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Home My WebLink About2867 CAMINO SERBAL; ; CB021178; Permit04-17-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB021178 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2867 CAMINO SERBAL CBAD ELEC 2552811500 Lot#: SUMMERS - ELEC LINE TO 2 FOUNTAINS & LIGHT POST IN FRONT Applicant: ANDERSON'S LA COSTA NURSERY 400 LA COSTA AV ENCINITAS CA 92054 760-753-3153 Status: ISSUED Applied: 04/17/2002 Entered By: JM Plan Approved: 04/17/2002 Issued: 04/17/2002 Inspect Area: Owner: LACOSTA VALLEY-CARLSBAD L P C/0 HEARTHSTONE 5178 04/17/02 0002 01 0? 16133 VENTURA BLVD #1400 CRK> -v*ENCINOCA 91436 1*01- 20.00 Total Payments To Date:Total Fees:$20.00 $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 Additional Fees TOTAL PERMIT FEES 0 0 0 0 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 M I FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit, Validated By_L Date / / -t Addre** (include BUo/Suita Business Name (at this address) Lot No.Subdivision Name/Number Unit No.Phase No.Total 9 of units Dw«t*tan,afwoifc 11 FT *of Stories * of Bedrooms * of Bathroom* $- A/V**esTs> 1(66 LAJ / Addre**City State/Zip Telephone * Fax * Address City State/Zip Telephone f Address City State/Zip ^.., -, Telephone * »- «W£*^kS**®<a&i*f«"* »j»a&* ««'•-.»» aagiffiiSaaiMOTBiillltilimiiififnrfflSiafa <Sec. 7031.6 0«jeineee and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, alto require* the applicant for such permit to file a signed statement that ha 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 i violation of Section 7031.5 by any applicant for a permit-subject* the applicant to a civil penalty of not more than five hundred dollars 1*6001). State/Zip Tele License * / 1, O %<it>-m Address City ition: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone O I have and witl maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance or ttw wnk for wnioh this permit is issued. ra | havtand wW maintain workers,' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is No.Expiration Date am SECTION mat NOT pc COMPLETED IF THE PERMIT is FOR ONE HUNDRED DOLLARS wooi OR LESS) D OWnHCATE OP EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in eny manner so as to become aubject to the Workers' Compensation Laws of California. i coverage la unlawful, and ahal subject an employer to criminal penalties end civil fines up to one hundred t of compensation, damages aa provided for In Section 3706 of the Labor cofie, hite/est and attorney's fees. SMaJATUfti / AAt1 / (/V ***" DATE. I hetetov affirm that I am awmpt from the Contractor's License Law for the following reason: O l> M 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 (Sac. 7044, Business and Professions Cods: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end 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 ssle). 0 L aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucenee Law doee not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor!*) licensed puMuant to the Contractor1* License Law). Q I aaiaKamot under Section Business and Professions Code for this reason: 1 • I paraonalry pian to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO \ 2. I (hav* / have not) aigr^ an application for • building permit for the proposed work. 3. I 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 end provide the major work (include name / address / phone number/oamraotonkcanaa number): 5. I wW provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type PRQSWTYOWNEUWQNATURE.DATE la the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Section* 25606, 26633 or 25634 of the Presley-Tanner Hazardous Substance Account Act? O YES Q NO to the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality management district? O YES O NO k> AafaoUtyto be conttructad within 1,000 feat of the outer boundery of a achool she? Q YES D NO 9 AW Of THf MeffWHtt AM YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE tmWMIIiWnOF TNI OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there la a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS_ I oart»V that I have mad the application and cute that the above information is correct and that the information on the plena is accurate. I agree to comply with all CM* ordnance* and State law* relating to building construction. I hereby authorize representatives 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. JUO4UKNTS, COST* AMD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSMA: An O8HA permit la required for excavation* over 6'0' Evory pormM ia*uad by deep and demolition or construction of structures over 3 stories in height. r the provisions of this Code shall expire by limitation and become null and void if the building or work DATE / / 1 ? / & f * — L. ju WHITF- File YFUOW: Aoolirant PINK- Finance Inspection List Permit*: CB021178 Type: ELEC SUMMERS - ELEC LINE TO 2 FOUNTAINS & LIGHT POST IN FRONT Date Inspection Item Inspector Act Comments 10/28/200239 Final Electrical MP AP APPROVED PER MIKE PETERSON 10/16/2002 39 Final Electrical - Rl 10/11/200231 Underground/Conduit-Wirin PD CO NO PLAN 04/19/200231 Underground/Conduit-Wirin RCB AP OK TO COVER 04/18/200231 Underground/Conduit-Wirin PD NR CONDUIT NOT INSTALLED Monday, October 28, 2002 Page 1 of 1 • -•! I ' •£*"• '• "' - CM J"%T ES P-O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATIONT CERTIFICATE OF WORKERS' COMPENSATION INSURANCE WflY 1, 2SW POLICY NUMBER: CERTIFICATE EXPIRES: CQNTRfxrroRS STATE LICENSE :RTTM|VHO«W5^»*CQMP. UNIT BOJt' -86m ' ' "'• SACRAMENTO Cft 95fl26 JOB: CQNTR LIC 'This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commtssiooe/ to the employer named below for the policy period indicated. : This politjy is not subject tp, cancellation by the Fund except upon ten days' advance written notice to the employer. VY " ' . -. "(•''••,•'.•. We will ateo give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. //P'V. J ••'"••. • : ; ' ' Thi» ceftiftcatft.of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the ''^policies (ieted herein. Notwithstanding any requirement, term, or condition of any contract or other document with VrespecttQ which this certifipate of insurance may be issued or may pertain, the insurance afforded by the policies described heroin is subject to all the terms, exclusions and conditions of such policies. PRESIDENT -'vv EtHPtOYER-'-S^LlftBILlTV LIMIT INCLUDIN6 DEFENSE COSTS; *lf*M,(3»M> !-£H OCCURRENCE. A.;* * * "*. i COSTA NURSERY . »;% ^ •*.-i-',. 's'ff -V • . '. ,