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Home My WebLink About252 ACACIA AVE; ; CB993268; Permit- .. City of Carlsbad 09/0.1/1999 Electrical Permit Permit No:CB993268 Building Inspection Request Line (760) 438-3101 Job Address: 252 ACACIA AV CBAD Permit Type: ELEC Status: ISSUED Parcel No: 2041503200 Lot #: 0 Applied: 09/01/1999 Reference # Plan Approved: 09/01/1999 Issued: 09/01/1999 Project Title: ACACIA APTS Inspect Area: Entered By: MDP REPLACE BURNED ELECTRICAL PANEL FINAL APPROVAL Inspector: Date: ?e/q? Clearance: NOTICE Please take NOTICE thatappwal of your project includes the'lmposilon'offees, dedications, reservations, or other exactions hereaflerwlkcevely follow the pmtest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for referred to as "feedexadins.' You have 90 days from the date this permif was issued to protest imposition of these feeslexactbns. If you protest them, you must processing in accordance wilh Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that pmdure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your @ht to protest the specikd feeslexr6Ibns DOES NOT APPLY to water and sewerwnndion fees and capactiy charges nor planning. zoning, grading or other similar application prazssirg or service fees in connestion with this pmkd NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE Similar to this, as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PER~ITAPPLICATION - CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-11 61 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Legal Description Lot No. Subdivision NamalNumbar Unit No. Phase No. Total X of wit6 Existin Use Proposed Use /%P& .Y&J SO. FT. #of Stories a of Bedrooms X of Bathrooms 2 CONTACT PERSON m.Uilmt.~m ,,, , , >, Name Addre- City StPeIZip Telephone X F~X a 3. APWCANT c] ComnDtor D ApmtorCdm'&s. '?c]:&kr". !~:&Wfmthmr Name Address City StstsRip Telephone X 4. PROPERTY OWNER .. . ,, ,, , Name '5. -~~CONniACTOR - COMPANVNAME ISsc. 7031.5 Business and Professions Code: Any City or County which requires a permit to Construct, aiter. improve. damdish or repail my Structure. pior to its iswance, also requires the applicant for Such permit to file a signed statement that he is licensed pvrsuant to the provisions of the Contractor's License Law IChapter 9, commending with Section 7000 of Division 3 Of the Business and Profsrsionr Codel or that he is exempt therefrom. and the basis for the alleged exemption. Any iolation of Section 7031.5 b any applicant f a permit subjects the licant to I civil penalty Of not more than five hundred dollars 1$50011. Nn~Jc@uMTv rzFcn?/ - L, 3Yf-k?&A.B1 &A//& ,EM&n/%s@ 92 Nims State License f 76 rjG5- License Class State License X Designer Name Address City Stetelzip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Of the work for which this permit is issued. 0 I have and will maintain a Certificate of Consent to self-insure for workers' compsnration as provided by Section 3700 of the Labor Code, for the performan~e 0 I have and will maintain Workers' compensation, 89 required by Section 3700 Of the Labor Cod;, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS1$1001 OR LESS1 Insurmc~ Company Policy NO. Expiration Date to become subject to the Workers' Compensation Laws of Cslifomia. 0 CERTIFICATE OF EXEMPTION: I Certify that in the psrformancs of the work for which this permit is issued. I shall not employ any person in any manner so LIS WARNINO: Failure to secure worked compensation covanpe Is mlawtul. md shall subject an employw to crimlnal penaltbs and civll finas up to one hundred thousand dollars 1$100,000~. in addition to the cost of compensation. damages af provided lor In Section 3706 01 the Labor coda. interest and anomy's lees. SIGNATURE 7. OWNER-BUILDER DECLARATION I hereby affirm that i am exempt from the Contractor's License Law for the following reason: 0 I, as ownel Of the property or my employees with wages as their so18 compensation, will do the work and the Structure is not intended or Offered for sal* ISec. 7044, Business and Protelllons Code: The Contractor's License Law does not apply to an owner of pr~perty who builds 01 improver thereon, and who does such work hornsell 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). Has owner Of the property, am excIusiveIy contracting with licensed COntmCfOrS to construct the project (Sec. 7044. Business and Pralaraionr Code: The Contractor's License Law does not apply to an owner of propany who builds or improves thereon. and contracts for such projects With contractorlsl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: 2. I lhave I have not1 signed an application for a building permit for the proposed work. 1. I personally plan to provide the major labor and materia16 for construction of the proposed property improvement. 0 YES ON0 3. I have contracted with the foliowing parson Ifirml to provide the proposed construction (include name I address I phons number I contractors license number): Address City State/Zip Telephone X ,, ,, , . . .. . .., , ., .. . . . . . . . . . -,. . ., , ,,, a2 4 Address City StatalZip TeleDhone'a760-/3 722 79- City Business License a DATE 4. I plan to provide ponions Of the work. but I have hired the foliowing person to coordinate, supervise and provide the major work linclude name I address I phons number I Contractors license numbsrl: 5. I Will provide some of the work. but I have contracted lhifedl the following persons to provide the work indicated lincluda name I address I phons number I type of workl: PROPERTY OWNER SiGNATURE DATE COMPLETE THIS SECTION FOR NONdEUDDwIlL BUIWNO PERMITS ONLY 1s the applicant or future building Occupant required to submit a business plan, acutely hazardous materiais reginration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prssley-Tanner Hezadous Substance Account Act?: 0 YES 0 NO 15 the applicant or future building Occupant required to obtain a permit from the air pollution ContrOi district 01 air quality management district? 0 YES 0 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 1s the facility to be Constructed within 1.000 feet Of the outel hundaw of a schooi site? 0 YES NO 6., CONSTRUCTION LENDING AGENCY REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that them is II Construction lending agency for the performance Of the work for which this permit is issued IS%. 3097li) Civil Code). 9. APPUCANT CERnFICATtON LENDER'S NAME LENDER'S ADDRESS City ordinances and State laws relating to building COnstwRiOn. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned I Csnifv that I have read the application and state that tho above information is correct and that the informstion on the plans is accurate. I agree to comply with all JUDGMENTS, COSTS AND EXPENSES WHiCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, ~ra~ertv for inspection pu~poseo. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, OSHA: An OSHA permit s over 3 stories in height. EXPIRATION: Every permit issued by t work authorized by such or abandoned at any time a APPLICANTS SIGNATURE DATE , ., xpire by limitation and become null and void if the building or or if the building or work authorized by such psrmlt is suspended 6.4.4 Uniform Building Code). WHITE: File YELLOW: Awiicmt PINK: Finance , .. City of Carlsbad Inspection Request For: 9/2/99 Permit# CB993268 Inspector Assignment: Title: ACACIA APTS Description: REPLACE BURNED ELECTRICAL PANEL Type: ELEC Sub Type: Job Address: 252 ACACIA AV Suite: Lot Location: APPLICANT SEA CHASE INC Owner: SEA CHASE INC Remarks: Total Time: CD Description 33 Service ChangelUpgrade 0 Phone: 7607205381 Inspector: E- Requested By: NA Entered By: CHRISTINE Act Comments Ap Date Description Inspection History Act lnsp Comments