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Home My WebLink About2511 TOWN GARDEN RD; TP; CB073189; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-26-2007 Electrical Permit Permit No: CB073189 Building Inspection Request Line (760) 602-2725 Job Address rcrm1t Type Parcel No Reference# ProJect l 1tle 2511 TOWN GARDEN RD CBAD St: TP ELEC 0000000000 Lot #: TRI CITY WELLNESS CENTER 200 AMP TEMP POWER POLE 0 Applicant Owner: LUSARDI CONSTRUCTION COMPANY 1570 LINDA VISTA DRIVE SAN MARCOS, CA 92069 619-744-3133 Electric lssue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Rnnodel/Alteration per AMP f~crnodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOT AL PERMIT FEES 0 0 0 0 Total Fees $20 00 Total Payments To Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/26/2007 KG 12/26/2007 12/26/2007 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 Balance Due: Inspector: ~ FINAL APPROVAL Date 1:i/t,s,/27 ; ' Clearance: \"-•l,'l•4r1 $0.00 NL)! ICE: Please take NOTICE that approval of your project includes the ·'Imposition" of fees, dedications. reservations, or other exactions hereafter collectively r9:crred to as 'ieeslexact1ons." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must fo-.luw 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, re·-1Icw set aside, void, or annul their 1mpos1t1on 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 fccs/exact1ons of whrch vou have nrevio11slv been niven ;:i NOTICE similar tn this nr as to which lhR statute of limitations has nrF>viouslv oth1>1Wi'-e exnired. City of Carlsbad Pla_r,_~heck No. ~tJJ ~/if __ 1635 Faraday Ave .. Carlsbad. CA 92008 )60-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application SUITE#/SPACE#/UNIT# '2¥?""50 ~J/ '.' 7t)_\\L _ ~ {\_~ 1'_, CT/PROJECT# -JOT#-r HAS EH J # OF UN>TSJ#~EDROOMS -'8AT<R05lCiS- DESCRIPTl0N OF WORK: Est. Value APN EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS APPLICANT NAME ADDRESS YES □# __ NOD YES □ NOD YES O NO □ CITY STATE ZIP CITY -------~S~T~A~TE~------ZIP _______ _ PHONE PHONE FAX EMAIL PROPERlY OWNER NAME ,1.DDRESS CITY STATE ZIP PHONE ______ . __ l_L'_A_x _______ _ EMAIL I ARCH/DESIGNER NAME & A6DRESS ·-----------,,-,-TE-UC .• ,-------hs°'/J°'"ATE""L"ICc.1.-Z---- 1 ----------,,C•/>t• s CITY BUS. UC.# '22-5'f100 I.lee. 7031.5 Bminm and Prolemons Code: Any City or County which require1 a permit to con1trucL alter/ improve, demolish or rtP.air any 1tructure1_ prior IO its im1ance, also requirts tilt applicant for such permit to file a signed staltmtnt that he is 1cenied J1111111ant to the provi11ons of the Contractor'i License Law {Chapter 9, commending with Secrion 000 of Division 3 of the 8u1ineu and Pro1mion1 Code} or that ht is tnmpt thtrtli'om, and tht bas11 for the alleged Htmprion. Ady ,iolarion of Section 7031.S by any applicant for a permit sub~cts the applicant to a civ~ penalty of 001 more tflan fin hundred dollan {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued. J'\ l"~ave and wtll maintain workers' co ens lion, as required by Section 00 of the L bar Code, for the performance of the work for which this pe~it is issued. My workers' compensation.insurance carrier and policy number are-Insurance Co._.CU-L\_J..IJ"4]1.\J-1"-'..__'j,'.l-!'<bl;f'-.W~~~--Policy No. 'f,tl q I <j 'J \ 9(/9 Expiration Dale 1-1-700£3 This seclion need not be completed if the permit is for one hundred dollars ($100) or less 0 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 upto one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as prov· d for ectlon 37 of the labor code, Interest and attorney's fees. Jt5 CONTRACTOR SIGNATURE ~~ I hereby affirm that I am exempt from Contractor's License Law for the following reason, □ 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 properly who builds or improves 1hereon, and who does such work himself or through his own employees, provided !hat such improvements are not intended or offered for s;ile 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) n I, as owner of the property, am e~clusively contrac:ting wilh 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 improvP.s thernon, arid contracts for such proiects wi1h contractor(s) licensed pursuant to the Con!ri!Ctor"s License Law) n I am exempt 11nder Section_ Business and Professions Code for !his reason 1 I personally pl;in 10 provide 1he major labor and materials for construction of the proposed properly improvement □ Yes □ No 2. I (have I have not) sigried an applic;i!ion for a building permit for the proposed work 3 I have contracted with thA following person (firm) to provide the proposed conStruction (include name address/ phone I contractors' license number) 4. I plan to provide porllons of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors· license number) 5. I will provirle some of the work. but I have contracterl (hirP.rl) the following persoris to provirle the work indic;ited (include name/ address I phone /type of work) .J!5 PROPERTY OWNER SIGNATURE DATE Is the applicant or fu1ure 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 AcJ? □ Yes □ No ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be conslructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. 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. IJlereby authorize representatNe of the City 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over s·o· deep and demolitioo or construction of slruch.Jres rNf'J 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limit.ation and become null and void if the building or v.or1<. authorized by such permit is not commenced 'MIilin 180 days from the date of such permit or if the building: wM authorized by such rm~ is ~ded or at any after ttl€ work is commenced fcJ a pericxl of 180 days (Section 106.4.4 Uniform Building Cooe). ~APPLICANT"SSIGNATURE/ ·:2 . ),/, ' '[ DATE (Z,.,'2fo-o1 City of Carlsbad Bldg Inspection Request For 12/27/2007 Permit# CB073189 Tille: TRI CITY WELLNESS CENTER Description: 200 AMP TEMP POWER POLE Type: ELEC Sub Type: Job Address: 2511 TOWN GARDEN RD Suite: TP Lot: 0 Location: APPLICANT LUSARDI CONSTRUCTION COMPANY Owner: Remarks: Total Time: CD Description Act Comments 32 Const. Service/Agricultural jJ_/ 39 Final Electrical +- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7608025133 Inspector: L Requested By: JOHN Entered By: CHRISTINE