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Home My WebLink About2688 GATEWAY RD; TP; CB061102; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 05-24-2006 Electrical Permit Permit No: CB061102 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2688 GATEWAY RD CBAD St: TP ELEC 0000000000 Lot#: TEMP POWER POLE-CONSTRUCTION 0 Applicant: Owner: NATIONAL CONSTRUCTION 14551 ANDEL DR 92335 909 574-1400 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 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/24/2006 RMA 04/24/2006 04/24/2006 BN $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $60.00 $0.00 $80.00 Total Fees: $80.00 Total Payments To Date: $80.00 Balance Due: Inspector: ,6 ~ FINAL APPROVAL Date: s\)Jz)qt., Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/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 "h hv in NTIEimi1r hi hihh vi I hrwi FOR OFFICE USE ONL V PERMIT APPLICATION PLAN cHEcK No. ()J12C /;a 2 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlµad, CA 92008 EST.VAL.~~~~~~~~~~ Plan Ck. Deposit---------- 1 P~F£>TIO;r Validate~~/ I ! /lA=-- Date Tf!J. tf(Df5i I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use ?-,i3s:.z;,'J-t?/ f ()0 Existing Use #of Stories # of Bedrooms # of Bathrooms /~ ~ o4'6'; /jl) ;&S-/t:J?T Hg-t?l&!f. Name State/Zip Telephone# Fax# 3. 5. <,ONTRACTOR • COMPANY NAME (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 ith Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged y violatio f · n 7031.5 by a plican for rmi sub·ects the pp~n~ ~ii pen lty of no ore than five hundred dollars ($500)). ~~.~Tari ~~n:hr v? ~ Designer Name State License # ---------- 8 . WORKERS' COMPENSATION City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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 Ke work for which this permit is issued. 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 ed. My worker's compensation insurance ca · rand policy number are: . "?'' ·/Jt' /; v""l/'J..r r;_ ~ / Insurance Company Polley No. ~((rrz/9?~ /'txp1rat1on Date U -L-t:7 ~ {THIS SECTION NEED NOT E COMPLETED IF THE RMIT IS FOR ONE HUNDRED DOLLARS ($100] 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 sec kers' compensation coverage is unlawful shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 0), in gas as provided for in Section 3706 of the Labor co , inter and attorney's fees. DATE _---..~e....ee:::::..,.,~IW.J~--------~ 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 as their sole compensation, will do the work a e 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 o party who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended ffered 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 di t build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds · proves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------ 1. I personally plan to provide the major labor and materials f construction of the proposed property improvement. 0 YES ONO 2. 3. ) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the wor ut I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number),~:,,._ _______________________________________________ _ 5. , but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGN URE ______________________ _ COMPLl;TE THIS SECJIQN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely haz materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous ance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit D YES D NO D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL CE ATE OF OCCUPANCY MAY NOT BE I SUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EME Y SERVICES AND THE AIR POL TROL DISTRICT. CONSTRUCTION LENDING AGENCY LENDER'S NAME---------~"""'--- 19. APPLICANT CERTIFICATION 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 buildin 1ci I under the provisions of this Co hall expire by limitation and become null and void if the building or work authorized by such permit is not commenced w· n 180 ays from the date of h per · 1f the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for perio O d s .4. aing Code). DATE ~/ /. 3-/ APPLICANT'S SIGNATURE ~ PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/30/2006 Permit# CB061102 Inspector Assignment: BN --- Title: TEMP POWER POLE-CONSTRUCTION Description: Type: ELEC Sub Type: Job Address: 2688 GATEWAY RD Suite: TP Lot 0 Location: APPLICANT NATIONAL CONSTRUCTION Owner: Remarks: Total Time: CD 32 Description Const. Service/Agricultural Act Comment Phone: 9095741400 Inspector: /3J.J --""---- Requested By: ANNA Entered By: CW Comments/Notices/Hold Associated PCRs/CVs Original PC# lns11ection Histo!Y Date Description Act lnsp Comments 05/25/2006 32 Const. Service/Agricultural co PC 1)NO PERMIT ON SITE 2) PLUMB UP SUPPORT 05/09/2006 34 Rough Electric NR BN NO SUCH ADDRESS -REINSPECTION FEE DUE 05/05/2006 32 Const. Service/Agricultural NR PC NO SUCH ADDRESS POSTED ON THIS ROAD 05/02/2006 32 Const. Service/Agricultural NR BN nothing in place