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Home My WebLink About2621 OCEAN ST; ; CB052635; Permit~\)4~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-18-2005 Electrical Permit Permit No: CB052635 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: A icant: 2621 OCEAN ST CBAD ELEC 2031400500 RUNO GARDINER CONSTR 0 BOX 687 CARLSBAD C SBAD CA 92018 760-72~-~L-- 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 Status: Lot#: 0 Applied: 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: MULLEN FAMILY TRUST 07-26-91 2617 OCEAN ST CARLSBAD CA 92008 ISSUED 07/18/2005 KG 07/18/2005 07/18/2005 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 2788 07 /18/05 0002 01. CGP Inspector: FINAI.-A! Date: . ~-Clearance: 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 f x ctions of whi h h v r vi I n iv n a NOTICE simil r hi r s to whi h h te of limita ion h r vi I th rwi 02 20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Assessor's Parcel I Existing Use FOR OFFICE USE ONLY PLAN CHECK No.C&n::z½3.S- EST. VAL.--------~- Plan Ck. Deposit _______ _.,.::.....,- Validated BY·----:,,r---,-,~-~+~<-r- Date. ______ -#-_.,..w....,+,.,_,.__~,.__- Phase No. Total I of units Proposed Use I of Bathrooms (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 tor 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 Any violation of Section 7031.6 b any applicant tor a permit subject the applicant to a civil anal of no m~than fiv hundred dollar I 001 Address City State/Zi Telephone I State License , 2 Bi 719 License Class~ City Business license , #~AL> ~ Designer Name Address City State/Zip Telephone State License I _________ _ ~~~li'ii~lf'.t!~~BW:~;i~i.tiit.;.i"i:i1;;,.-;J,~i.Jlh,£®.li;j,~\J.i'i'ti/~;fl'.~,itl::;.14s'•d~ ,,, :'i'i~•\.,,~4_~:.i ,;.,,_r:.-_. ··, . • , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 compenaation insurance carrier and policy number are: Insurance Company_____________________ Polley No._____________ Expiration Date _______ _ IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt1001 OR LESS) 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 become aubject to the Workers' Compensation Laws f California. WARNING: Failure to Hcure worti .. • t varaga la unlawful, and M8II aubjact an employer to crlmlnal ~ and civil fines up to one hundred thousand dollars ( 0001, In ,-ddhj~'Aj1tha companHtion, damages u p,ovlded for In Section 3706 of the labor coda, lntaraat and attorney's feea. r!:!::~~~R~. · i1•-":i!t#~NllQ14Jll!-.Vl~1'i;;;-,a,1""l1!1!1,._.tcM,:,.-;.,~.••\l;\:~,-, ,iJ.,.1,,;•,a!')!J'!,~~.~,~z -c!:~;,.,~,-,·,,:· .-·.'f• .: · ... ,,,, .. ~~ ~ ,· -~~.~J'!~J.1:!M!i\:~~lrri~ie.~-',~t}~~~-~l;$...f1"11l:~~"U.Z&fi~~;1f~;l.£i~1i\":,.l'-"'~;t~iqJ~ ·,~~ti.·Jf.y,)'?ff'\1":f":.,.~t~-::·j;t '· ~-~,,~ '" · . r L. -·, 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 aa their sole compensation, will do the work and the structure is not intended or. offered for sale (Sec. 7044, Buaineaa and Professions Code: The Contractor'• Llcenae Law doH not apply to an owner of property who builds or improves thereon, and who does such work himaelf 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 purposa of sale). 0 I, aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, BusineH and Professions Code: The Contractor' a Ucenae law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor'• Ucenae Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and material• for construction of the proposed property improvement. 0 YES ONO 2. I (have / have notl 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 I addraa1 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 name / address / phone number I contractors license number):. ______________________________________________ _ 6. 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 / type of work):. ________ -'-----------------------------------~------------- PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ l®~lli.U:ciiatiifQffi'M.Oir~-Wll)J!iJ\M.i.tl • . 'j~~1rr.u~w.~l,in?~tm~~~-Je-iit1td':ii'.il!l{lil~I,1,'i!!.1~"1:.-1}.;,,:t ;,i:~ ' . ""' " . 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 25606, 26533 or 25534 of tho 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 O NO Is the facility to be conatructed within 1,000 feet of the outer boundary of a school site? 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 ANO THE AIR POLLUTION CONTROL DISTRICT. lt ~®.rtUJ!V:.~u:iN.(~Q!NQ,~Qf;NJ.liY~:il~ir.it.\'.'..w?.iit!l-, ,; ;,'\~lii't.'.ii'::'.I;~ i.t· .•J ;;,.\.,,;,;'-' )l,.\t•f \~· ,,:t; _: : ,~, ,, ":'li!.'.~ . ;", . ,:' .. ' .... · ,, ,; •. 'i . 'r ·' . • 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 Coda). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ t~li&m: ... : M<•~~~~1,\JV.i!i~i.li.i:i./,.,~t;:_4)cili1~~~f~~.~~ft.,,\.~i,~~~:;i,1Viltt~ila'it1~W~l,&l/$i1,~l1t~~~J,;g~,._,;i,'.i(j,.' ,:,; ,e·\11i.•i••1, 1;,, .• , I certify that I have read the application and state that the above information is correct and that the information on the plans la accurate: I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representativaa of the Citt of Carlsbad to enter upon the above mentioned propeny 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 perm\t is required tor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 'XPIRATION: Every permit Issued by the building Official un r the provisions of this Code shall expire by limitation and become null and void if the building or work thorized by such permit Is not com ed within 180 days m the date such permit or If the building or work authorized by such permit is suspended or abandoned r,y time after the work is com ce for a peri (Secti 06.4.4 Uniform Building Code). DATE _1-7-L~J,: ... ',i'-,_-__.'1~!::J~------ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/26/2005 Permit# CB052635 Title: MULLEN RES REPLACE SERVICE BOX Description: NO UPGRADE OF AMPS Type: ELEC Sub Type: Job Address: 2621 OCEAN ST Suite: Lot 0 Location: APPLICANT BRUNO GARDINER CONSTR Owner: MULLEN FAMILY TRUST 07-26-91 Remarks: OR PAGER 414-8285 Total Time: CD Description Act Comment Inspector Assignment: Phone: 7604209936 Inspector: L Requested By: BRUNO GARDNER CONSTR. Entered By: CHRISTINE 33 Service Change/Upgrade \ AJf2 ft: \OI e;. I or_ ~ ~~--------C--,..:,-"'477llv(tso4¥1~~---------=------~,,. ------Associated PCRs/CVs Inspection History Date Description Act lnsp Comments