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Home My WebLink About2187 CORTE MANGO; ; CB022205; Permit07-29-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No Building Inspection Request Line (760) 602-2725 CB022205 Job Address Permit Type Parcel No Reference # Project Title 2187 CORTE MANGO CBAD ELEC 2552512900 Lot # PARTHASARATHY RES/ GAS & ELEC TO FUTURE FOUNTAIN & BBQ Status ISSUED Applied 07/29/2002 Entered By CB Plan Approved 07/29/2002 Issued 07/29/2002 Inspect Area 3370 0?/29/ ^ Applicant T LANGSTON CONSTRUCTION 701 POMELO DR VISTA CA 92083-6308 760 855-9583 Owner GP 47.00 PARTHASARATHY SIVAGNANAM&GANESAN LATHA 21 87 CORTE MANGO CARLSBAD CA 92009 Total Fees $47 00 Total Payments To Date $0 00 Balance Due $47 00 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 0 $1000 $0 00 $0 00 $0 00 $0 00 $1000 $0 00 $0 00 $27 00 $0 00 $47 00 Inspector FINAL APPROVAL Date V*Clearance 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 ,1 :„,; PROJECTINFORM ATJON FOR OFFICE USE ONLY PLAN CHECK NO^ EST VAL Plan Ck Deposit Validated By CC/3? Date - t'w •••& i^.i. ... "If' Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Description of Work I U FfftCT PERSON (if ditterentffrorh applicant) .: SO "V 11Stones tt of Bedrooms # of Bathrooms uJf LSI, Name ' / / Address City 3i:ii- (APPLICANT J^GD Contractor . ,O Agent for Contractqr.fi"...Q.bwnerJu Q Agent'for Owner;,:"" State/Zip Telephone tt Fax tt StateCip Telephone # Name Address City State/Zip Telephone # '&K:^:^|^RAcfbR:'^cbM>ANY^NA!iviES: .nl?-""""^v" y""•":::••"'"' :T£™~T;fr • ;s .--^-7."-y:-^--s^; ;| --• ™—v • •- --•-• •-•• % •-- if^ (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 Codel or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 £ by any /pplicant for a permit-subjects tha applicant to.a tivil/penalty,ef not rnois4han_five hundred dollars [$500.]),.' ^*-\ *-~t / i. _ . /^ Jf\ * if. *»lr f I / J >s*Cs~^ 4 >id. Name f ^ State License tt (pj f-^f^ Address License Class ft-/ City State/Zip City Business License # Telephone tt Designer Name State License tt Address City State/Zip Telephone 6 ; .VybRKERS'LCOMPENSATION • '" „ , .i*;' ,_.,^ ~ - , jfM.:. ,;.«.' :..... . •- . .' •'- - .. . ., :. -f.-,'•-, \- .,:.ife i- '. • Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations (3 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 Q 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 Expiration Date UTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) PS^i CERTIFICATE OF EXEMPTION I certify that myfhe 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 L/ws of California WARNING Failure to secure workers compensffliajj. coverage is unlawful, and shall subject an employer to criminal penaltie^ and civil fines up to one hundred thousand dollars ($100 fWUIiijjrlfliliiill Tn llinj/nt of compensation, damages as provided for in Section 3706 of the Labor cqfle interest and attorney s fees SIGNATURE -**""j^r jfo DATE ~7/e)- 7; ^fbWNER-BUiLDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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) d 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 d YES l~lNO 2 I (have / have not) 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 / address / phone number / contractors hcensiTnumber) 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 / phone number / 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 CpMPL.ETETHIS.SECTION FOR NON-RESIDENTIAL ..B , 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? O YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES d 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME ___ _ _____ _ LENDER S ADDRESS _ 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 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 by such permit is not commenced within 180 days from the data of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wdfe is comnienced for a period of U30 days (Sectiojf 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE-' 0£4W?^H!/I^- ($4/i£r£$&/) DATE WHITB^File YELLOW Applicant PINK Finance Inspection List Permit# CB022205 Type ELEC Date Inspection Item Inspector Act PARTHASARATHY RES/GAS TO FUTURE FOUNTAIN & BBQ Comments 08/01/2002 23 08/01/2002 31 07/31/2002 21 07/31/2002 23 Gas/Test/Repairs Underground/Conduit-Wirm Underground/Under Floor Gas/Test/Repairs SR SR SR SR AP AP we CO APPROVED ON 7/31/2002 8 PSl ON GAUGE/NOT 181N UNDER 07/31/2002 31 Underground/Conduit-Wirm 23 AP 07/31/2002 31 Underground/Conduit-Wmn SR AP 07/31/2002 31 Underground/Conduit-Wmn SR CO EARTH 2ND TIME OUT 2ND TIME OUT NO ELECT TO INSPECT AT THIS TIME o Monday, December 23, 2002 Page 1 of 1