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Home My WebLink About1028 POINT WAY; ; CB100951; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-27-2010 Electrical Permit Permit No: CB100951 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1028 POINT WY CBAD ELEC 2061204414 Lot#: MCMASTER RES-ELECT TO 4 OUTLET 0 IN REAR YARD FOR BBQ, LIGHTS & FOUNTAIN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MCMASTER DAVID A&PAMELA M MCMASTER DAVID A&PAMELA M 11025 HISKEY LN TUSTIN CA 92782 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 11025 HISKEY LN TUSTIN CA 92782 ISSUED 05/27/2010 RMA 05/27/2010 05/27/2010 $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: y\l\ ~ .. FINAL A(PROVAL Date: 0 b -'2--~/ io Clearance: $0.00 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 fQrth in Gover;iment 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 th&ir imposition. «1~ -~ CITY OF CARLSBAD JOB ADDRESS /oJ.'i CT/PROJECT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date S APN # Of UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME 7D .. OCC. GROUP 'Nf/(j EJUSTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES □ NO □ YES □ NOD CONTACT NAME (If Dlftetent Fom Applkant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ./... 1\-nei.4 CONTRACTOR BUS. NAME I ADDRESS J OJ.. g Pot NT W A-Y ADDRESS CITY GA-f<J..st3w ZIPj~ CITY STATE ZIP -M9-3rri PHONE FAX 2--I 'M'"DM<.1.M/J-sree. f> f~oTEcHlflS/£-N, tJEFt EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. UC.# (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 app!icant for such permit to file a signed s~tement that he Is licensed pursu~nt to the provisions of tt_ie Contraptor's license t,aw !Chapter 9, comme~ding with Section 7000 of Division 3 of the Business and Professions Code} or That he ,s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any apphcanffor a permit sub,lects the applicant to a civil penalty of not more than five hundred dollars {i500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declare!ions: D I have and will maintain a certificate of consent to sett-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennil is issued. □ I have and will maintain workm' compensation, as required by Section 3700 of the Labor Code, for Iha performance oflhe work for which this pem1il is issued. My workers' compensation lnsorance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed If the pennil is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify Iha! 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 ti unlawful, and shall subject an employM to criminal penalHes and civil fines up to one hundrad thousand dollars (&100,000), In addition to the cost of compenaatlon, damages as provided for in Section 3706 of the Labor code, Interest and attOfney"s fees. AS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affinn that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slruclure 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. II, however, the building or improvement is sold within one year of completion, the owner-builder wiU have the burden of proving that he did oot build or Improve for lhe purpose of sale). )t I, as ovmer of the property, am exclusively contracting with licensed contractors to constroct the project (Sec. 7044, Business and Professions Code: The Cootractor'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). D I am exempt under Section _____ ,BusirteSs and Professions Code for this reason: 1. ~~ally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes ~ No 2. ~/ have not) signed an application for a building permit for the proposed work. 3. I have conlracted with the following person (fim1) to provide the proposed construction (include name address I phone I conlraclors' license number):AAfT PI\<. f fl(._ a«:('R.. I~ 4. 1 plan to provide portions of !he work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some ot the work, but I have contracted (hired) the following person.,5 to ~Ide the work indicated (include name I address I phone I type of work): ,.S PROPERTY OWNER SIGNATURE □AGENT 'COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future buMding 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 Substanca Account Arn □ Yes □ No Is the a~lcant or Mura buMdlng occupant required to obtain a permit from Iha air pollution control district or air quality management dislricl? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFtcATE 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. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there rs a construct10n lendmg agency for the perfonnance of the work this penmt 1s issued (Sec 3097 (1) C1vll Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcation and state that the above lnfonnatlon Is correct and that the information on the plans Is accurate. I agree to comply with all City onllnances and State laws relating to building construcaon. I heteby aul1orize ,ep,esenlawe ol lhe aty o1Cal1sbad ~ enter upon lhe --property for n;pedion purposes. I ALSO AGREE TO SAVE, INOEMNIFY ANO KEEP HARMLESS THE CITY OF CAALSBAO AGAINST ALL LIABLITIES, JUOGMENTS, COSTS AND EXPENSES WHICH MAY IN AfNWAY ACCRUE AG/>JNST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requi'ed br excavations over 5'0' deep and demolition or construction of slruc:llM'es over 3 sbies 11 height EXPIRATION: Every permit issued by the Buikling Ofl'dal under lhe provisklns of lhis Cooe shall expire by Imitation and become nuH and void W tie buldhg or 'M'.Xk aullortzed by such permit is not ccmnenced 'Mlhil 180daysfromlhedaleofsuchpe · or, <idngorl\dk by penni• oraba atanyliroaflerlhev.oo<oaxM181lO!dforaperiodof days(Secoon106.4AUrromBuidngCode). ,,I$ APPLICANT'S SIGNATUR DATE 5 J.. /0 City of Carlsbad Bldg Inspection Request For: 06/21/2010 Permit# CB100951 Inspector Assignment: Title: MCMASTER RES-ELECT TO 4 OUTLET Description: IN REAR YARD FOR BBQ, LIGHTS & FOUNTAIN Type: ELEC Sub Type: Job Address: Suite: Location: 1028 POINT WY Lot: 0 OWNER MCMASTER DAVID A&PAMELA M Owner: MCMASTER DAVID A&PAMELA M Remarks: Total Time: CD Description Act Comments Phone: 3107177262 Inspector: ---- Requested By: DAVID Entered By: JANEAN 39 Final Electrical A tqP( ~t e>~, -Z0.41'11" C{rzc-ucr DIC1 Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 06115/2010 34 Rough Electric CO MC NOTICE ATTACHED 1106 G7