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Home My WebLink About110 SYCAMORE AVE; ; CB992505; Permitl 0\o\'s. City of Carlsbad 07/07/1999 Electrical Permit Permit No:CB992505 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: ELECTRICAL ETC PO BOX487 CARDIFF CA 92007 760-434-1132 Building Inspection Request Line (760) 438-3101 110 SYCAMORE AV CBAD ELEC 2041210400 Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: UPGRADE ELECTRICAL SERVICE Inspect Area: COMBINE UPPER & LOWER UNITS-UPGRADE UNIT 112 Owner: FIECHTER KATHRYN TR 6574 N RUTHLEE AVE SAN GABRIEL CA 91775 ISSUED 07/07/1999 JM 07/07/1999 07/07/1999 1649 07/07/99 0001 01 02 Total Fees: $35.00 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 TOTAL PERMIT FEES Inspector: Total Payments To Dale: 0 0 0 100 $0.00 FIN~µ}AL Date: --;'. Balance Due: $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $35.00 $35.00 Clearance: ______ _ 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 revious otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-ll61 PERMIT APPLICATION FOR OFFICE USE o9gf i1o5 PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit-~""''-------- Validated By __ _,,"--'-="''""~=-76;'-=-- Date, __ --+/4-//+.:;/';'i<--? 1. PR Address itnclude Bldg/Suite #) Business Name lat this address) I IQ Lowe< I 110 vppe < Legal Descrrption I Subdivision Name/Number Unit No. Phase No. Total# ot units Assessor's Parcel # J C'.,.,.,A,,~ Existing Use Proposed Use ..;Ji/(1(1cc: tu?~ na e Descnpt1on of wfu .., 110 'f'.1'11 d L .. .,.,.. ,, Ohl 11 SO. FT. 1 ¥5''" j._ :la t?)O tf¥-t" # of Bedrooms II of Bathrooms 2. CONT ACT PERSON (If different from applicant) Name Address 3. APPLICANT ~ontractor O Agent for Contractor D Owner Name Address 4. PROPERTY ow/4 /ll&ecl'. &~n:/ Name 5. CONTRACTOR -COMPANY NAME City State/Zip c,/, State/Zip Telephone II 9,.:;.t,r Telephone# 7(po - vr-113.i... (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:pvil penalty of not more than five hundred dollars [$500)). fi..6C7/ifJC/lL--,£R;,. · ea 2ax -r',F 7 C,z,,d,?'fe C4-. 9.?a>7 2IT-7'fS-?:35 I Name Address City State/Zip Telephone# State License# &,<c{,3 (o9 license Class --~C-=_-___,/c...,.Q.,__ __ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pequry 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, tor 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 1s issued. My worker's compensat10n insurance earner and policy number are· Insurance Company _____________________ _ Pohcy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) Z: CERTIFIC_ATE 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 / tobecome subJect to the kers' Compensation Laws of Cahforma. WARNING: Failure t rs' compe ion coverage is unlawful, and shall aubject an employer to criminal penalties and civil fines up to one hundred 0 cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. DATE ¢/,2:2 7. I hereby affirm that lam exempt from the Contractor's License Law tor 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 ,s not intended or ottered 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 tor sale. It, 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 tor the purpose of sale). 0 I, as owner of the property, am exclusively contracting with hcensed 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: I personally plan to provide the major tabor and materials tor construction of the proposed property improvement. 0 YES ONO 2. \ (have I 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 / phone number / contractors license number): 4 I plan to provide portions ot the Work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors hcense 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): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant 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 O 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 within 1,000 feet of the outer boundary of a school site? 0 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. B. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS. ________________________ _ 9, APPLICANT CERTIFICATION l 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 Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentmned 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 tor excavations over 5'0'" deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the B ing 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 c menced in 365 day m the date of such permit or if the building or work authorized by such permit 1s suspended for a p of 180 days (Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance /7--/ C,}'(J LL City of Carlsbad Inspection Request For: 7/9/99 Permit# CB992505 Inspector Assignment: Title: UPGRADE ELECTRICAL SERVICE Description: COMBINE UPPER & LOWER UNITS-UPGRADE UNIT 112 Type: ELEC Sub Type: Job Address: 110 SYCAMORE AV Suite: // Z Lot O Location: APPLICANT ELECTRICAL ETC Owner: FIECHTER KATHRYN TR Remarks: Total Time: CD Description Act Comments Inspector: OJ~ Requested By: MARY Entered By: RONNA 39 Final Electrical _f}f ______ _ Inspection History Date Description Act lnsp Comments ~rJ)(li ("_,/Jll/lf I}{