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Home My WebLink About2794 LOKER AVE W; 106; CB110399; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-23-2011 Electrical Permit Permit No: CB110399 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2794 LOKER AV WEST CBAD St: 106 ELEC Status: Parcel No: 2090811400 Lot #: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: TETRAVUE-RUN ELECT IN CEILING Inspect Area: TO PROVIDE TWO 220 OUTLETS & THREE 110 OUTLETS Applicant: GARY'S ELECTRIC 2533 SUMMIT GLEN 92026 760 473-9284 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 Owner: E F BP ASSCS C/0 MADISON SQ PROP INC 5414 OBERLIN DR #140 SAN DIEGO CA 92121 ISSUED 02/23/2011 RMA 02/23/2011 02/23/2011 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: FINAL APP OVAL Date: 75 2-z,c) I I Clearance: ------ $0.00 NOTICE: Please take NOTIC 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired EXISTING USE CONTACT NAME (If Different Fom Applicant) ADDRESS CITY PHONE EMAIL PROPERTY OWNER NAME ADDRESS CITY PHONE EMAIL ARCH/DESIGNER N,\\ME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 PROPOSED USE STATE FAX STATE FAX Fax: 760-602-8558 www.carlsbadcuov GARAGE (SF) ZIP ZIP STATE UC.# ADDRESS ,,. EMAIL Plan Check No. Est. Value SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES O NO 0 FIRE SPRINKLERS YES O NO 0 (Sec. 7031.5 Business and Professions Code: Any Ci1Y or Coun1Y which requires a permit to construct, alter, improve, demo Ii h or repair any structure, prior to its isstlan ' , 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 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 ($500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Cl 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. Cl 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 workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date---------- This section need not be completed if the permit is for one hundred dollars ($100) or less. -Gil Certificate of Exemption: I certify that in the perfor nee 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 secure worke pensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 ,000), in addition to the cost of compensation, dama provided r in S ion 3706 of the Labor code, interest and attorney's fees. _R5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: (j I, 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 did not build or improve for the purpose of sale). (j I, as owner of the property, am exclusively contracting with lic1msed 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). (j 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. (j Yes (j No 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 address I phone I 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 I address I phone I 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 I address I phone I type of work): ./IS PROPERTY OWNER SIGNATURE [:]AGENT DATE 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? Cl Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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. I certify thatl have read the application and stlte that the above infonnation is correct and that the infonnation on the plan~ is accurate. I agree to comply with all City ordinances and Stlte laws relating to building construction. I hereby authorize representative of the City 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' eep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offici er the provisions of this Code shall expire by limitation and become Rull and void if the building or work authorized by such permit is not commenced 'hithin 180 days from the date of such permit or if the build'. rk autho · d by sue ermit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . .25 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Requ For: 03/02/2011 Permit# CB110399 Inspector Assignment: Title: TETRAVUE-RUN ELECT IN CEILING Description: TO PROVIDE TWO 220 OUTLETS & THREE 110 OUTLETS FOR PORTABLE POWER CONVERTOR THAT SERVICES Sub Type: Type: ELEC Phone: 7604739284 Job Address: 2794 LOKER AV WEST Suite: 106 Lot: 0 Location: Inspector: ---- OWNER E F B P ASSCS Owner: Remarks: Total Time: Requested By: GARY Entered By: CHRISTINE ~r:J. ~omments c._···~ 1/' .kfz_ ~h~l/' f ~ j ; ........ ~ .... ~ .... .. .. / ~/~ ·~····· ....... ~. .. . ~• . CD Description 34 Rough Electric Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection HistQIY Date Description Act lnsp Comments s cJ-7tltf /.e)~r-1/ue Lu. ~, ·t 1'icJi, Cau.J ~ b&. d1 C: fl RND AP fES 3 10\\ City of CARLSBAD 6U\LD\NG OE.PT.