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Home My WebLink About2210 FARADAY AVE; ; CB051432; Permit04-21-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB051432 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: EFF TUCKER ELECTRICAL 2210 FARADAY AV CBAD St: TP ELEC 0000000000 Lot #: TEMP 200 AMP POWER FOR CONST. Status: ISSUED Applied: 04/21/2005 Entered By: KG Plan Approved: 04/21 /2005 Issued: 04/21/2005 Inspect Area: Owner: 92120 619-818-3977 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 $10.00 $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:$20.00 6540 04/21/05 0002 01 02 CGP 20-00 X7/ Inspector: FINAL APPROVAL Date: -$"-£? '0 >Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as lees/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 Cods 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 i CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave,, Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By., Date_£™, Address (Include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel t Description of Work Name Address artiiSUM-i City State/Zip Telephone # Fax * Name Addresa City State/Zip Telephone * ,.,.!£, !''-,': ^'",1 'Ji'l1"-'? ft 1-jVii'i"! "r" . rlilil '"('!" Name Address . City State/Zip Telephone # iJW$ii$M»i*^^ {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, attar, 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 besle 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 than five hundred^dollsrs |$600|). ~~\ O^—yi^r-g.. ^3_J33-j£-=-Cfe_3£^->-«*--—^^ ~~S£$^7j <^pL-ja£^- f. Name State License »"7 Address License Class City \ State/Zip W/ Business License Designer Name tate License # Address City State/Zip Telephone _ . . ftnfeffiBEWffiSI^^ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 end 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 ^ PoBcy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) pgf CERTIFICATE OF EXEMPTION: I certify thet In the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as tobecome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and shaH subject en emptovw to criminal penalties and civil fines up to one hundred thousand doflara {* 100,000), In •ddrrJon to the cost of compensation, damages M provided for In Section 3706 of the Labor code. Interest and attorney's fees. i ' V'' f * I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 en owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided thst 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). C 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 Lew does not apply to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). Q I am exempt under Section . Business and Professions Code for this reason: 1. I personally plan to provide the major labor snd materials for construction of the proposed property improvement. Q YES QNO 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 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 / 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 .•BUILDINGLPERMITS ONLY ^ -4*-1 ^' ^ H » , J < > , >P . * tiT "' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progrem under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO la the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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(i) Civil Code). LENDER'S NAME _.. _. _.. . LENDER'S ADDRESS I certify that I have read the application and state that tha 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 City 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 auch permit Is not commenced within 180 days from the date of such permit or If the bulWing or work authorized by such permit Isfiuspendad or abandoned at any time after the work is commenced for a period of 180d§yjtfSectlonW£4.4 Uniform Building Code). \APPLICANT'S SIGNATURE ^^/ ^^/f/<^Srh~ — DATE ^ / <?/ /&^? V /tsjr£*^ WHITE; Re YELLOW: Applicant PINK; finance City of Carlsbad Bldg Inspection Request For: 05/05/2005 Permit* CB051432 Title: TEMP 200 AMP POWER FOR CONST. Description: Type: ELEC Sub Type: Job Address: 2210 FARADAY AV Suite: TP Lot 0 Location: APPLICANT JEFF TUCKER ELECTRICAL Owner: Remarks: Inspector Assignment: Phone: 6198183977 Inspector/ Total Time: CD Description 39 Final Electrical ,ct A Comment Requested By: JEFF Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments VUs»£#o$ F"*ers x/Jtes^p ^3LT*=:ic__ 3/o *§r V