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HomeMy WebLinkAbout2280 CAMINO ROBLEDO; ; CB010104; Permit01/09/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB010104 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2280 CAMINO ROBLEDO CBAD ELEC 2552704100 Lot#: BARR RES/ ELECTRICALCONDUIT Status: ISSUED Applied: 01/09/2001 Entered By: CB Plan Approved: 01/09/2001 Issued: 01/09/2001 Inspect Area: Applicant: BARR SALLY A 2280 CAMINO ROBLEDO CARLSBAD CA 92009 8541 01/09/01 0002 01 CGP fVl Total Fees:$20.(ments $20.00 Electric Issue Fee Single Phase per Three Phase per Three Phase 480 Remodel Fee Temporary Service*^©; Test Meter Fee Other Electrical Feed TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: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 capactiy 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 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date L - tf" Address (include Bldg/Suite *)Business Neme (at this address) £1-A-12-L_< Description of Work O ST^-M £2, CONTACT PERSONA different from Name Address City Q Agent for Owner State/Zip Telephone *Fax * (Sec. 7031.5 Business end 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 Profession* 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 then five hundred dollars 1*5001). Name Address State License * License Class City State/Zip Telephone # City Business License # Designer Name Address State License # City State/Zip Telephone * CQMWSATIQN '"I..".'.-1' •'.'•'.• ..... v; .. '-I':.' .:.'•.''•••:''••."•• '•"••'. ••'.:'"•• '''•":'... ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaration*; 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 ere: Insurance Company Policy No.Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [4100] OR LESS) Q 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: Failure to secure workers' compensation coverage Is unlawful, and shaH subject en employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _ , _ DATE _ 7. OWNER-BUILDER DECLARATION ; I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: I, as owner of the property or my employees with weges as their sole compensation, will do the work and the structure is not intended or offered for sale Sec*. 7044, Business end Professions Code: The Contractor's License Lew 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). Q 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 contrsctor(s) licensed pursuant to the Contractor's License Lew). Q I am exempt under Section _ Business end Professions Code for this reason: 1 . I personally plan to provide the mejor tabor and materials for construction of the proposed property improvement. Q YES QNO 2. I (havjj 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 t have hired the following person to coordinate, supervise and provide the mejor work (include name / address / phone number / contractors license number): _ _ __ _ __ 6. I will provide some of the work, but t have contracted (hired) the following persons to provide the work indiceted (include name / address / phone number / type of work): __ ^________ _ _ DATEPROPERTY OWNER SIGNATURE _ _ _ _ COMPLETE THIS SECTION FOR AfOAWlfS/OOTTMiBUlWiNO 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 26605, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. i hereby affirm that there is e 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 reed the application and state that the above information is correct and that the information on the plans is accurate, I agree to comply with etl City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the ebove 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 end 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 at any time after the work is commer APPLICANT'S SIGNATURE a period of 180 days (Section 106.4,4 Uniform Building Code).*DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/10/2001 Permit* CB010104 Title: BARR RES/ ELECTRIC ALCONDU IT Description: Sub Type: 2280 CAMINO ROBLEDO Lot 0 Type: ELEC Job Address: Suite: Location: APPLICANT BARR SALLY A Owner: BARR SALLY A Remarks: BEFORE 1:00 PM ONLY Inspector Assignment: Phone: 7606032565 Inspector: Total Time: CD Description Act Comments 31 Underground/Conduit-Wiring QP CUSv^ Requested By: SALLY Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments