci 1~1 PJ"alty of not e than five h r ~liars ($500.Uc) rc...ver fu> (.){CA; ce ;,~ ~ ,'ad ~d. 7-'l'YJ Name Address State license I __,5,::___Z.__.c:)c...,5=-:~""~~--license Class __;C_-_s.,f _ _._( _____ _ City Business license I -------- Designer Name State license I---------- 6. 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. P,-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 insurancp.carrier and)'olicy number are: c-:5" S--C) O ~,. ~ / ,-O / Insurance Company 5' -/'QJ'e.. r (,1,-'t<?( Policy No. / ../. /Id Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D I hereby affirm that I am exempt from the Contractor's ,cense 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 Co.de: 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 contractor(sl licensed pursuant to the Contractor's License Lawl. 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 ONO 2. I (have I have notl 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 I contractors license number): 4. 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/ address I phone number I 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 I address I phone number I type of work)=----------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 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 POUUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is I construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Codel. 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 1uthorize representatives of the Citt of Carlsbad to enter 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 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 he isions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is ced within 36 f the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft8} 80 days (Section 106.4.4 Uniform Building Code). t/ ,_. ,:J.. ~ (1 tfJ APPLICANT'S SIGNATU~ DATE ---------------- Dia.IV, ~:----- ~ i -· -·· ..... -· -·· .. --~ PAX NO. 160' soz:·a55a ""' ~ V) ..___ .... 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