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Home My WebLink About1361 SHOREBIRD LN; ; CB011948; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06/04/2001 Electrical Permit Permit No:CB011948 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1361 SHOREBIRD LN CBAD ELEC Status: Parcel No: 2157900800 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: FRANKLIN-GAS & ELEC LINE TO BB Inspect Area: Applicant: FRANKLIN DARRYL 1361 SHOREBIRD LN CARLSBAD CA 92009 Owner: FRANKLIN DARRYL 1361 SHOREBIRD LN CARLSBAD CA 92009 ISSUED 06/04/2001 JM 06/04/2001 06/04/2001 1084 06/04/01 0002 01 )2 ----------------------,-----------------'-..4;oj,,,'----""'-')(', Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 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 Inspector: 0 0 0 0 FINAL APPROVAL Date: ? /2/4 I • Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 $47.00 NOTICE: Please take NOTICE at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.• You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cansbad Municipal Code Seclicn 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. PERMIT APPLICATION FOR OFFICE USE ONL V PLAN CHECK No.ct::b/ l?ffj CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposi,t,s-.------~--~:~:._•_te_d_B_y~=✓~~M,.==~===:f$:· ~;·:/,1,:t~V-_-_- 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 Bedrooms # of Bathrooms Name Addre s State/Zip Telephone# Fax# ~i''.· 00/fil;lcl!i-Jt iiiliil!'¢hil/!,l/,ior>• ,(J,:A:gei\~f ~rc'ori\i11ot1ir;01![J.:py,1rt>i!1t, Name Address City State/Zip Telephone# ~ 71/l~r"i!'!iitLJidJJJ•· ·~·,3le1;·Jilj!t~W·'"t,i:J'1 :,,e1f,;:t:s;$/tJ}'b.· 1~·•~3 :1zr;;.2. Name Address 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 five hundred dollars l$500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ !~i ,,[WijiOO!BSJ~oil~E~MtloNI'!•: ;,., ,, .... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 ($1001 OR LESS) D 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 la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attomey's _fees. SIGNATURE-------,-----------,------------------------,,-,,-cc:----------------------DATE y 'l1'~il!lW/l~\i(uil'ol!l!/!lfE¢JiARA110i'i' ·· . Jy;,;\;?c'''t>ci:C'!§,: :!':,: fi>' ': > ,.,,, ... >"''" .. · ih reby affirm that I am exempt from the 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 structure is not int1:1nded or offered for sale S c. 7044, Business end Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided thet such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yeer of completion, the owner-builder will have the burden of proving that he did not build or improve for the· purpose of sale). D 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the maJor labor and materials for construction of the proposed property improvement. tt("YES ONO I (have I e,s1gned an apphcat1on for a building permit for the proposed work. I have cont with the following person (firm) to provide the proposed constrOct1on (include name / address I phone number / contractors license number} ! 4. I plan to provide portions of the work, but I have hired e following person to coordinate, s,upervise and provide the major work (include name I address I phone \ number/ contractors license n~mber):_71 ____ _,,,_7 _______________________________________ _ 1 5. I will provide some of the work, b e ollowing persons to provide the work indicated (include name / address I phone number / type 1 of work): --k.PROPERTY OWNER SIGNATURE '.CQN!~(l..!"'11 ~!S'lSEdllo~~i!• Is the applicant or future building occupa 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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 OFF1CE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,a,'!lx11~llt~Qc;notj?(ENPING•A(i~NCt· 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). LENDER'S NAME _____________ _ LENDER'S ADDRESS ils'' \:iliil~laCANtiCl!l!!J'IFIC!IITIPN'i! 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. l agree to comply with all City ordinances and State laws reJating 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 b e building Offi I 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 co e ced within 1 ys from the date of such permit or If the bulldlng or work authorized by such perm· is suspended or abandoned at any time after the work is com n d for a erio 180 day action 106.4.4 Uniform Building Code). / --1:~£ / APPLICANT'S SIGNATURE _j~~~~~~;:;._~d!~1_ ______________ DATE f..S/ T/ WHITE: Fila YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/03/2002 Permit# CB011948 Title: FRANKLIN-GAS & ELEC LINE TO BB Description: ELEC LINE TO FOUNTAIN Type:ELEC Sub Type: Job Address: 1361 SHOREBIRD LN Lot Suite: 0 Location: APPLICANT FRANKLIN DARRYL Owner: FRANKLIN DARRYL&GINA B Remarks: Total Time: CD Description Act 29 Final Plumbing ~ 39 Final Electrical -1=- Associated PCRs Inspection H.ifillm'. Comments Date Description Act lnsp Comments Inspector Assignment: PY --- Phone: 7604761870 Inspector: ----- Requested By: DARREL FRANKLIN Entered By: KAREN 05/30/2002 29 Final Plumbing NR PY NO GATE CODE 05/30/2002 39 Final Electrical NR PY 05/28/2002 29 Final Plumbing co PY 05/28/2002 39 Final Electrical co PY NO PLANS -NO CARD 06/18/2001 21 Underground/Under Floor AP AR 06/18/2001 31 Underground/Conduit~Wiring AP AR