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Home My WebLink About1935 CALLE BARCELONA; TP; CB030696; Permit03-07-2003 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Electrical Permit Permit No: CB030696 1935 CALLE BARCELONA CBAD ELEC Status: ISSUED Lot #: 0 Applied: 03/07/2003 Plan Approved: 03/07/2003 Issued: 03/07/2003 Entered By: SB TEMP POWER POLE Inspect Area: Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner: 9918 03/07/03 0002 01 02 COP 20.00 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 $1 0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.Cge56q c EST. VAL. Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # a -- Existing use 1 /.\ Proposed Use # of Bathrooms #of Stories # of Bedrooms 0- m "?-eWV 6> sa. h. Description of Work Name Address City Statelzip Telephone # (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 Dlvtsion 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged Name Address City Statelzip Telephone # State License # 523 lTL License Class [ & ( City Business License # Designer Name Address City Statelzip Telephone State License # - 8. ~ .WOk&€RS' COMPENSATION I Workers' Compensanion Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 f he 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 ued. My worker's compens f Insurance Company Policy NO. 1 scl 10 ccr Expiration Date 3-31 -03 (THIS SECTION NEED NOT BE COMPLET~ IF THE PERMIT IS FOR ONE HUNDRED DOLLARS wiooi 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. WARNING: Fallure to secure workers' compensation coverage Is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 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 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 ON0 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 l address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. 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 I address I phone I will provide srime of the work, but I have contracted (hired) the following persons to provide the work indicated (include name l address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or firture building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sectirins 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES 0 NO 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. DIN ac LENDER'S NAME 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 authorize representatives of the Citv 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 the provisions of this Code shall expire by limitation and become null and void if the building or work authorized bv such Dmnit is not commenced within 180 davs from the date of such Dermit or if the buildina or work authorized bv such oermit is suspended or abandoned at any time after the work is commenced APPLICANT'S SIGNATURE DATE 3-7*> 0 days (Section 106.4.4 Uniform Building Code). \ I "dl - I/ WHITE: File YELLOW: Applicant PINK: Finance .. t City of Carlsbad Bldg Inspection Request Inspector Assignment: For: 04/25/2003 Permit# CEO30696 Title: TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1935 CALLE BARCELONA Suite: Lot 0 Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: Phone: 7608399430 InsDector: % Requested By: MICHELE Entered By: CHRISTINE \ wmmenk~ IL CD Description 32 Const. ServicdAgricultural -- ___- Associated PCRs/CVs InsDection History Date Description Act lnsp Comments