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Home My WebLink About2551 Ingleton Ave; ; CB053846; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-02-2005 Electrical Permit Permit No: CB053846 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2551 INGLETON AV CBAD ELEC Status: Parcel No: 2131305400 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: OLMSTEAD RESIDENCE Inspect Area: GAS & ELECTRIC TO BBQ AND FOUNTAIN Applicant: WILLOW LANE GROWERS 753 REQUEZA ENCINITAS CA 92024 760-753-4595 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 Owner: OLMSTEAD GREGORY L&EMIL Y J 2551 INGLETON AVE CARLSBAD CA 92009 ISSUED 11/02/2005 MOP 11/02/2005 11/02/2005 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector: FINAL APPROVAL Date: /,-~/-Db 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 imposition of these fees/exactions. lf 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 infom,ation 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer oonnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in coonection with this project. NOR DOES IT APPLY to any . . ' . ' . . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATI~ ) FOR OFFICE USE ONLY /,S: ~ "S 9 \.fL PLAN CHECK NO.~t_...1~---- EST.VAL.~~~~~~~~~- Plan Ck. Deposit--------- Validated By __________ _ Date _______________ _ :::i. s-s-, :-1--r,§ £ tv rv . Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name State/Zip 3. Name 4. Address -City S.tate/Zip Telephone# &. CONTRACTOR • COMPANY NAME {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 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. Any violation of Se tion 7031 ,5 by any plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001) . .t:u ILL CU Name License Class [ -::;J. 7 City State/Zip Telephone # c;ty Bu,;ness Ucense I ,/.:?/ (R ZZ _3 State License # --~~~~~-~- Designer Name Address City State/Zip Telephone State License # ---------- 6. WOR~~RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 l have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ave 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 compensation insurance carrier and policy number are: lnsu,ence Compeny 42l,~ «.z4&f/• PoUcy No. uzllS(){) // 7'tW (THIS SECTION NEED NOT MCOM~;.HE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Oate __ 'l,'-">/~<t,4'/~o~h~- 0 CERTIFICATE OF EXEMPTION: I certify that in the parformance 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. JARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and clvU fines up to one hundred ouaand dollars ($10 ,0001, In ddltion to the coat of compenution, damages•• provided for In Section 3706 of tha Labor code, Interest and attorney's fees. GNATURE DATE / /-'Z--t:J ~ 7. OWNER-BUILDER' CI.ARATION 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 wages 8S 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). D 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 contractorts) 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 I have not) signed an application for a building permit for the proposed work. 3. J have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. 1 plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license numberl=------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE 'THIS SECTIOt.l FOR NON./lESIDENTIAL IUILDIN(I PERMITS ONLY 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 Act? 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDIN<I AGENCY 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--------------LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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. t agree to comply with all City ordinances and State Jaws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABILITIES, JUDGMENTS, COSTS AND 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 bullding or work authorized by such permit is suspended or abandoned at any time after the work is commenced or a period of 180 days (Section 106.4.4 Uniform Building Code). DATE 11 ,/2 loJ - PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/31/2006 Permit# CB053846 Tille: OLMSTEAD RESIDENCE Description: GAS & ELECTRIC TO BBQ AND FOUNTAIN Type: ELEC Sub Type: Job Address: 2551 INGLETON AV I (,. '] , j Suite: Lot 0 Location: APPLICANT WILLOW LANE GROWERS Owner: OLMSTEAD GREGORY L&EMIL Y J Remarks: Total Time: ----- CD Description Act Comment Inspector Assignment: BN --- Phone: 7606855576 Inspector: Requested By: HENRY Entered By: CHRISTINE 39 .P'L .. Final Electrical 'j?!Na.L ~~-··--------·---·- Comments/Notices/Hold Associated PCRs/CVs Original PC# lns(2ection Histo[Y Date Description Act lnsp Comments 11/29/2005 23 Gas/TesVRepairs AP BN 11/29/2005 31 Underground/Conduit~Wiring AP BN