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Home My WebLink About1611 SONGBIRD AVE; MP; CB063553; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-19-2006 Electrical Permit Permit No: CB063553 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1611 SONGBIRD AV CBAD St: MP ELEC Parcel No: 0000000000 Lot#: 0 Reference #: Project Title: 100 AMP MET PED FOR IRRIGATIO Applicant: WATKINS LANDMARK CONSTRUCTION STE 105-625 6965 EL CAMINO REAL CARLSBAD 92009 760 908 5541 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: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED U . I f I >cl I , ' < ' .-, '\ 12/19/2006 JMA 12/19/2006 12/19/2006 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE·. Please take NOT/CE 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 pennit 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 infonnation 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 impos~ion, 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 lo any f,..,.~/ex::irtinns of whif'h vo11 hav"' "r""vio11,;iv h 0 en niven?. ~1riT)(:E <:.imilar ln lhis nr ;:i,; to which the ,;tatille nf limit::ition,; ha.,; nreviou"I otherwi"" 0 xnirF>d FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C0oh3:)'S3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit~--~----- Validated By ~ ~ Date 12--j ~ I~ l Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No, Phase No. Total# of units Use Proposed Use ~rr~ c, #of Stories # of Bedrooms # of Bathrooms Name Address ~,, Name -.:,,~,:7/:.~t . LL(., Name lfc.~il10NTMCTOR~ ·cQMPANY,1\iAME'' City :□<Owner . O ~gent for Owner II., 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 prov·1sions 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 exemptio ny vio~ation f Sectio 7031.5,by any applicant for a per~ subjects he app i ant to a fivil p~nalty of not mor than fi e hu re1 o!!l,ru?500]). ' s _ r. (,A,.,.,, 1/4. ~ Zd 'D C DI 15 'CS, ·12 D State License # _f{~:,~,,-_'3_~2_f5_5~_ Designer Name Address City State/Zip Telephone State license# _________ _ ~' • :WO!IKEIISI>.CQMIIEN~T!PN:' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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.______________________________ DATE ________ _ 1i +}(iW/j~Oi!:liEl!ii>Ec:liAi!Pifll:iN'ief • 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 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). O 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{sl licensed 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 and materials for construction of the proposed property improvement. 0 YES ONO 2. t (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted 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 / address I phone number/ contractors license number):. ________________________________________________ _ 5. r 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 ______________________ _ CQt.fel$'iM'lil!l'-lliiCTi6i,l•~Qft'wli/'/:1tlt$lbti'/'flAl. lllJ1t:ofNQ PERMl'tS.\ON~Y, :•• Is the appl'icant or future building 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 Substance Account Act7 0 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. a, .,: •.t;.0N~T119.!:T!O;l'Ll;l'lll)~~!\!.ENcY,·•· ·· · l hereby affirm that there is 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 ________________________ _ 9i••,.:il\~/iLl<Wfl\CEi!tlFl~T!Qfi\ 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 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 5'0n deep and demolition or construction of structures over 3 stories in height, EXPIRATION: Every permit issued by the buildin 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 wit 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 commenced for a riod of 18 :sz 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -----,~k.=;:z,~~~,,::,~:::::=------------DATE WHITE: File YELLOW: Applicant PINK: Finance I CITY OF CARLSBAD REQUEST FOR REFUND Account No. 3 q O Vendor No. Amount o; Refund #' 22 oO Fee Paid For: $!d.B . .PEt'YI ,·, / F LEC,,RJ.' c. /ME I:-J?E DE,-STAL. Date Fee Paid: 12..(,i.il Db Fee Paid By: DE.At.J Scbumache;,e_ Facts Supporting Request: A pESt?.m 1r fo:e in 1' ::, uJ Ao; A I ,,. ..f~ 1,S SLJ 60 . I urvk-.JouJrv -b A:ff 1,'i:::AtvJ: Name of Applicant: DEAN Scb ! .J VY\?lcber:'. Address: 21-!a 2. CA-iemcl VA.1..4£'1 fd 3ANDi«t(), CA q2-01L} ~-Z9/-IZL/C> Street City State Zip Telephone Signature of Applicant: ____________________ Date _________ _ Dept. Justification: Rec: □ Approve □ Disapprove Date Finance Investigation: Rec: □ Approve □ Disapprove Dept. Head Signature Date City Manager's Action: □ Approve □ Disapprove City Manager Signature Date