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Home My WebLink About2858 CARLSBAD BLVD; ; CB994247; Permit11/15/1999 City of Carlsbad Electrical Permit Permit No:CB994247 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2858 CARLSBAD BL CBAD ELEC 2031730900 Lot#: KOKO BEACH RESTAURANT 6 NEW LIGHTS-TOP EDGE OF BLDG Status: ISSUED Applied: 11/15/1999 Entered By: RMA Plan Approved: 11 /15/1999 Issued: 11/15/1999 Inspect Area: Applicant: GER1COS PTNSHP 850 TAMARACK AVE CARLSBAD CA 92008 4196 11/15/99 0001 Ot 02 C-PRHT 20-00 Total Fees:$20.00 Total Payments To Bite;$0.00 Balance Due:$20.00 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 TOTAL PERMIT FEES 0 "0 $10.00 io.OO lo.oo $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your 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 Cartsbad 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 Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION Mo FOR OFFICE USE ONLY PLAN CHECK NO.. EST. VAL. Plan Ck. Deposit Validated By. Date Address (include Btdg/Suite f)Business Name lit this address) Legal Description Lot No.Subdivision Name/Number .Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use /7S Proposed Use Dascriptron of Work SQ.FT.#of Stories # of Bedrooms * of Bathrooms 2. CONTACT PERSON (tf Afferent from applicant} Name Address City 3. APPLICANT 'Q Contractor Q Agent iw Contractor ft Owner Q Agent tor Owner State/Zip Telephone * Fax s Name 4, PROPI Address City State/Zip Telephone # OWNER Address City State/Zip Telephone #Name 5. CONTRACTOR - COMPANY NAME ' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, erter, 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, end the basis for the alleged exemption. Any violation of Section 7031-5 by any applicant for a permit subjects the applicant to e civil penalty of not more than five hundred dollars [$50011. Name State License # Address License Class City State/Zip City Business License * Telephone f Designer Name State License # Address City State/Zip Telephone 6. WORKERS' COMPENSATION 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 10f which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work tor 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 IS 1001 OR LESS) Q 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 secure workers' compensation coverage is unlawful, end shell subject en •mployer to criminal penaJtie* end civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages es provided for in Section 3706 of the Labor code, interest and attorney's fee*. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: 81 I, as owner of the property or my employees with wages as their sole compensation, will do the work end the structure is not intended or offered tor sale (Sec. 7044, Business and Professions Code'. The Contractor's License Law does not apply to an owner trf 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 wilt have the burden of proving that he did not build or improve for the purpose of sale). Q 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). Q I am exempt under Section Business end Professions Code for this reason: "• I personally plan to provide the major labor and materials for construction of the proposed property improvement. S YES 2. I (have / have not) signed an application for.a building permit for the proposed work. 3. t 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 \ have contracted (hired) the following persons to provide the work indicated tinclude name I address / phone number i type of work!: IATE /0-O-99PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILOMQ PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 25505, 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 quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 Crt> 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 provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commence^ withir^365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime afjeMfte-tfo/* is cojfjSmeB«e>for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE J DATE City of Carlsbad Bldg Inspection Request For: 5/24/2000 PermiW CB994247 Title: KOKO BEACH RESTAURANT Description: 6 NEW LIGHTS-TOP EDGE OF BLDG Inspector Assignment: 2858 CARLSBAD BL Lot 0 Type:ELEC Sub Type: Job Address: Suite: Location: APPLICANT GERICOS PTNSHP Owner. GERICOS PTNSHP Remarks: Phone: 7604346868 Inspector: Total Time: CD Description 34 Rough Electric Act Comments Requested By: MARTIN Entered By: ROBIN Associated PCRs Inspection History Date Description Act insp Comments