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HomeMy WebLinkAbout148 TAMARACK AVE; ; CB990383; PermitCity of Carlsbad 01/~6/1999 Electrical Permit Permit No:CB990383 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Tille: Applicant: SMOLEY, MARK 148 TAMARACK AV CBAD ELEC 2042530700 RELOCATE ELEC PANEL 5714 DARTMOOR OCEANSIDE CA 92057 760-758-7932 Total Fees: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMF!"" Remodel Fee ' Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: FINAL APPROVAL Date: 2 · J· 92 Clearance: ISSUED 01/26/1999 DT 01/26/1999 01/26/1999 $20.00 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 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 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CO °I CJ(2:'B3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.----..,,.,-..--::=---- Plan Ck. Deposit ;z0 r-- Validated By wr: t Date f ~/q o/ ; I , Address (include Bldg/Suite #I . / I Y; 1> :[A kl\ QA~ Business Name l■t this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SQ. FT. llof Stories II of Bedrooms # of. Bathrooms Name Address City S.t■te/Zip Telephone # j'. CONffilc1'oR • COUii~ -. ISec. 7031.5 Business and Professions Code: Any City or County which requires• 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 Contract~r's License Law [Chapter 9, commending with Section 7000 of Divisi!Jn 3 of the Business and Professions Code] or that he Is exempt therefrom, end the basis for the alleged exemption. Any violatiori of Section 7031 . 5 by any applicant for • permit subjects the applicant to • civil penalty of not more than five hundred dollars I$ 500]1. $f--\()~'-1. ceusr Yl\--l "S)F't~<:>c>l-OCe'A--V(1'1e... u+ '!.~1 1S°2,-]"t?"L . • Name Address City State/Zip Telephone # State License II {.. ':\CJ b 1 b 1 License Class 'i) City Business license II \ 'L-D '1;$ :u;,'. Designer Name State License # re. woifKERr co~SX'ffiN Address City . ,,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip , Telephone 0 I have end will miintain a certificate ot consent tci self-insure for workers' compensation_ H provided by Seciion 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have end will melnteln workers' compensation, ■s required by Section. 3700 of the Labor Code, for the performance of the work for which thls permit is issued. My worker's compensation insurance carrier and policy number are: · Insurance Company_____________________ Policy No .. ____________ _ Expiration Date. _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) _...g---cERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shell not employ any person In any manner so es to become subjec, to the Workers' Compensation Laws of California. · · . · WARNING: Failure to aecure wortier■' compeneetlon coverage la unlawful, end ■hall aubject an employer to ctlmlnlll IMflaltie■ end clvU fines up to one hundred thoin■nd dollars I 0 I, In addition f compenutlon, damage■ u provided for In Section 3706 of the Labor code, lntere■t end attorney'• fHa. SIGNATURE , ' ' DATE . / -2.k:,~!l'9 · ·7. '!1:>WNER-"iuiffiE . · '• ;;; Ug..j!i£02·:~-.._ ·cense 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 1tructure is not intended or ·ottered for·sale ISec. 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 auch Improvement■ are not intended or offered for Hie. If, however, the building or improvement i1 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). 0 I, as owner of the property, em exclusively contracting with licensed contr■C1or■ to construct the project {Sec. 7044, l;lusine11 end Professions Code: The Contr■C1or' s License Lew doH not .ipply to en owner of pfoperty who builds or lmprovH thereon, and contracts for auch projects with contr■ctor(sl licenaed 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 end materials for construction of the propc;sed property improvem~nt. 0 YES ONO 2. I lhave / have not) signed en application for • building permit for the proposed· work. 3. I have contracted with the following persor, lfirm) to provide the proposed construction {Include name / eddres, / phone number / contr■~ors license numberl: 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 numb■rl: ______________________________________________ _ 5. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated {Include 'name / address / phone number / type . of work):. _________ .....; _________________ .._ _____________________________ _ ..,_.--PROPERTY OWNER SIGNATURE ~raiiFfi~~ir.ilW~~ii!iim-i~ij,i.i:_r_:z_:_,_tli':.:.::::~::it:~i~]!.'2:ti~i:i::_::;;;;:;;; -:-.:.. -;;:...,;,~..,.;..""_ .. _.-._""_J'°~""-:::::::-.1i: COMPLETE THtS SECTIO,. f()Jl~~~BQtO:iiijq~ O= _ Is the applicant or future building occupant required to submit • business plan, ■cutely h■zerdoua material, registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of th■ Presley-Tanner Hazardous Substance Account Act? 0 -YES □ NO_ · Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO Is the facility to be constructed "!fithin 1,000 fee~ of the outer boundary of a school site? 0 YES 0 . NO IF ANY OF THE ANSWERS_ ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS ?HE APPLICANT HAS MET OR·IS MEETING THE REQUIREMENTS OF'THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION"CONTROL DISTRICT, [.a... co mucuoN~INo ... I hereby affirm that there is a con~ructlon lending agency for the performance of the work for which tl)is permit is issued {Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS · ( • ANT~~ 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 representatives of the Cltt of Carlsbad to enter upon the above me~tioned 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 structure■ over.3 stories in height. EXPIRATION: Every permit is~ued by the· Building O~fi~ial 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 w1th1n 365 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 cdmmen a period 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --..!.......J...:;.:.:::.... __ ;;,,";;~:::::~=-.:=:...+------------DATE _ .. 1_-_._1-_""_-~n'-,L,------- ELLOW: Applicant PINK: Finance · City of Carlsbad Inspection Request For: 2/4/99 Permit# CB990383 Title: RELOCATE ELEC PANEL Description: Type:ELEC Sub Type: Job Address: Suite: Location: 148 TAMARACK AV Lot O.PPLICANT : SMOLEY, MARK 0 Owner: SEVERANCE JAMES F&NAOMI R TRS Remarks: Total Time: Inspector Assignment: TP --- Phone: 7608093404 Inspect~ Requested By: SMOLEY Entered By: CHRISTINE CD D_e_s_c-rip-t-io_n _______ 12_ Comme::/ • 1 .lk 34 Rough Electric _/j__ L_, fV r ..__. Inspection History Date Description 2/1/99 34 Rough Electric 1/28/99 34 Rough Electric Act lnsp Comments co TP SAME CORR NOTE ON CARD CO TP NEED GRN ROD --------·--·· . ...,