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Home My WebLink About2643 BRESSI RANCH WAY; MP; CB053600; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 10-1 9-2005 Electrical Permit Permit No: CB053600 Job Address: Permit Type: ELEC Parcel No: Lot #: 0 2643 BRESSI RANCH WY CBAD Reference #: Project Title: BRESSI RANCH 100 AMP ELEC PED Status: ISSUED Applied: 10/1 a2005 Plan Approved: 10/19/2005 Issued: 10/19/2005 Entered By: SB Inspect Area: Applicant: GREYSTONE HOMES 101 5973 AVENIDA ENCINAS CARLSBAD CA 92009 760-804-7700 Owner: 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 100 0 0 0 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: $0.00 FINAL APPROVAL 4 InsDector: A/cceco Date: ?A -I 9- 6 sj Clearance: '3 *I 4 - 0J NOTICE: Please take NOTICE that approval of your project indudes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 fdlow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION FOR OFFICE USE ONLY 3 C-= PLAN CHECK NO. o* EST. VAL. Plan Ck. Deposit Validated By fL 03-LDq CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I Date Legal Description Lot No. Subdivision NamelNumber Phase No. Total # of units Unit No. Assessor's Parcel # Description of Work Existing Use Proposed Use U of Bedrooms U of Bathrooms SQ. FT. #of Stories / dechz mele ? Name Address City StatelZip Telephone # (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 ha 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 Codel 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 165001). Name 7ctMa as- &be Address City StateEip Telephone # State License t (b.37- - (043 License Class &/ B City Business License # i ZOI 9 b 2 Designer Name Address City StateEip Telephone State License # 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. 8 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the Derformance of the work for which this Dermk is r issued. My worker's compe Insurance Company old Policy No. /17ctlL 10877 Expiration Date ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I~IOOI OR LESS] 0 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 aecure workers' compensation coverage is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred 3706 of the Labor code, interest and attorney's faas. owing reason: 0 1, 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 sold within one year of completion, the owner-builder will have the burden of proving that he dtd not build or improve for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The x? ontractor'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 1. 2. 3. 4. number I contractors license number): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name I address I phone Business and Professions Code for this reason: program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS 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 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: 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 the date of such permit or if the building or work authorized by such permlt is suspended or abandoned at any time after the work is (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/19/2005 Permit# CB053600 Title: BRESSI RANCH 100 AMP ELEC PED Description: Type: ELEC Sub Type: Job Address: 2643 BRESSI RANCH WY Suite: Lot 0 Location: APPLICANT GREYSTONE HOMES Owner: Remarks: Inspector Assignment: Phone: Inspector: BU Total Time: Requested By: ROB Entered By: CHRISTINE CD Description Act Corn men t g-M4 - ~ ___~__ ___ ___~_ 32 Const. ServicelAgricultural &-E- /U&[ Associated PCRs/CVs InsDection History Date Description Act lnsp Comments 4158#76-97m I '1 L