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Home My WebLink About2571 MUIRFIELDS DR; TP; CB0053431; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-29-2005 Electrical Permit Permit No: CB053431 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2571 MUIRFIELDS DR CBAD St: TP ELEC Status: Parcel No: 2132500600 Lot #: 0 Applied: Reference #: Project Title: MAGNOLIA ESTATES-TEM POWER POLE Applicant: SHASTA ELECTRIC 665 BREA CANYON RD 91739 909 646-7 481 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: BARRATT AMERICAN INC C/O DON MACKAY 5950 PRIESTLY DR #101 CARLSBAD CA 92008 ISSUED 09/29/2005 AMA 09/29/2005 09/29/2005 $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: $20.00 Balance Due: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval o1 your project includes the "Imposition" of 1ees, 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 protesl them, you must follow the protest procedures set forth fn 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 lhat your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection tees 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 . . . . . . . • . r . . . \ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. Leg&I Description Lot No. Subdivision Name/Number 9-\ 3-ow-9 i 23 FOR OFFICE USE ONLY PLAN CHECK NO. Cf;o 53L(J/ EST. VAL. _________ _ Plan Ck. Deposit------,---- Validated By__,,---1----,Mo-'-!-7'--- Date __ Erf+--+,"-I-J...._,",,L-....,_ _____ _ Unit No, Phase No. Total # of units Assessor's Parcel # \_1 ;,.,,.._,s--f.,.,_/j Of'\..£ +--4?""£ 'Pc~.,, "10escription of Work Existing Use /1-'I..R+er ..tftA' •~ r,1'.., ♦ Proposed Use i 1"'1Slill. ¢.A"t« 5! :,; SO. FT. I/of Stories II of Bedrooms # of Bathrooms 2; · :coNTACT:PERSON (lhltt..-•ilUrom•appllc■ntJ Name Address City 3, se:i',)Affl!LICAN,r,,;, ,, GJ,.;,t.:,o~1¥b(•Jw~Mt.JO~:¢ont1:!iol0r• );'CJ; Owill!Jr . 0, Agent for OwneF;. Name Address City -4,, '.<iii(li!!'IOPER,Wrt).WN&ltf.i:lri,•i,.:l;ii)t~i.i{:,,!;(;;;i¼>,;'••,1l ••! . , ,,,; ,.p·• State/Zip Telephone# State/Zip Telephone# Name Address City S.tate/Zip Telephone II Fax# /15,'it<l<,CPNl:AAQ;'tOR~CPMIAIIIWl\l~l~f'ii~t:iW;~JMj~;t•'.,·· · ·· , · ':r ·::ll~rt"~"'~~t"~>lil!ti!li~~i-~J!~~l/$t~£"'~'14'.,!r (Sec. 7031.5 Business end Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to it& 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 L■w (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he Is exempt therefrom, end the basis for the alleged exemption. Any violation of Section 7031.5 l!Y any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1>500]). 1.r, ~r& S:,,k,_.,..;.:,£~~ E fe.c._:/-n c.. (q{,~ 1$,1 e c .. ~l'T1c1 a-d W4kH1 f Cfl CfJ72-:,.'f l<f 0 ~)-1,1'1!. l Name Address City State/Zip T er,,ho"/J_f State License , Ce -g ~ "B 7 w license Class L -I o City BusineH License " -f,,4./f,41'.':,,-'f-,~,..i(/ 7 1'/V Designer Name Address City '· State License # _________ _ 6,. ·• >WORKERS!,COMli!ENSA"fJQllli4;1\\.,•1l'.'(!, , . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self•insure for workers' compensation as provided by Section 3 700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 /L2ec--lrt:?-o-,,,_ / l/ /.-....1,.,!?""7:= ~ Policy No. {p L-f 5. & t; (b "'6 ~ Expiration Date {'f8:-Q /-QC:, !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNORED DOLLARS ($100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit Is issued, I shell not employ any parson in any manner so as to become llubject to the Workers' Compensation Laws of CaHfornie. WARNING: Failure to secure workers' compenaatlon coverage I• unlawful, end shell •ubject an employer to criminal penaltla■ and ciYII fines up to one hundred thoul8nd doll■ra ($100,000), In dltion to the cost of compa ■m■gea ■a provided for In Section f706 of the Labor code, Interest and ■ttomev•• fees. >-::G~,::=:';R~+ ~=~:;~'.f;2~~t~:21~~~~~~==~;:?-----::::7--------:::7-; 1!~:T~~,i1~;;i::;;..;:. \' , , "<~~,• I h11reby affirm that I am exempt from the Contractor's License Law for the following reeson: 0 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 sala (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. lf, 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 salel. 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. t personally plan to provide the major labor and materials for construction of !he proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (lirml to provide the proposed construction (include name / address I phone number / 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 name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide tha work indicated (include name/ address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ------------ COMPLETE:THISiSECTION FOR,,NON-RES/DENTIAL BUILDINQ 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 epplicant or future building occupant required to obtain a permit from the 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 a school site? 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. ,8f1;;qQNSTFlUQ'!JJQN1~-QING1M~C;"( ;:},;:-,,,:,H, , · . ,,,., I hereby affirm that there is II construction tending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). I cenlly 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 1111 City ordinances 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: Eveiy 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 building or work authori:i:ed by such permit Is suspended or abandoned al any lime after the work is commenced for a perl d 180 days (Section 106.4.4 Uniform Building Code) . .• ); APPLICANT'S SIGNATURE -,,,--69-~-1-J.L,,,lt,......;F,o::::3,.-"-,a~~,::;:i~,==--------~l--.._ DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/04/2005 Permit# CB053431 Title: MAGNOLIA ESTATES-TEM POWER Description: POLE Type: ELEC Sub Type: Job Address: 2571 MUIRFIELDS DR Suite: TP Lot 0 Location: APPLICANT SHASTA ELECTRIC Owner: Remarks: Total Time: CD Desc~rip~t~io~n~~~-~-~ ~Act Comment 32 Const. Service/Agricultural ---- Associated PCRs/CVs Inspection History Date Description Act \nsp Comments Inspector Assignment Phone: 9514853103 lnspec~ Requested By: DANIELLE Entered By: JANEAN