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Home My WebLink About1880 POINSETTIA LN; MP; CB041962; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 05-24-2004 Electrical Permit Permit No: CB041962 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1880 POINSETTIA LN CBAD ELEC LA COSTA GREENS 1-1 100 AMP METER PED Mf Lot#: 0 Applicant: Owner: SCHILLING CORPORATION 8634 HACIENDA RD SANTEE, CA 92071 619-448-5392 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 Inspector: 100 0 0 0 Total Payments To Date: FINA tr:.. Date: $0.00 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/21/2004 SB 05/24/2004 05/24/2004 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Balance Due: 2n1.,.•_; ... ,.. , r::- $35.00 Clearance: ,o -U?i-'2':! 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 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONL ~ ,-J PLAN CHECK NO. Q -, /"OI fo 't. EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By_°)........_J2~------- Date _______________ _ Address (include Bldg/Suite #) Business Name (at this address) I &00 Po1.J', E.1t 1A \.A/Jf. l egal Description l ot No. Phase No. Total # of units Assessor's Parcel # Name Address co~r:-cr ~01\1.eANY.JIA.tJII ....; (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 exem tion. Any via ation of Section 7031.5 b an applican or a permit subjects the a pli ant to a civil enalty of not more than fiv.J! hundr~ dollars ($500]). ·--· , .... Jd on -on :i1 <.hJCtJ '7 -~e:o Name Address License Class --~A~------· y State/Zip Telephone # City Business License# tz?DXP Designer Name State License # Address :;:;;;::;:;;;:;;;;;;;~:;;::::::::=-----,...,~? .... City I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. 0 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 ____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED 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' Compensation Laws of California. WARNING: Failure to secure workers' compensation 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, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE_::::::;:;:;:::;;::;:;:;::;:;;::;:~;;;:;;;;:;;;;::=::;;;:;:;;:-::::;;:;::;;:;;;:=;:;;::;;:;::;::;;;;:::::-::::::~:;;:-:-;:;;:;;:;;-DA TE k1, OW..N[IJ-B_Ull,PEB...DEC~MTIQN • ---, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 soljl'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). g' 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). O 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 O NO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contract 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 [COMPL([E T.J S,,SECT.IQJ!.EQR NOfl·RESIDENTl~L BJ!ILQINO,f~M JS QNL.-'-'Y~-"""~ 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 26505, 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. 8) CONSTR CTION L N~GEN¢Y f;ft ' . ---• ......,.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). I certify that I have reed 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 represent atives of the Cit\' 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 6'0" 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 comma within 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 commen · d of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE r-11-0.,. WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/15/2004 Permit# CB041962 Title: LA COSTA GREENS 1-1 100 AMP Description: METER PED Type: ELEC Sub Type: Job Address: Suite: Location: 1880 POINSETTIA LN Lot 0 APPLICANT SCHILLING CORPORATION Owner: Remarks: Total Time: CD Description Act Comment Inspector Assignment: PC --- Phone: 7605059144 Inspector: ---L Requested By: CHAD Entered By: CHRISTINE 32 39 Const. Service/Agricul~ Final Electrical / ¥----- ---·--------------------------------------- Associated PCRs/CVs Inspection History Date Description 10/14/2004 32 Const. Service/Agricultural 10/14/2004 39 Final Electrical Act lnsp Comments NS PC NS PC