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Home My WebLink About2562 DAVIS AVE; ; CB023679; Permit12-06-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB023679 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2562 DAVIS AV CBAD ELEC 1552520500 Lot# FULLMER RES UPGRADE ELEC 200 AMP UPGRADE Applicant FULLMER WILLIAM D&CINDY R 2562 DAVIS AVE CARLSBAD CA 92008 Status Applied Entered By Plan Approved Issued Inspect Area Owner ISSUED 12/06/2002 SB 12/06/2002 12/06/2002 FULLMER WILLIAM D&CINDY R2884 12/06/02 0002 01 02 2562 DAVIS AVE CARLSBAD CA 92008 45. ( Total Fees $4500 Total Payments To Date $000 Balance Due $4500 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 100 0 0 0 $1000 $2500 $000 $000 $000 $1000 $000 $000 $000 $000 $4500 Inspector FINAL APPROVAL JL Date Clearance NOTICE Please take NOTICE tbat approval of your project includes the "Imposition" 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated Date 12- fc- Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Total # of units sor's Parcel #j>Cfnb\ ^^Description of Workv Iio Existing Use Proposed Use #of Stones CONTACT PERSON (if different from applicant) # of Bedrooms # of Bathrooms Name 13 ^APPLICANT D Contractor;S?;[ Address ): Agent :fbr::C6ntractor City [3 Owner LU Agent :f or Owner ; State/Zip Telephone Fax # State/Zip Telephone # City State/Zip Telephone #Name 5 .CONTRACTOR-COMPANY NAME ;i i .,-,'•' n r ,;< (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 Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License tt 6 -r WORKERS' COMPENSATION -*'-,'...• " C'-iV,. '" •• :.••••. ': -i •• " "'• . " •• ~"^:'. "" ,: - " '; Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 I 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 G I have 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 Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE 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 workers compensation 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE DATE 7 OWNER-BUILDER DECLARATION 'iff' X;: ..•;.,;; ,'"' . ...J;:, ' i-J1*'' 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason [~l I, as owner of the property or my employees with wages as 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 sejd 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) .Qu 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) f~l 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 l~l YES I~|NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, number / contractors license number) 5 I will provjde some of work) ired the following person to coordinate, supervise and provide the major work (include name / address / phone contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION >O DATE [DENTIAL BUILDING PERMJTSi ONLY, , : " ; M 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES 1~) 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 LENDING AGENCY ,, ; ; ^i! "„ ; -• •'"•<• : • * I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION :•.'- I certify that I have read the application and state tha City ordinances and State laws relating to buildii property for inspection purposes I ALSO AGREE JUDGMENTS COSTS AND EXPENSES WHICH/MAY IN i above information is correct and that the information on the plans is accurate I agree to comply with all ;)truction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, !WY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excaj EXPIRATION Every permit authorized by such permit is n< at any time after the work is ctjmi 5'0" deep and demolition or construction of structures over 3 stories in height Idmg Official under the provisions of this Code shall expire by limitation and become null and void if the building or work 'ithiri 180'days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned Jod of 180 days (Section 10644 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 09/19/2003 Permit* CB023679 Title FULLMER RES UPGRADE ELEC Description 200 AMP UPGRADE Type ELEC Sub Type Job Address 2562 DAVIS AV Suite Lot 0 Location APPLICANT FULLMER WILLIAM D&CINDY R Owner FULLMER WILLIAM D&CINDY R Remarks PLEASE INSPECT.AT2PJVU 3 Total Time CD Description 33 Service Change/Upgrade Act ^Comment Inspector Assignment Phone 7607293565 Inspector Requested By DOUGLAS Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments