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Home My WebLink About2500 EL CAMINO REAL; ; CB111893; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-07-2011 Electrical Permit Permit No: CB111893 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2500 EL CAMINO REAL CBAD ELEC 1670303200 Lot#: 0 CHEVRON-INSTALL GFI SWITCH FOR BLOCKBUSTER VENDING MACHINE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/31/2011 LSM 09/07/2011 09/07/2011 ORAN'S ELECTRIC 5412 LINDLEY AVE #306 KELLY RICHARD C TR&KELL Y ROBERT P TR C/0 CHEVRON TEXACO PROPERTY TAX D PO BOX 1392 ENCINO 91316 818-266-0313 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 0 0 0 0 BAKERSFIELD CA 93302 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: FINAL APPROVAL Date: 3 -t J -12c Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'lmposttion" 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 imposttion 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 tr.eir imposttion. 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, OOf planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i n f whi h h v r vi n iv n N Tl imil r ni w i h t f Ii i · ~-~~ ~ CITY OF CARLSBAD EXISTING USE APPLICANT NAME (Primary Contact) ADDRESS CITY PHONE PROPERTY OWNER NAME ADDRESS CITY PHONE AIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 PROPOSED USE Fax: 760-602-8558 www.carlsbadca.gov GARAGE (SF) PATIOS (Sf) DECKS (SF) Plan Check No. Est. Value l SWPP FIREPLACE AIR CONDITIONING YESD #_ NO D YES D NO D APPLICANT NAME (Secondary Con taco ADDRESS STATE ZIP CITY STATE ZIP FAX PHONE FAX STATE ZIP STATE UC.# STAT CLASS C-/. FIRE SPRINKLERS YES D NO D (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anl 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 Div1s1on 3 of the Business and Professions Code] or that he 1s 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 than five hundred dollars ($500]). Worllers' Compensation Declaration: I hereby affirm under penalty of petju,y one of the following declara6ons: 0 I have and will maintain a certiflc1te of consent to self-Insure for WO<l<ers· compensation as provided by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. D I have and will maintain worllers' compensation, as required by Section 3700 of the Labor Code, for the perfOfmance of the WO<!< for which this permit is issued. My WO<l<ers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date---------- !!!,is secti~ not be completed tt the permit is for one hundred dollars ($100) or less. ~rtificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worll ' pensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da ded for in Section 3706 of the Labor code, interest and 1ttorney's fees. ,N$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Lkense Law for the following reason: a I, as owner of the property Of my employees with wages as theif 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 worll himsett or through his own employees, provided that such improvements are not intended Of 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). a 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). a I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor construction ot the proposed property improvemenL a Yes a No 2. I (have I have not) signed an application for a building permit for the proposed worll. 3. I have contracted with the fonov.;ng person (firm) kl provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the worll, but I have hired the following person to coordinate, supervise and provide the major worll (include name I address I phone I contractors' license number): 5. I will provide SOfne of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of worll): ,N$ PROPERTY OWNER SIGNATURE C:JAGENT DATE Is the applicant or future building occupant required to submit a businessiacutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? a Yes o Is the applicant or future building occupant required to obtain a permit fro the air pollution control district or air ~i ty management district? a Yes ~o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes c,t/o 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 certify thatl have read the application and state that the above Information Is correct and that the lnfonnation on the plans is accurate. I agree 10 comply with all City ordinances and Slate laws relating 10 building cons1ruction. I hereby au1horize representative of lhe City of Caltbad tl enlef upon lhe above menlilned property t>r i'lspectioo purposes. I Al.SO AGREE TO SAVE, INDEMNIFY N-lD KEEP HARMLESS THE CllY a= CARLSBAD AGA.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN COOSEQUENCE a= THE GRANTING a= THIS PERMfT. OSHA: AA OSHA permit is required iJr excavations over s·o deep and demolition or constructk>n of structures over 3 stlries in height. EXPIRATION: Every permit issued by lhe &iikJing Offdal under is Code sh al exµre by imitation and become nul and void tt lhe b.JikJing or \\Olk authorized by sud1 permit is not commenced wthin 100days from lhedai!of sud1 permltorttlhe ~ilgor authorized by permit is suspended orabanooned at any tine afi!rlhe\\Olk is corrvnenred t>ra perodof 100days (Secfun 100.4.4 Unibm &lidilg Code). AS APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 03/12/2012 Permit# CB111893 Title: CHEVRON-INSTALL GFI SWITCH Description: FOR BLOCKBUSTER VENDING MACHINE Type: ELEC Sub Type: Job Address: 2500 EL CAMINO REAL Suite: Lot 0 Location: APPLICANT ORAN'S ELECTRIC Owner: Remarks: WRK COMPLETE CAI\I YOU FINAL? Total Time: CD Description Act Comments Inspector Assignment: ft_ Phone: Inspector: Requested By: NA Entered By: JANEAN 39 Final Electrical AL /LEASb L/d1L c12Lf 12E &.e"l/r Comments/1\Jotices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection His!Q!y Date Description Act lnsp Comments