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Home My WebLink About1923 CALLE BARCELONA; 139; CB042849; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Elect rica I Permit Building Inspection Request Line (760) 602-2725 Permit No: CB042849 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 2550120400 Lot #: 0 Applied: 07/23/2004 Reference #: Plan Approved: 07/23/2004 Issued: 07/23/2004 Project Title: JOS A BANKS Inspect Area: 1923 CALLE BARCELONA CBAD St: 139 Entered By: MDP RE ROUTE EXISTING ELEC SERVICE FOR NEW TENANT Applicant: SIMACCONSTRUCTION INC 15938 BERMUDA CENTER DR SD 92127-1 828 858-674-9880 Owner: BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/ BORDERS INC 300 VILLAGE GREEN CIR SE #200 SMYRNA GA 30080 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 Additional Fees TOTAL PERMIT FEES 0 0 0 100 $1 0.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 NOTICE: Please take NOTICE that approval of your project includes the '!mposition"of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise exDired. FOR OFFICE USE ONLY PLAN CHECK NO.&'\- zB* EST. VAL. Plan Ck. Deposit Validated By PERMIT APPLICATION CITY QF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision NamelNumber Phase No. Total X of units Unit No. Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories X of Bedrooms X of Bathrooms Name Address City StatdZip Telephone X Fax X r Owner Name Address City State/Lp Telephone X (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 s the epplicant to a civil penalty of not more than five hundred dollars IS50011. -Y PA 9 7024 -(A 0 -737-z1uo *ErlA It a L. Name Address City StateRi -1 State License # 48 60s B License Class ' City Business License # 1 StateRip Telephone Designer Name Address city State License X Workers' Compensation Declarati ER.rr&X@lMF&TW 0 of the work for which this permit is issued. 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 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 i I Lz nsuranca carrier and policy number are: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 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. WARNINO: Fallun to socum workwa' CompWuatiOn covemgm la unlawful. d shall wet an employer to criminal penalties and civil fines up to OM hundrd thousand dollan ($100.000). in addltion to the cost of compantcltion, damages as provided for in Section 3706 of the Lsbor coda, interest and sttomy'a fwa. % Insurance Company Policy No. 3213 \ ZAS- Expiration Date (9 6 200 DATE 0 1, as owner of the property or my employees with wages as their sola compensation. will do the work and the structure is not intended or offered for sale (Sec. 7044, Business snd Professions Code: The Contractor's Licansa 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 1, IS owner of the property, am exclusively contracting with licensed contractors to construct the project (Sic. 7044, Business and Professions Coda: The Contractor's License Law doas not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractor(s1 licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (hava / 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 / phone number / contractors license number): I plan to provide portions of tho 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 (hired1 the following persons to provide the work indicated (include name / address I phone number I type Business and Professions Code for this resson: HIS$ nt or program under Sections 25505, 25533 or 25534 of the Prasley-Tanner Hazardous Substance Account Act? 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS APPLICANT'S SIGNATURE HITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/29/2004 Permit# Title: Description: CB042849 JOS A BANKS Inspector Assignment: PS RE ROUTE EXISTING ELEC SERVICE FOR NEW TENANT Type: ELEC Sub Type: Phone: 8588643603 Job Address: 1923 CALLE BARCELONA Suite: 139 Lot 0 Location: APPLICANT SIMACCONSTRUCTION INC Owner: Remarks: PLEASE INSPECT EARLY AS POSSIBLE 8AM Inspector: Tj Total Time: Reauested Bv: JOHN CD 34 Description Rough Electric Entered By: CHRISTINE e Comment rt h*C - Associated PCRs/CVs InsDection History Date Description Act lnsp Comments 07/27/2004 39 Final Electrical CO PD WRONG ADDRESS/SUITE/NO GROUND WIRE AS SHOWN 07/26/2004 34 Rough Electric co PS 'J z m i r, - Y z n 0 c I I ! I I as ~WIS 0ttZLEL09L PE :ZZ PBBZ/ZZ/L@ Z0 3Ud - "I H I' IH I 7 b-= , I .-. , It It 1000 a -53 1 a00 0