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Home My WebLink About2556 LA COSTA AVE; TP; CB050921; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB050921 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 25:)/LA COST A AV CBAD St: TP ELEC Status: Parcel No: 2163601100 Lot#: 0 Applied: Referen~~_.#;., ___ _ Project Title: Applicant: L MAR CUSTOM HOME STE B 2737 E COAST HWY 92625 949 87 4-5299 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: BRAMBLE RICHARD 24821 ST AN HOPE #F DANA POINT CA 92629 ISSUED 03/21/2005 LSM 03/21/2005 03/21/2005 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: Clearance: ::s-u--0,S' $20.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/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 fees/exactions of whi h ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. {!fi:,O >0 9 <7-/ EST.VAL·-~~~~--~-~- Plan Ck. Deposit+<~ ....... ---..------ Validated By __ ~~-------- Date S--/;). t JI>:; r I Address (include Bldg/Suite I) Business Name lat this address) Ni:e f:,tt ') -L-d-sc~~ ~ \.,.)D !'I: NP, \ u5:f 3 Z- Total I of units I of Bathrooms Name Address City State/Zip Telephone I ,. ~o~,· zA~~-1~~~~~·-'·s~ ...... "': "E-4".-i .. '!'\'. Name Address City S.tete/Zlp Telephone I -~ a~moli,t..tffiil.li~f· -;..~·~·fl ....... :·:.,·,' ·.. ' .. '· .:,•••,,,; .} ·.'. :;.,, ':!.. '+.---;.'" .. -"~· '" '· :-·. ~/'~ (Sec. 7031.5 BualneH and Professions Code: Any City or County which requires • permit to construct, alter, Improve, demolish or repair any structure, prior to It• Issuance, also require• the applicant for such permit to file • signed statement that he la licensed pursuant to the provl1iona of the Contractor's License Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business 1nd Profession, Code) or th1t he la exempt therefrom, end the b1tls for the 1lleged exemption. _Any violation of Section 7031.5 by 1ny applicant for I permit subjects the appllcent to• clvll penalty of not more then five hundred dollars lt500)1. :PB. MM. Cv'?IOM t1DrD\S 't=NC... . City State/Zip City Business License I I 7 -) Telephone I 8 {::eP7 Name t--,.. Address ~ State Uc-e I -t'? k 3 <_5 License Class ___ _42 _____ _ "i-4= Designer Nern Address City State/Zip Telephone State License I---------- (&.~ iN,QB}ERSi"C:l>MP£tilQTIQN;.·;l .. f.'j,•,f1",;,:·/?' . ...,; .... , •. '.;'1+ ,,, ,'.'.!, i ,'' i;i;,; .• 1;i'<:\(c; . ·':-,• l't· ·1t•, \r: ~ .. d.' • :'.,i ~~ ;;:.,.,!.J'~J; ·,.~·t Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have end 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. lbt.. I have end win maintain workers' compensetion, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Jfss~. My worker's compensation Insurance carrier and policy number are: / ~ l O { ) Insurance Company ~:Q);f ~ Polley No. \ $. T:9--Z.. l Q Expiration Date _ O > . \JS- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) / O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is Issued, I shall not employ any peraon In any manner so IS to become aubject to the Workers' CompenHtlon Laws of California. WARNING: F ..... to -..cure wcwllen' compensation covsrege I• unlawful, end shell subject ., employer to crtmlnel penalties end clvll fine• up to one hundred thou•and dollen ($100,0001. In addition to the co•t of cornpenaatlon, damage, as provided for In Section 3708 of the Labor code, lntere•t end attorney'• fee,. SIGNATURE DA TE . OWNE~!,lm>jjiffi[g.ARA1.ION · -. : , • r: .-_· --'°:.,.. -~ . ' .-"'":"'.°,.,. ~;.:s:~, ~ 7~-~-:. . .,.:::. -::.-;::&:;::.=;:;~::. ;:::?::;$;;:;f;: .• ;::,'J;'tf::;;:;:_~=-:;;::;;:f.e;:;:·. irr:...W~V ,=t;.'.~ 1 hereby 1fflrm that I em exempt from the Contractor's License Lew for the following reason: O I, as owner of the property or my employees with wages IS their sole compensation, will do the work end the structure Is not Intended or offered for sale (Sec. 7044, Business ind ProfeHions Code: The Contractor's License Law does not apply to an owner of property who bulids or improves thereon, end who does such work himself or through his own employees, provided that such improvements ere 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). 0 I, as owner of the property, •"!' exclusively contracting with licensed contractors to construct the project '(Sec. 7044, Business and Professions Code: The Contractor'• License L1w 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). 0 I em exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the mafor labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed en application for • building permit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include nama I address I phone number I contractors license number):. _____________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work Indicated (include name I address I phone number / type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ icp MPi:§'Ui,:r.HISl~ECTIONJf'OR liJON,RfS/DEN.TlAL.Bl!ILtSINO'JPERMITS ONLY ~ 'i ~. \, I ! ' , • •, Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk manegement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the epplicent or future building occupant required to obtain • permit from tha air pollution control district or air quality management district? ·0 YES O NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of • school site 7 0 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. i9:~ c·-N!TRUCTI.OH ~f!DINO,AG~CY t"} , , . ._. "/'°.,..J :, ,1 ,·, ,·'.,;. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). -t .•. ! ~.JI,, ·:;·:-,,. • ,, I:! :t:. ·, 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. I agree to comply with all City ordinencee and State laws 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 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 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 lhe buildlng or work authorized by such permit Is not comma ed wl n 180 days from the date of such permit or If the building or work authorized by such permit ls suspended or abandoned at any time after the work Is comme for ~ da ectlon 106.4.4 Uniform Building Code). 3 1 :Z-\ ) OS APPLICANT'S SIGNATURE DATE --------if.....c..----- PINK: Finance lnspe.ction List Permit#: CB050921 Type: ELEC Date Inspection Item 03/22/2005 32 Const. Service/Agricultural 03/22/2005 32 Const. Service/Agricultural Wednesday, March 23, 2005 BRAMBLE RES-TEMP POWER POLE Inspector .. _A_ct ___ C_o_m_m_e_nt_s __________ _ RI PS AP TSPB Page 1 of 1