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Home My WebLink About2462 LORNA LN; ; CB044279; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-29-2004 Electrical Permit Permit No: CB044279 Job Address: Permit Type: Parcel No: Reference #: Project l)tle: '\ Ap~: Building Inspection Request Line (760) 602-2725 2462 LORNA LN CBAD ELEC 1562705800 Lot#: 0 DECUIR RES 100 AMP TO 200 AMP ELEC UPGRADE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/29/2004 SB 11/29/2004 11/29/2004 HHC DECUIR 2002 FAMILY TRUST 05-30-02 TRUST 2785 CREST DR 92008 519-4021 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 100 0 0 0 2462 LORNA LN CARLSBAD CA 92008 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 6306 11/29 /04 0002 01 CGF· Inspector: FINAL APPROVAL~ Date: Lf, ;;:1.. 7 rt?:~ Clearance: NOTICE: P!ease 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 xinfhihhvri nivnNTliilrhir hihh limiih lh 02 PERMIT APPLICATION FOR OFFICE USE ON~ t.j 2_ Ji PLAN CHECK NO._C:c_l ___ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.--~------- Legal De,criptlon Lot No. Subdivision Name/Number Unit No. Phase No. Total I of unit• II of Bedrooms I of Bathrooms Addrau Namo Telephone II (Sec. 7031.6 Bualnul and Profeuionl Coda: Any City or County which requiru a permit to construct, altar, Improve. demollah or repair any atructl.WII, prtor to lta luuance, alao requl,-the applicant fo, IIUCh pwmlt to file a -'gned atatemant that he la Hcan1ed purauant to the provlllona of the Contractor'• Ucenn Law (Chapter 9, commending wtth Section 7000 of Oivllilon 3 of the Buslneu and Profaulons Codel Of that he la exempt therefrom, and the bllla for the alleged axemptl y violation of Section 7031.6 by any applicant tor a permit subjects the appUca to a civil pa ty of not more than five hundltd dollara ($6001). . Name / Stoto Uconu I ..JfoLCJ...Jt'-'~""-'b:::....r..f 1-f __ Daalgnar Name State UcenH I -t._ r ve. I Sta et p Telephone # City Bualnass Llcenaa I ,I z,,1/ 05 7 Address City State/Zip Telephone , '-~~~UJ~HHW~t:1'i:1,~,1:~~~~~iW~~~~:llili~.oo'~~i~~,~mm~)ifo!~~~~i~iif1::~:!]+J.1tt;~~tr;~~llii;!~li~cj~Jit~@ft1l~Yd£~~~~:N Workers' Compenaadon Declaration: I hereby affltm under penalty of perjury one of the following declarations: 0 I have and wjU maintain a certlflcat• of conunt to Hit-Insure for worke,s' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which thla permit la lnuad. «-. I have and will maintaJn workers' compensation, u required by Section 3700 of the L~bor Code, for the performance of the work for which this permit Is rluu.d. My worker'• compenaation lnlur.~carrief and potlcy nu~ber are: ___ ,...-\;-- lnawance Company S, J t:tc"f f::z--1 NII\ Polley No.____________ EXpiration Oate,_~:;,e<.. __ u_,. __ I CTHIB 8ECTION NEID NOT IE COMPLETED IF TliE PERMIT IS FOR ON.e HUND-DOUARS 1•1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thil permit Is: iuued, I shall not employ any person in any maM&r so as to bocomo aubjoct to lho Wotkoro" Componootlon Laws ol Colllomlo, -lo -•lul. Md -...... M om,,l..yor to --ond dvl llnu Ui1 to ano hundred wt of a 11 --~ ......... u provlNd far In 8.cdon 3708 Df 1h11 coda, lntwt and •~v•• , .... SIGNATURE iiiilii~iiiiliiaiiiiiiiiiiiii DATE I hei'aby affirm that I am exempt from the Contractor's Ucense Law for the following ruaon: 0 I, as owner of the property or my employee, with wage• as their sole compensation, will do the wo1k and the structure is not intended 01 ofte1ed tor sale (Sec. 7044, Buaineu and Profusions Cr;,da: Th■ Comractor'a Ucenae Law doea not apply to an owner of property who builds or improves thereon, and who does 1uch work himaatf or through hla own employees, provided that such improvements are not intended or offered for sale. If, hoWever, the building or Improvement is 1old wjthin one year of completion, the owner-builder will have the burden of proving that he did not build OJ improve for the purpose of sale), 0 I, u owner of the property, am exdusivelv contracting with licensed contractors to construct the project (Sec. 7044, Business and Profession, Code: Tho Contractor'• Ucenaa Law doaa not apply to an owner of property who builds or improve• thereon, and contracts for such projects with contractor(1) licensed purauant to the Contractor'• Ucenaa Law). 0 I am exempt under Section ______ Bualnus and Profeuions Code for this reason: 1, I perllDMllv plan to provide th• major labor and material, for construction of the proposed property improvement. 0 YES ONO 2. I (have / have nod •gned an application tor a building piifmlt for the proposed work. 3, I have contractad._with the following pwaon (firm) to provfdo tho proposed construction (include name / addreaa / phone number / contractors llcenae number): 4. I plan to provide pordona of the \Vork, but I have hired the following person to coordinate, supervlse and provide the major work (Include name / address / phone number/ contractort llcanae number):. ____________________________________________ _ 6, I wlJI provlda aom■-Of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name I address / phone number/ type of work):, __________________________________________________ _ PROPERTY OWNER SIGNATURE I• the applicant or future building occupant required to submit • bu1ineaa plan, acutely hazardous materials regl1tration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardoi.Js Subatanco Account Act? 0 YES O NO · la the applicant or future buUdlog occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO I• the facility to be~atructad within 1,000 feet of the outer boundary of a school alta7 D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNI.ES& THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. i-~~~l:ft~~tf~!lt!J:f1fr~~l~t?i!~i~l~~lii!i~!~lil:~i-!~'.~~,illlit:?Jji;:t!~f.t~it~t~:i::f!\:i,i::i:r::~;1.j::i~:1i'.i':l.i:J~:~1¼;i:\~i:dl<:;: ; )•i~ili:t~fri'~•)bi{ I hereby affirm that ther~ i_, construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME /V I A LENDER'S ADDRESs, ______ ,--___________________ _ r-rr:uanm•x1~"~~1m~~1iii~~~i~~~t¼~~~~~,~Pj•~~~f•t~~~~~&ii~~~i!M~& I certify that I have read the application and atata ttllit the above lnfwmatlon Is correct and that the information on the plans i• accurate. I agree to comply with all City ordinancu and State laws telatlng to building construction. I hereby authorize reprenntatives of the Citt of Carlsbad to enter upon the above mentioned prop■rty for Inspection purpoaaa. I ALSO AGRE.E 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 p,armit la _required for excavations ova, &•o• EXP-TION: EV81)' ponnh lsaued by !he building OfflclaJ authorized by 8UCh pem;lt 18 not with at any time after the work la APPLICANT'S SIGNATURE ap and demolition or construcdon of structures over 3 stories In height, the provlsk>na of thls Code shall expire by llmttaUon and become null and void if the building or work the date of such permit or II the bulking or work authorized by such permit la auapanded or abandoned Soction106.4.4UnlfonnBulldlngCode). DATE / & Z ?-a9- t PINK: Finance . (i) City of Carlsbad Bldg Inspection Request . . For: 04/26/2005 Permit# CB044279 Title: DECUIR RES 100 AMP TO 200 AMP Description: ELEC UPGRADE Type: ELEC ...-----------~: Job Address: ~ LORNA_';-!!./ Suite: .--Lot O Location: APPLICANT HHC Owner: DECUIR 2002 FAMILY TRUST 05·30-02 TRUST Remarks: Total Time: CD Description Act Comment Inspector Assignment: RB --- Phone: 7607295261 Inspector: ----- Requested By: CYNTHIA Entered By: CHRISTINE 33 Service Change/Upgrade ,1-r __________ 4..._-..... ,,::-H)--=-<~ 39 Final Electrical __j__ ________ _ Associated PCRs/CVs Inspection History Date Description 04/19/2005 39 Final Electrical 12/01/2004 33 Service Change/Upgrade Act Jnsp Comments NR PC NOT HOME PA RB OK FOR METER RELEASE -SEE NOTICE A TT ACHED (1106-F3)