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Home My WebLink About2715 CAZADERO DR; ; CB994670; Permit12/20/1999 City of Carlsbad Electrical Permit Permit No:CB994670 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No1" Reference #: Project Title: 2715 CAZADERO DR CBAD St: TP ELEC Lot #: 0 TEMPORARY POWER POLE-CONSTRUCT Status: ISSUED Applied: 12/20/1999 Entered By: RMA Plan Approved: 12/20/1999 Issued: 12/20/1999 Inspect Area: Applicant: KUAN-YEUL CHEN 7334 12/20/99 0001 01 02 C-PRMT 20-00 m- **t m- Electric Issue Fee Single Phase per AMF « Hi* i -b,- " " lf»:,l < 4'* :' # .SI;** * • 3 >"»^i-' »_-.*•_•» A ««'«6«r *""*}*"**•'*' ' ^ •1 H * *• 1 -#l-« , 1"" " ,"*"-** -*i* * * ~ -«4k_K«p| "lilOSSS !JO.OO $0.00 Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP? Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES $0.00 »• •H5-*i*s'"t-;i»*' CQ 00 $10.00 $0.00 $0.00 NOTICE: Please take \OTICE that approval otyour project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/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 capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION * CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Patmas Dr., Carlsbad CA 92009 (760)438-1161 ->/ c FOR OFFICE USE ONLY PLAN CHECK MQ/VfW/ EST. VAL. Plan Ck. Deposit Validated By Date /g< Address <indude~Bldg/Suite f)Business Name (at this address) Legal Description tot No. Subdivision Name/Number Unit No. Phase No. Total # of units Descripfr ^^^NtAtrCJ*rtt State/Zip Telephone * Fax I Name Address Ctty State/Zip Telephone f (Sac. 7031.5 Business and Professions Coda; Any Chy or County which raouiraa a permit to construct, altar. Improve, damoHah or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a aigned 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 thet ha is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subject* the applicant to a civil penalty of not more then five-hundred dollars 1*5001). Nama * Designer Nama A State License 9 .ddreas City State/Zip Telephone * License Claas Crtv Business License * ddress City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q I hsve and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compenaation insurance carrier and policy number are: Insurance Company _ ™_ PolicV No. _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit it issued, I shall net employ any person in any manner so as to become subject to the Workers' Compenaation Laws of California. •• WARNING: Failure to secure workers' compensation coverage Is unlawful, and shafl subject en employer to criminal penalties and dvll fines up to one hundred thousand doBart ($100,000), In addition to the cost of compensation, demegea as provided for hi Section 3706 of the Labor code. Interest end attorney's fees. SIGNATURE DATE ••— .- "~- " ' • - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I. is owner of the property or my employees with wages as their sola compensation, will do the work and the structure is not intended or offered for sale (Sec. 7O44, Business and Professions Code: The Contractor's License Law does not apery 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 aale. 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). M I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with corttractorla) licensed pursuant to the Contractor's License Law). D I am exempt under Section _ Business end Professions Code for this reason: 1 . I personally ptsn to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I/nave)/ have not) signed an application for a building permit for the proposed work. 3. I HSve contracted with the following parson (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. l 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 hsve contracted (hired) the following persona to provide the work indicated (include name / address I phone number / type of work): . _ DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTTO Is the applicant or future building occupant raq&rad to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualrty management district? Q YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school srte? O YES D NO IF ANY OF THE ANSWERS ARE YES. A FHAL 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. S£3a*wwcrt«iis^ :- ,. ., . ... ( hareby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) 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 an City ordinances and State laws relating to building construction. I hereby authorize representatives of the Crr> 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 etructures over 3 atoriea in height. EXPIRATION: Every permit iaaued 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 not commenced within 365 daya from the dm of such permit or If the building or work authorized by such perm.t is suspended or abandoned at any time atterthtwork is commenced for ajMri«w>f 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE //Jjf^. ( J*, ^ JS ( JJ ^,^-^, - __ DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 9/15/2000 Permits CB994670 Inspector Assignment: Title: TEMPORARY POWER POLE-CONSTRUCT Description: Sub Type: 2715 CAZADERODR TP Lot 0 Type: ELEC Job Address: Suite: Location: APPLICANT KUAN-YEUL CHEN Owner: CHEN KUAN-YEUL V&SHU-MEI H Remarks: Phone: 7608024481 Inspector: Total Time: CD Description Act Comments 32 Const. Service/Agricultural Requested By: MARK Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments