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Home My WebLink About2894 TAMARACK AVE; TP; CB990604; PermitCity of Carlsbad 02/16/1999 Electrical Permit Permit No:CB990604 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2894 TAMARACK AV CBAD iY ELEC Lot#: TEMP. POWER POLE THE CLIFFS BY HERITAGE HOMES 0 Applicant: Owner: TEMP UTILITY SERVICES 1167 LAW ST SAN MARCOS, CA 92069 619-471-5494 Status: ISSUED Applied: 02/16/1999 Entered By: MDP Plan Appro~9ll>"< <02~Jt99gY . Issued: 02/16/1999 ''i': Inspect Area: Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 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: 0 0 0 0 FINAL APPROVAL Date: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 NOTICE: Please take NOTICE t approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." cu 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 NOT\CE 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 /y t-UH Ut-t-l~t U~t: Ul~L l PERMIT APPLICATION PLAN CHECK NO. '[y -le, 6 '.:{ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By• _________ _ Date _____________ _ 1. PROJECT INFORMATION I 2. :8'1'1 1 q(lkflCf( tC AddrHS ltnclude Bldg/Suite I) BUlinHI Neme let this eddrN&I Legal 0Hcnption Lot No. Subdivi1ion Neme/Numbllr Unit No. Phase No. Assessor·• Parcel I LV15f<,/( Description of Work 2. CONTACT PERSON Iii dltfer9rlt from ai,pilC8ntl ~ting Use ,~,/e_ SQ. FT, lof Stories PropoHd Use I of B1drooms Total, of units I of Bathrooms Name Address City 0 Ag.int for Owner 5. /-;), Stitt/Zip Telephone I 3. APPLICANT £/mer D Contractor GI 11 l!J.A9-tnt for onir■cior O 0wfler · r,O, v,k 763,2 cA 'Z/67 Gl'1 Name Address Citv Telephone II S. CONTRACTOR. COMPANY NAME --·----•-.--.-,..,... ... -...... -,_..,...........,._, ....... --... ..,_. .. ..,_.~.------___ ...... . !Sec. 7031.5 Business and Professions Code: Any Chy or County which requires e permit to construct, elter, Improve, demolish or rsp1ir eny structure, prior to its issuance. also requires the applicant tor such permit to file a signed statement that he Is licensed purauent to the provisions of the Contractor's License Law !Chapter 9, commending wit'1 Seetion 7000 of Division 3 of the Business and Profeuions Code) or that he la exempt therefrom, and the besis for the alleged eMmption. Anv ~l,tion of Section 703 ~ .5 b~ ,ny applicant for a permrt su~jects the sppllca_!!l to a civilf•"ltv of not rrol! than II_~ hundr.!d ~ll~s 191.:_QOII. tow&/' tlu5 "1.fb /V, Q14,'f1C'f: ~; r.: t:xor1,/,c-.fo c.4/9;yzs ';5 _-,, 7 -7',C;,(! Name _ _ Address L _ City State/Zip Telephone I State License I 52_5 S 7b License Class -{:J f CitvBusinqsLicensel _______ _ Designer Nsme Address Chy Stitt/Zip Telephone Stat• LicenH I _________ _ 6. WORKERS' COMPENSATION Workers' Compen11tion Declaration: I hereby affirm under penalty of perjury one of the following d1cl■rations: O I have end will maintain a certificate of consent to self-Insure for workers' compan11tion H provided by Seetlon 3700 of the Lebor Code, for the performance of the work for which this permit is issued. ~ 1 hive end will maintain workers' compensation, u reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compe?s~ insurence car,ier and policy, n~mber are: lnsu'8nceCompany /7 J_, H, /J1-77 er",cc,, Policy No. C't)CJO';;//IO ;J Expiration Date 3 '5/ ,-C/;/ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100I 0R LESSI O CERTIFICATE OF EXEMPTION: I certify that in the performance of the w01lc fOf which this permit is i11ued, I ahlll not employ any person In any manner 10 11 to become subject to the Workers' Compensation Lewa or Caliromis. WARNING: Fellure to I coverege Is uni.wtul, and ahllU subject an employer to c:rimNlal panalnu and clvll finH up to one hundred thou■-nd doUara 1,10 ,0 ot com enutlon, damagH u provided tor In Secdon 3708 ot the Labor ~__!~st and anomey'e 1Ns. SIGNATURE, __ ~~~?!:.~~~,!::::,;t_:lJ.~=---------------OATE _,::;2:;_~_;,/_;,~~-LL ___ _ 7. OWNER-BUILDER DECLARATION ·•·.; -~•.il·• -· . I 71• ,•,: I hereby affirm thlt I am exempt from the tractor's License Law for the following rH1on: D I, as owner or the propeny or my employees with wages as their sole compensation, will do the work and the structure ts not intended or offered tor sale (Sec. 7044, Business and Profassions Code: The Contractor's License Law does not apply to en owner of proSMrtY who builds or Improves thereon, end who does such work hlmHlf or through his own emPloyHs, provided that such Improvements ■re not Intended or offered for aele. It, however. the bulldlng or Improvement la sold within on• yHr of complation, the owner-builder will have the burden of proving thllt he cffd not build or Improve for the purpoH of Hlel. D I. 11 owner of the property, am exclusively contrecting with licensed contractors to construct 1h11 project ISec. 7044, 8U11iness and Professions Code: The Contractor's License Lew does not apply to an owner ot propeny who builds or Improves thereon, end contracts for 1uch project• whh contrectorls) licenaed pursuant to the Contractor·• LicenH Ltwl. 0 I sm exempt under Section ______ BusinHs and Professions Code for this ,11son: 1. I personally plan to provide the major labor and m1terials for construction of the propoHd propeny Improvement. 0 YES ONO 2. I (have/ hive notl sign1d an application tor • building permit lo, the proposed work. 3. I have contracted with the following person Uirml to provide the propoaed construction Unclude name J 1ddrns / phone number/ contractors license number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, supervise ■nd provld• the me~, work Unclude n,m, / eddrus / phone number J contractors license number!: _____________________________________________ _ 5. 1 wlll provide some of the work, but I have contraeted Chi,.dl the following persona to provide the WOfk lndlc■tld Clnclude name I eddress / phone number I type of work):, _______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE ________ _ COMPLETE THIS SECTION FOR NON-RESIDEN71Al. BUILDING PERMITS ONL ,;:-,::=--• '~-•·-.-,~--,., _ _. ••. '-"'7''-''0 ···-• ' ··••·· ,. Is the 1pplic1n1 or future building occupant required to aubmlt • business plan, ecutely haurdout materials registretlon form or rt■lc management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act1 D YES D NO Is the epplicant or future building occupant required to obtain • permit from the air pollution control district or air QUlllty management district? D YES O NO Is the tsclHty to be constructed within 1,000 feet of the outer boundary of a school slt■7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY ,,. , .• "'r• """"""···-·· '' ·-' ·· · · · •···· · · · I hereby affirm that there is I construction lending agency for the performance of th• work for which this permit Is issued CSec. 30971il Civil Codel. LENDER'S NAME ______________ _ LENOER'SAOORESS. _______________________ _ :9, APPLICANT CERTIFICATION I cettily that I have read the application and stat• that the above Information is correct ind that the lnlornuitlon on the pl1ns 11 accurate. I agree to compty with all City ordinsncas and State laws relating to building construction. I hereby authorize represantltives of the Cltt of Carlsbad to enter upon the abov• mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cm IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is reQuired for excev1tions over s•o• deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building 0lticial under the provisions ot this Code ahllll expire by limitation and bacome null 1nd void if the building or work authorized by such permit · t c menced within 5 d■vs from the date of such permit or II the building or work ,uthorized by such permit is suspended or abandoned It any time 1ft the comm•'l9~ to period of 180 days (S1ction 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE &==--="7--~-':,=:; -a~~~-::.-=--=-------------DATE c7, / &:> '7'c7 WHITE: File YELLOW: Applicant PINK: Finance