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Home My WebLink About2401 LA COSTA AVE; ; CB010084; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/08/2001 Electrical Permit Permit No:CB010084 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2401 LA COSTA AV CBAD ELEC 2162405555 PACIFIC BELL Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: 100 AMP SERVICE FOR VAULT Applicant: ROBINSON ELECTRIC 8871 TROY ST SPRING VALLEY, CA 91977 619-697-6040 Owner: BUNSOLD MARGARET J 2401 LA COSTA AVE #D CARLSBAD CA 92009 ISSUED 01/08/2001 MDP 01/08/2001 01/08/2001 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 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 TOTAL PERMIT FEES Inspector: ~.,: 100 0 0 0 FINAL APPROVAL Date: '2-'Z.7-()t Clearance: $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 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 vou have nrevious!v been niven a NOTICE similar to this or as to which the statute of \imitations has nreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No. C \--C> 0 &'-l CITY.OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ 1. PROJECT INFORMf<TI.PN Address (include Bldg/Suite #) ;:).to I Llf\ A v£.. . Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use @. 1 ti, -l to O -s+-S< P 11 Proposed Use IT~l(:I~ DescriptioA oe iorc { <!_ {b 't. LL V frU ~(.,ET. jz. cf NTACT PERSOJII (If different from appllcantl, ~·-.....;-,:::.,;;,....,.:..,,..._. #of Stories # of Bedrooms # of Bathrooms Name Address 3. APPLICANT '?;i( Contractor O Agent for Contractor O Owner City 0 Agent for Owner State/Zip Telephone# Fax# /pt9 (p 17-t, oYcJ Name Address State/Zip Telephone # -'f_ _ t6,. CONTJiACTOR • COM.If ANY NAME · lf 3 /.,, (Sec. 7031 , 5 Business and Professions Code: Any City or County which req=~ermit to construct, alter, improve, demoltsh or repair any struc:re, 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. An_y vio1t~n of Section 7031.5 by any appli/tor a permit subjecr the~(Jant to s~yjj pestyJJ if..'t'l/1t. than l7itwed dollars $50 J). /p /'t - Name _ Address ity State/Zip Telepho # C, q 7 ·& (J Vd State License # Lf-:J 9 9 °t 5 License Class C -IO City Business License # / J-O CR. 'f S 7 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORl(.ERS'.COMPENSATION .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of t he Labor Code, for the performance of the work for which this permit is issued. ~ 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 com ensation insurance carrier and policy number are: \/7 _ 'O O j J Insurance Company ~ IV(!_ Policy No. 1\J lo C. 0 6 / Q 't-' Expiration Date IO t.J){ _ 0 I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up t o one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE______________________________ DATE--:=::::::;;;:;:;:;:;:::::;::::;;;:-:=-:- 7. OWf'<IER-BUILDER DECLARATION , I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with w ages 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). O 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 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. 0 YES ONO 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 -----------CQMPLETE THIS SECTION FOR fjON../lES/DENnAL BUl~DINO PERMITS ONl,Y 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8, COf,ISTRUCTION L.ENOING ~GEN CY 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 ______________ _ 9_. AP"LICANT CEf!TIFIC~TION ,; , 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 Cit\t of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance < M City of Carlsbad Bldg Inspection Request Permit# CB010084 Title: PACIFIC BELL For: 02/26/2001 Description: 100 AMP SERVICE FOR VAULT Type:ELEC Sub Type: Job Address: Suite: Location: 2401 LACOSTAAV Lot APPLICANT ROBINSON ELECTRIC 0 Owner: GEISSINGER FAMILY REVOCABLE TRUS Remarks: Total Time: CD Description Act Comments Inspector Assignment: GG --- Phone: 0000000000 Inspector: (1 (2. Requested By: ROBINSON ELECTRIC Entered By: CHRISTINE 32 Const. Service/Agricultural A,L ____________ _ Associated PCRs Inspection History Date Description 02/09/2001 39 Final Electrical Act lnsp Comments NS GG