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Home My WebLink About1201 PLUM TREE RD; MP; CB041312; PermitI City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB041312 Building Inspection Request Line (760) 602-2725 Job Address: 1201 PLUM TREE RD CBAD Mf Permit Type: ELEC Status: ISSUED 04/19/2004 RMA 04/19/2004 04/19/2004 Parcel No: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: IRRIGATION PEDISTAL-100 AMPS Inspect Area: GRT MANAGEMENT CO-CORNER OF HIDDEN VALLEY/PLUM Applicant: ALFA EXPERTS 6965 EL CAMINO REAL CARLSBAD CA 92009 800 966-4422 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 Total Fees: $35.00 100 0 0 0 Owner: Total Payments To Date: $0.00 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Balance Due: $35.00 0308 04/19/0!.i ·)002 -~(\. 02 r::~3F:" ..55 .. ·:}O FINAL APPROVAL l.f· ;z.,. O'C-( DATE bit CLEARANCE. ___ _ SIGNATURE._-1-A-___,-f3~---- FOR OFFICE USE Ol';JL Y PERMIT APPLICATION PLAN CHECK No.@v cr /JI ~ EST. VAL. __________ _ Validated By , t,,_ -F Plan Ck. Deposit iT Date H ( / C//0 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms z;i ~<-, ( · t 6;:i &''-16-~Y-1 If City Telephone# Fax# 0 Owner O _Agent for Owner Address GY(¼-" City State/Zip .f. 0 ,1. ~y. \ llb Telephone# 4f'l~).,Jc..,t City S.tate/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, 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, 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 fiv hundred dollars [$5001) . . ., ) -;,. ~ c.,:::.. {.,,.::, . . 6 .., C . C.. 7.-D.:> State License # 7 '/ 0 8 9 ] License Class C--{ u Designer Name Address City State/Zip Telephone State License # _________ _ I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company /J("e ?-e ty;::,, I' ;; cl$ Co Policy No. /..../l<rl II J 1+6 2.-Expiration Date v\ 1.::,, 1 ° s- (THIS SECTION NEE~ NOT e'ecoMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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' pensation Laws of California. r ra' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ddltlon t e cost of compensation, damages es provided for In Section 3706 of the Labor code, Interest and attorney's fees. DATE Q'--tJ V'\ ( Q '-f: m exempt from the Contractor's License Law for the following reason: O 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). O 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). 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/ 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 / 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 I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ ~OMPLfil.Ll:!IS SECl]Ot,IFOR N(l!)I-RfSIDENJLAlJYJ..JJJJHQ, PERMIJS_O~'L YLM...-..:.--..t.-_,.....,..,.,,..._.....,-. ....... .--... 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? 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? 0 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. ~OllMf!UCTION LqtpJfili:A..G..!:" CY -•-· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). 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 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. 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 commenced · · in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is com nee for. erlod of ays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DA TE CJ i.f ( I °' ( D 4-- YELLOW: Applicant PINK: Finance m . City of Carlsbad Bldg Inspection Request . . Permit# CB041312 For: 04/20/2004 Title: IRRIGATION PEDISTAL-100 AMPS Description: GRT MANAGEMENT CO-CORNER OF HIDDEN VALLEY/PLUM TREE Type: ELEC Sub Type: Job Address: 1201 PLUM TREE RD Suite: Lot Location: APPLICANT ALFA EXPERTS Owner: Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: __b::.p Phone: 7608460477 Inspector: /2--,/<. -~ Requested By: AYOUB Entered By: CHRISTINE 32 Const. Service/Agrlcultural .ie__e~M-'----+'-g,,___ _______ _ 39 Final Electrical -!------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments