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Home My WebLink About2649 OCEAN ST; ; CB053396; Permit09-26-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB053396 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2649 OCEAN ST CBAD ELEC 2031401000 KIKO RES-TEMP POWER POLE Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/26/2005 RMA 09/26/2005 09/26/2005 Applicant WOLF DESIGN BUILD INC 1459LIETAST 92110 619275-0074 Owner KIKO FREDERICK J TRUST 06-30-98 3561 DONNA DR CARLSBAD CA 92008 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 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 Inspector; FINAL^PPRQV Clearance NOTICE Please takeNOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 ; PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO f f)D 533 Ct EST VAL Plan Ck Depo Validated By Date 6 sit / 0 to f t ff v^ I ui) / M"J Address (include Bldg/Suite #)Business Name (at this address) w&f? Aio :z. Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel 9 Existing Use Proposed Use Description of Work SO FT #of Stories ff of Bedrooms # of Bathrooms 2 .< CONTACT PERSON (If diffarent.frorh applicant)'!'." :c" *'''&•• "r ^-^."i: -v -• C/\ 'TZMQ (ifrl? Name __._ Address City State/Zip _____ Telephone #Fax # 'Cantraotp'r:.;>r Name 4.;^RROPERtys'6WNER'v *t$ Address City State/Zip Telephone # Name Address City State/Zip 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 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 exemtion 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 [$5001) C¥96-/<£*v-> FdLAbi? f^Co, <^,A<\j tefi&Q OA £527/0 Name Address " State License # SU?&~2-'7&? License Class V^ - /-f/ City * State/Zip Telephone # (T^ Citv Business License # ' ^- 1 ( ^T^^J t^,/Wig /fys^, $^!&£V& Designer Name Address State License * — A^^ "~ 6 : ;-;wORKEte£COMPENSATOibW\^ City State/Zip Telephone ;£3ipp:c£:r^ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) T3L. CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as 'to become subject to the Workers' Compensation Laws of California . / WARNING Failure to secure-workers' tompeniatlon coverage is unlawful, and spall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (S100,0p,0),\in additioif to the/cost of compensation, qamagegpsfyoylded for In Section 3706 of the Labor code, interest and attorney's fees <"f&>. ^OWNERrBUILDER.DECI^ATKjiliR- siJiflK4'",f^fMT%*s£iS^-"^MS:f *> V K ."^'^''^^S'^felfiSJ'"riSffi?:;'ilSSr^Iffc'p".iffc:" \ >r''"':$ 1 hereby affirm that I im exempt from the Contractor's License Law for the fallowing reason l~1 I, as owner of thepToperty 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 Contractors License Law/Hoes not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided thaTsuch-nrfpfovements 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 purpose of sale) f~| 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) C] 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 QNO 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, 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 the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR /VOAW?£SyDflV7Mi BUILDING PERMITSiONLYl '„•:• ^a^U.j'V ' -^-fcft- ^SSIivffi"",". ••Jfr"*i/ :is; .ySV'---''. ,??**•""•: 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? [] 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? l~l YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? L~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 *r3£^NSTOUci!qry.i^!^^ ^^•<[>'^..th:^^m&^?£€^^ "I-^IM •" ,'^! u: ' v - ,/ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) 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 CitV 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 movisions of this Code shall expire by limitation and become null and void if the building or work or work authorized by such permit is suspended or abandonedauthorized by such permit is not commenced within 180 days from the at any time after the work is commenced for a period of 180 < APPLICANT S SIGNATURE,. such permit or if the bui 4 4 Uniform Building DATE UNSCHEDULED BUILDING INSPECTION DATE PERMIT # JOB ADDRESS INSPECT PLAN CHECK # c/1 DESCRIPTION CODE DESCRIPTION ACT COMMENTS