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Home My WebLink About1921 CALLE BARCELONA; TP; CB042122; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-0 1 -2004 Electrical Permit Permit No: CB042122 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 06/01/2004 Reference #: Plan Approved: 06/01/2004 Issued: 06/01/2004 Project Title: TEMP POWER POLE Inspect Area: 1921 CALLE BARCELONA CBAD Entered By: RMA Applicant: NATIONAL CONSTRUCTION 14551 ANDEL DR 92335 909 574-1 400 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 0 0 0 0 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1 0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 3389 06/01/04 OOOZ 01 CGP follow the protest prccedures 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or selvice fees in connection with this project. NOR DOES IT APPLY to any ~ FOR OFFICE USE ONLY PLAN CHECK NO.O/%!! (q Plan Ck. Deposit PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Proposed Use Des-Eption of Work sa. FT. ' #of Stories # of Bedrooms # of Bathrooms J* CfiO3228J' (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 Code1 or that he is exempt therefrom, and the basis for the alleged Telephone & Name Address City Statelzip State License # City Business License # 11 I ? $- Designer Name Address C1ty Statelzip Telephone State License # R Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance as required by Section 3700 of the Labor Code, for the performance of the work for which this pqrmit is Policy N0.7@&a 4i7 7 2o17&# Expiration Date 511 1 ' $- policy number are: Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to a thousand dollars ($lOO,&. h addition to the c~of,eOmpenaatbn, damages as provided for in Section 3706 of the Labor $de,zterqs*d attomey'a few. 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 d civil fines up to one hundred e workers' compens n coverage is unlawful, and shall subject an employer to criminal penal 'as I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES OND 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): Business and Professions Code for this reason: 4. number I contractors license number): 5. 1 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 l type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES d%O 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 beAnstructed within 1,000 feet of the outer boundary of a school site? 0 YES &O 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. or risk management and prevention 0 YES &O 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. 1 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 authorized by such permit is at any time after the work is APPLICANT'S SIGNATURE DATE isions of this Code shall expire by limitation and become null and void if the building or work of such permit or if the building or work authorized tion 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/04/2004 Permit# CB042122 Title: TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1921 CALLE BARCELONA Suite: Lot 0 Location : APPLICANT NATIONAL CONSTRUCTION Owner: Remarks: Total Time: Inspector Assignment: PS Phone: 9093229866 P Inspector: Requested By: CARLA Entered By: CHRISTINE wmment CD Description 32 Const. ServicdAgriculturaI 39 Final Electrical Associated PCRs/CVs Date Inspection History Description Act lnsp Comments 6 L .. --L--r--c-.T- -- . May 03 04 09:23a P. 1 Way 03 04 09:28a P- 2 Tha Douqhszty Company, Iae. P.O. Box 7277 ONLY ANDCOLTERS NO RK;HTS UPON TIE CERXFICAR HOLDER. THIS CERTlF &ATE DOE9 NOT AMEND, EXTEND OR ALTER THE COVERAQE AFFORDED BY THE POUCIES BELOW- IH I Contractors Strk Licenlre Board P.O. Box 26000 I Sacramento CA 95826 I Joe Cast% ACORD 26-5 171971 j ,