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Home My WebLink About2702 LOKER AVE W; TP; CB052983; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-17-2005 Electrical Permit Permit No: CB052983 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2702 LOKER AV WEST CBAD St: TP ELEC 0000000000 Lot#: TEMP POWER POLE-CONSTRUCTION 0 Applicant: Owner: LUSARDI CONSTRUCTION COMPANY 1570 LINDA VISTA DRIVE SAN MARCOS, CA 92069 619-744-3133 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 08/17/2005 AMA 08/17/2005 08/17/2005 $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: $0.00 Balance Due: $20.00 Inspector: FINAL APPROVAL,..--- Date: ef" ;i. '3-~ 4917 08/17/05 0002 01 02 CGP 20-00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of lees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these lees/exactions. II you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION FOR OFFICE USE Ll PLAN CHECK N0.0"5;),qpJ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL.~~~~~~~~~~ Validated By . __ ~ Plan Ck. Deposit (J Date cf 7 I 7 /o 0 Address (include Bldg/Suite II Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use SO. FT. lot Stories I of Bedrooms I of Bathrooms tai:~~IU«bitl:.11·~-,_0*·l4· J,~41t-'~ridt-~tl(ll .• ~~;; z:.:., ... ''.,,,;:.:;.;;.tr~'iJ;ci>f'·,,.%.JA,;.;;' .,;;.•1 h:~'.i;.~··1,!.'~;•.il';i..,. ,.1 ;J~1,$U;i,~ i;.,:,,n.i . "',h, •. :";J State/Zip Telephone I Fax I N il~~--COMtrM'titwif~~t.!. .,;,:,;;,r,i City State/Zip Telephone I City Business License I ~az Designer Address City State/Zip Telephone State License I---------- tti "" -, ~ r" ~~m~~lktft?&:~~~,'i~~.i_i~~.;,a~!¥A.4'"il~~/ii.fs4i:..U~~J;;~i~tW{1.-~~")~ ,:,.:f1~\.t\~}~~::?tit"1r ... -~t. ~-.. ~: .. Workers' Compensation Decleretion: 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 workars' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . ~ I hava 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 ~ued. My worker's compensation insurance carrier and policy number are: __../ Insurance Company /,/&/J1h/P~ /~ Policy No.R/(4?/~ ~ Expiration Datefat2/---vf!2 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOU.ARS 1noo1 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 aubject to the Worker•' Compensation Laws of California. WARNING: Failure to HCUf9 workera' compensation c:ovenige la unlliwful, end atlllll aubjec;t .,. employer to crlmlnal peMltlea end clvl flnn up to one hundred thouaand dollera 1•1 ,00 , In o the t of c:ompenaatlon, demagea u provided for In Sec:tlon 3708 of the Labo, code, lnterut end attorney's fna. ~~:N~T~~e., . t•~~--.,~rt.'i".,;,_1,r;;..,,,~u";,.~f;!>,?,l~··'<'~·· ··I •••<l• .,~~~ .... &4:?:.tfIC. ,•, .,... ', ~r· ~ .• .1 .. ~*-iille~1~.:~•.:1:iftafrlr ~.£i:t:t.)-J·~~Ki,rJ~~ :~'-t:.~Ai'l(l,n;;~.llt.t1t:;.~~1i" ~r.,,:11" .. t+:1..17.t"'J"~:::r,t·;~•· .. 1.··.·;.t· ,, -~~J'· · ,_., ./ · _, I hereby affirm that I am axempt from the Contractor'• License Law for the following reason: 0 I, as owner of tho property or my employees with wages as their sole compen11tion, will do the work end the structure is not intended or offered for sale (Sec. 7044, Busineaa and Profusions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereo~. and who does such work himaelf or through his own employees, provided that such lmprovementa are not intended or offered for ule. 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 salel, 0 I, H owner of the property, am exclusively contracting with licensed contractor• to construct the project (Sec. 7044, Business and Professions Code: The Contractor'• Licenae Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor ls) licensed pursuant to the Contractor's Ucensa Law). 0 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. 0 YES ONO 2. I (have I 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 I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number):. _____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name/ address I phone number I type of work): ________ -'-----------------------------------~-----------~ PROPERTY OWNER SIGNATURE ___ ...1!::::=====:=!------------,---DATE _ __:==:::::::::::... __ rtm~Gli~il.f~~~Y.w:.1,iJ;.:i;i~,;,;tr~t1Jtf~~$..1i~..:~'t101t:i.iX·~~Jf&°11:I.M,JZ,;~ .. .,,.,,,l: .. ,~·'.. ~· ;,~"·''·· Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program und!lr Sections 25505, 25533 or 25534 of the 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? O YES O NO Is the facility to be constructed 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 AND THE AIR POLLUTION CONTROL DISTRICT. tli1i1:ll~Qfl!llftY'1'JON.!t.lNO~'.t'~.,.&1...'J'~\J .... '.:. ; . .J...;2.::J..}:s, ~t:i.: •L,'.si{ ,,. ·,~t····,. '.\,~ . ..:;· . .L "'·1i.1.:.:,~; •. : • .. -, l'. :· " ·;,.,. I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ----I!.::::::::===::~----LENDER'S ADDRESS·------------------------ lilMiklli.1QUil~*~~~;;);,11,;,i,_;:y1,~.'/i~i,t~,.~~.,<•.t1f£,::i~Jt;;.ifi,,Jf,;iY ... i;~j,.l',(,,:;£t~~~:.aJ;:1~:\;)'.'.4l)tk~·j;:iiJ·:~r~:.,.,;,Ai,}c;, ,, .• ~.,,;.;;.,.,,;,,,;, I ?ertify that I hive rHd 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 ordinancaa 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. · EXPl~ATION: Every pe.~it Issued by the bulldi~g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such perm1t 1s not commenced w1thm 180 days from the dale of such permit or if the building or work authorized by such permil is suspended or abandoned at any time alter the work is commenced for a period ol 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ ~YELLOW; Aoolicant PINK• FinAnra DATE City of Carlsbad Bldg Inspection Request For: 08/19/2005 Permit# CB052983 Title: TEMP POWER POLE-CONSTRUCTION Description: Type: ELEC Sub Type: Job Address: 2702 LOKER AV WEST Suite: TP Lot 0 Location: APPLICANT LUSARDI CONSTRUCTION COMPANY Owner: Remarks: Total Time: CD Description Act Comment 32 Const. Service/Agricultural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: _l-5 Phone: 7608025133 Inspector: ---- Requested By: JOHN Entered By: CHRISTINE