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Home My WebLink About2500 EL CAMINO REAL; ; CB110173; Permit01-25-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No. CBl 10173 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title; Applicant: ALLCITY ELECTRIC P O BOX 638 FOX LAKE 60020 8475463106 2500 EL CAMINO REAL CBAD ELEC 1670303200 Lot#: CHEVRON- ADD OUTLET FOR DVD KIOSK ON FRONT EXTERIOR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/25/2011 RMA 01/25/2011 01/25/2011 Owner: KELLY RICHARD C TR&KELLY ROBERT P TR C/O CHEVRON TEXACO PROPERTY TAX D POBOX 1392 BAKERSFIELD CA 93302 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 Inspector! FINALAPPROVAL Date: ' ^-^ ' '( Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refen-ed to as lees/exactions." You have 90 days Irom the date this permit was issued to protest imposition of these fees/exactlons. 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 vou have oreviouslv been given a NOTICE similar to this, or as to whieh the statute of limltattons has prevrouslv otherwise expired. CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760^02-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov ML Plan Check No. C^Pp I I &! ^ J Est Value Plan Ck, Deposit Date IL SWPP JOBADDRESS 2S<^<^ <Cl Cy^7m7i7o fi<4-l> LOT# SUITE#/SPACE#/UNIT# CONSTR. TYPE 1 OCCGROUP CT/PROJECT « OF UNrrs # BEDROOMS * BARROOMS TENANT BUSINESS NAME • <7/7ti^7i^r^ C/5y9~- DESCRIPTIONOFWORK: bidtMtoSqiiarvFkctof AflltctmfAiraW mammm j • EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING Y€S D NOD FIRESPRINKLERS YES O NO D CONTACT NAME (IT DMItrent Ftom AppUcant; APPUCANT NAME ADDRESS ADDRESS CITY STATE ZIP STATE -ZIP PHONE FAX FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ^77//A7//t/^ ADDRESS aw STATE ZIP STATE ^ ^ ZIP^ PHONE FAX FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS (7L/<^ 3 reauires the-^ (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 i&suance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commeriding wltti Section 70(X) of Division 3 of tlie Business and Professions Code) or 0)at he is exempt thetefrom, and the l)asis for the alleged exemption. Any violation of Section 7031.5 t>y any appiicanffor a permit sul:i|ecls the applicant to a civil penal^ of not more than five hundred dollars ($500)). V\/O R K E R S COIVIPENSATION Wortwre' Compmulion DtdaraUon: I /wraty affirm under penally 01 perjury one olthe foBowing dedarations: O I have and will iiiiltitiln a certlficalt of consent to s«H-insur* ibr woriteis'compensation as provis 37()0ofttieLalxyCode,lbrtheperibrmanceafthewori(fbrwhichlhispeiTnitisissued. O I have uid wM maintain wotkw*' compwisation, as requiiBd by Section 37IX) of the Lalxir Code, for Ihe peiloinance of the worii for which this penult is Issued. My woriters' coinpensation Insuranoe carrier and poiicy numtier are: insurance Co. Policy No. Expiration Date tsection need not be compieted ifthe pennit is ior one hundred dollars ($100) or less. CsrtHlcatt c( Exifflption: I ceriify that in the performanca of the worit for which this pennit is issued, i shail not em xnia. WARNING: Fillura to team worlitrt' compentaUon ra^agt it unlawful, and thall tubjad in employer to criminal penaWat and dvH flnet up to one hundnd thoutand dollara ((i100,0M), In addttion to the cott of compentaUon, damaget at prpvldaj^i);jp4Sction 3706 of the Labor codt, intarttt and attorney't ftet. jtS C0NT1UCT0R SIGNATURE OAGENT DATE O W N E R - B U I L D E r? DECLARATION I hereby amrm that I am exempt ^ (^tractor's Ucense Law for the following reason: a I, as owner of the property or my employees with wages as their soie compensatian, wHI do the worit and the structure is not intended or oHered fbr sale {Sec. 7044, Business and ProfessionsCode: The Conlractor's Lk»nse Law does not apply to an owner of properiy who Nids or impioves thereon, and who does such worit himself or Ihr^ his own empioyees, provided lhal such imprtivements are not intended or offered for sale. If, however, the buiiding or improvement is soid within one year of completkin, the owner.tiuiider wili have the buiden of proving that he did not build or improve for the purpose of sale). a I, as owner of Ihe property, am exdusiveiy contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not appiy to an owner of property who buiids or improves thereon, and contracts fbr such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). O I am exempt undar Seclion Business and Professions Code for this reason: 1.1 personally plan to provide the makir labor and materials for constniction of Ihe proposed properiy imprtivemenL OYes ONo 2.1 (have / have not) signed an applicatkin for a buikling permit fbr the proposed worit. 3.1 have contracted with the folkiwing mison (finn) to provide the proposed constructian (indude name addi^ 4.1 plan to provide portkxBoU^wlliCbut I have hired the following peison to co^ S.I will provkls>«tf^^^!ortt, but I have^)Dl[aaledTlirred)Thefbik>wing peisons ^iETPRbPERTY OWNER SIGNATURE y/pAGENT DATE COIMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is Ihe appikant or future buikling occupant requirsd to submit a business plan, acutely hazaidous materials registration form or risit management and prevention program under Seclions 2SS05,2SS33 or 25534 of the Presiey-Tanner Hazardous Substance Account Act? DYes • Ite Is Ihe applicant or future buikling occupant requiied to obtain a pennit from the akpdlutkin control dlstrid or ak quaiity ma^ OYes ONo Is the iacHity to be constructed within 1,000 feet of the outer boundaiy of a school site? OYes ONo F 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. CONSTRUCTION LENDING AGENCY 1 hereby afUmi that there is a constructnn lending agency fbr the perfonnance of the work this pennit is issued (Sec. 3097 fi) Civil Code). Lender's Name Lender's Addiess APPLICANT CERTIFICATION Icertify that I have read the application and state that the above information is cotiact and that the InfomiaUon on tte I heieby aulhorize lepresentative of Ihe City of Carisbad to enter upon the above mentioned pioperty AGAINST AU. UABiLfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THS PERMIT. OSHA: An OSHA pennit is required Ibr excavalkins over S'O'deep and demoiiikxi or construction of sku^^ EXPIRATION: Every perrnit issued by the Buiklkig Onkaal under Ihe proviskxis of Ihis Code sh^^ 180 days from Ihe of such pemit cr if tie buidkig or worit aulhorized by ^ >CrAPPLICANrS SIGNATURE rit aulhorized bysi DATE Inspection List Permit#: CB110173 Type: ELEC CHEVRON-ADD OUTLET FOR DVD KIOSK ON FRONT EXTERIOR Date Inspection Item Inspector Act Comments 05/26/2011 39 Final Electrical PD AP ok to final 01/26/2011 39 Final Electrical PD CO need to verify clearance Friday, IVlay 27. 2011 Page 1 of 1 City ofCarlsbad BIdg Inspection Request For: 01/26/2011 Permit* CB110173 Title: CHEVRON- ADD OUTLET FOR DVD Description: KIOSK ON FRONT EXTERIOR inspector Assignment: 2500 EL CAMINO REAL Lot: 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT ALLCITY ELECTRIC Owner: Remarks: Q^E^il^jyiSter Machine in front Total Time: Plione: 7608475463106 Inspect!^ CD Description 39 Final Electrical Requested By: AL Entered By: CHRISTINE Act Comments 7^o A/eep -To t/cMf- 3t Comments/NoticQBitHolds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments