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Home My WebLink About1624 SONGBIRD AVE; MP; CB031987; PermitCity of Carlsbad ~ 1635 Faraday Av Carlsbad, CA 92008 07-17-2003 Electrical Permit Permit No: CB031987 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1624 SONGBIRD AV CBAD ELEC Parcel No: Lot#: Reference #: CT00-13 Project Title: TESORO DE AVIARA 100AMP IRR. METERED PED Applicant: MARY NETTLES 630 ALTA VISTA 92084 726-5600 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 100 0 0 0 Owner: Total Fees: $35.00 Total Payments To Date: $0.00 lnspecto FINAL ~PPROVAL Date: ~; -l'.} Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/17/2003 SB 07/17/2003 07/17/2003 9839 07/17/03 0002 01 CGP $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Balance Due: Clearance: $35.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively re!erred to as '1ees/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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f sl x ions of which have r io I b en iven NOTI E si ilar t this or a ow ich he statute ol limi ations h s r vi usl h i x ·red. 02 35,. 00 FOR OFFICE USE ONLY PERMIT ~PPLICATION PLAN CHECK No(:F??~/7~7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit~-------- Legal Description Lot No. Unit No. Phase No. Total# of units Assessor's Parcel # Ex'1sting Use Proposed Use De,c,iplrr,o,kruh lY) f0e_ r.pJ· F # of Bathrooms 2.-CONTACT~ASON-(lf-different from applicant) Name 3; Name 5, CONTRACTOR.• COMPANY NAME Address Address City State/Zip Telephone# Fax# State/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 [$5001). Name Address City State/Zip Telephone# State License # _________ _ license Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6, W0RKEII$' COMPENSATION 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. 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 d. 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 is unlawful, and shall subject an employer to criminal penalti s and civil fines up to one hundred thousand dollars ($1 O 0), in additi to cost f o nsation, damages as provided for in Section 3706 of the l~.s9" c de · t d attorney's fees. SIGNATURE __ £_/(.~'J4.'-L--'4'.-=f:~~~~;_.J____________ DATE __ ,_,,/,._.___,_+..===-- 7. OWNER-BUILDE D 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 t 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) hcensed pursuant to the Contractor's License law). □ ,. I am exempt under Section ______ Business and Professions Code for this reason: n to provide the major labor and materials for construction of the proposed property improvement. D YES 'ttJMO I (have / ave not) igned an application for a building permit for the proposed work. '(' 2. 3. I have con racted with the following person (firm) to provide the proposed construction (include name/ address I 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 I address I phone number I 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): ___________ -,,,r,,___---,t---,,,9---,..,..,;--,----------------:-f.--r+,c::c--------- V\..pROPERTY OWNER SIGNATURE __ ,_---/-'.,:,j~1,I-__J:_.c_!_'-,Lk;:-<,~d..;.!;.L ______ _ I COMPLETE THIS SECTION FOR NON-RES ENn Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration{T: or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES ~ NO J Is the applicant or future building occupant required to obtain a permit from the air pollution control dis~ct ,r air quality management district? D YES ~NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES ~O 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there ·,s a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 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 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 within 180 days from the date of such permit or if the building or work authorized by such R rmit is spended or abandoned at any time after the work is commen or a period of 180 day ectfo 1 6. 4 Uniform Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance · ·: City of Carlsbad Bldg Inspection Request For: 08/07/2003 . Permit# CB031987 Title: TESORO DE AVIARA 100AMP IRR. Description: METERED PED Type: ELEC Sub Type: Job Address: Suite: 1624 SONGBIRD AV Lot Location: APPLICANT MARY NETTLES Owner: Remarks: IRR PED Total Time: ----- 1 Inspector Assignment: Phone: 7602756275 lnspectg_ Requested By: LUCAS Entered By: ROBIN CD Description Act Comment 32 Const. Service/Agricultural ~~----_-_ --------------A.J~-4--1 tr- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments -, L, ' ' ' I --~,-- ;----: ' ' ' J \ I I (\0-_ -~" ·--.\ ' -' ' ' ' ' ' I .. I ..._~ : '---+', --,------'--=------...::J ' ' L _____ j ---, ·-:; \ .· / '·1 ,.L : ' ' ' ' ' - \ ,l\P~VED BY:fl il'L 1 'i' 2003 '-' } . . C'.ly of CARLSBAD- BUILDING DEPT.