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Home My WebLink About1930 PALOMAR POINT WAY; TP; CB050408; Permit02-09-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB050408 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No: Reference #: Project Title: 1930 PALOMAR POINT WY CBAD St: TP ELEC 0000000000 Lot #: 0 PALOMARB POINTEWAY WICE W/TRANSFORMER Applicant: LUSARDI CONSTRUCTION COMPANY ~IB70 LINDA VISTTT SAN MARCOS, CA 92069 619-744-3133 Ownen Status: ISSUED Applied: 02/09/2005 Entered By: Plan Approved: Issued: Inspect Area: MDP 02/09/2005 02/09/2005 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per /VMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees 200 0 0 0 $10.00 $50.00 - $0.00 $0.00 $0.00 . $0.00' • $0.00 . $0.00 $0.00 . $0.00 TOTAL PERMIT FEES $60.00 Total Fees:$60.00 Total Payments To Date:$0.00 Balance Due:$60.00 1509 02/09/05 02 60.00 inspector FINAL AI^ROy^ Date: %/Clearance: NOTICE: Please take NCETiC^tiat approval of your project liKdudes the Imposition" of fees, dedications, resenratlons, or other exactions hereafter coliectively referred to as lees/exactions.7 You have 90 days from the date this permit was Issued to protest imposition of these fees/exactions. If you protest tfiem, you must follow the protest procedures set forth In Qovemment Code Section 66020(a), and file the protest and any other required Infomration with the City Manager for processing In accordance with Carlsbad Munidpai 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 oapadty ohanges, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR IX)ES IT APPLY to any fees/exactions of which vou have orevlouslv been given a NOTICE simiiar to this, or as to which the statute of limitations has oreviousiv otherwise expired, PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION ^ (0 FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated By Date Address (include BIdg/Suite U)^ ' Business Name (at this address) Legal Description _Lot No. Subdivision Name/Number Unit No.Phase No.Total U of units Assessor's Parcel # 7,00 Existing Use V.Aw/Proposed Use Descriptic^ of fJ\/ork 2. CONTACT PERSON (if different from opplicant} SQ. F ftof Stories # of Bedrooms // of Bathrooms Name Address City 3. APPLICANT Q Contractor for Contractor Q Owner □ Agent for Owner State/Zip Telephone it Fax # Name Address City State/Zip Telephone # 4. PROPERTY OWNER IS (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 ^an five hundred dollars [$5001).I nUL IIIUIU Lllclll JIVU IIUMUItdU UUIIdlb IVUUVJJ^. A UJ> A-fL<o / S-F Lf f-tfPA % tA— 3 , aV 1 '7^ '^rO-1?V2 'Tl 7 3 Name State License # jme Address License Class City State/Zip Telephone # City Business License U B Designer Name Address City State/Zip Telephone State License U (3. WORKERS' COMPENSATION Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations: □ 1 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 performanceth^work for which this permit is issued. [2\ 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 Company Policy No. "7) 6''^ 3 ^4" Expiration Date l'^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) I I CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 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 Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundredthousand dollars ($100,000), in a^^itio^o the cost^oJE_compensation, damages as provided for in Section 3706 of the Labor^de, interest and attorney's fees. DATESIGNATURE 7. owner.buiCder declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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). □ 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). □ 1 am exempt under Section Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES nNO I (have / have not) signed an application for a building permit for the proposed v;ork. 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, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phonenumber / 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/V0/V-/?f5/Df/Vr/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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pailution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 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 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 ADDRESSLENDER'S NAME 9. APPLICANT CERTIFICATION 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 ro comply wirh aildry ordinances and Srate laws relaring ro building consrrucrion. I hereby aurhorize represenrarives of rhe CirV of Carlsbad ro enrer upon rhe above menrionedproperty 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 the provisions of this Code shall expire by limitation and become null and void if the building or workauthorized by such permit is not comrpenced 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 perio^op.8ftdays (Section 106.4.4 Uniform Building Code).APPLICANT'S SIGNATURE (/ DATE ^ / ■ , WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For 02/25/2005 Permit# CB050408 Title: PALOMAR POINTE WAY Description: 200 AMP SERVICE W/TR)^SFORMER inspector Assignment: PY 1930 PALOMAR POINT WY TP Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPUCANT LUSARPI CONSTRUCTION COMPANY Owner: Remarks: Phone: 7608025133 Inspector: Total Time: CD Description 32 Const Service/Agricultural Requested By: JOHN, LUSARPI Entered By: CHRISTINE Act Comment Associated PCRs/CVs inspection History Date Description Act Inap Comments » 02/22/2006 32 Const Servica/Aoricultura) NR PY NO ACCESS I •