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Home My WebLink About2509 TOWN GARDEN RD; TP; CB073188; Permit,,... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-26-2007 Electrical Permit Permit No: CB073188 Building Inspection Request Line (760) 602-2725 Job Address: 2509 TOWN GARDEN RD CBAO St: TP ELEC Permi1 Type Parcel No 0000000000 Lot#: 0 Reference#: Project Title: Applicant: TRI CITY WELLNESS CENTER 200 AMP TEMP POWER POLE LUSARDI CONSTRUCTION COMPANY 1570 LINDA VISTA DRIVE SAN MARCOS. CA 92069 619-744-3133 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 TOT AL PERMIT FEES 0 0 0 0 Owner: 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 Total Fees $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: ~- FINAL APPROVAL Date: /.;:!fl.28/47 Clearance: "".,_"'·Pl $0.00 NOTICE· Please take NOTICE that approval of your project includes the "Imposition' of fees. dedications, reservations, or other exactions hereafter collectively referred lo as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these lees/exactions. II you protest them, you musl fallow !he protest procedures set forth in Government Code Section 66020(a). and file the prolesl and any other required information with the City Manager for processing in accordance with Cartsbad 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 feeslexa~tions DOES NOT APPLY to water and sewer connection fees and capacity cranges. nor planning, rn11ing, gradirig or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to whir.h the statute of limitations h;as orevinuslv otherwise exnired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Fax: 760-602-8558 Building Permit Application ) SUITE#/SPACE#/UNIT# -~Ian Chec:k -~-f!~d.13 / ~ Est. Value Plan Ck. Deposit ----------~------ Date ;J2fp~~ss_i_/j_[Jj_ '\DW CT/PROJECT# LOT# " -··-··-· ... _fa_~~ fuD._ l PHASE# I# OF UNITS [ # BEDROOMS 1 # BATHROOMS TENANT u NAME ~ • / r CONS TR TYPE ----~ --r~li11~..s_ _ _(,m:::_.+ DESCRIPTION OF WORK; I EXISTING USE CITY I : PHONE EMAIL I PROPERTY OWNER NAME i \ ··-·-·-· "" I .~DD RESS CITY PHO~IE EMAIL ARCK/DESIG'IER NAME cl, ADDRESS • PROPOSED USE GARAGE (SF) STATE ZIP STATE STATE LIC. # PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL FIREPLACE YES □# NO □ STATE FAX AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NO □ -------·-·------ -~-----------ZIP CITY BUS. LIC.# 225½00 IIK 7031.1 Susinm a,d Profe11ioes Code; Any City or Count): which req11ires a permir 10 conmucL alter1 improve, demolish or reP.air any structurel prior to its inuance, also requires the applicant for such permit to file a signed 1tatemenI lhat he is 1msed Jllll'lllant ro rhe provisicns ol the (onIractor'1 Licenie Law {Chapter 9, <ommending with leclion 000 of Division l of the Susioess aod Pro eisions Code} or that he is mmpt 1herefrom, and the basis for the alleged exemption, Any violation of lectioo 7031.5 by any applicant for a permit subjects tie aipticant lo a ci,il penalty of not more than five hundred dollari {$SOO}}. 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 the Labor Code, for the performance of the work for which this permit Is issued. )\ l 0 ~ave and will maintain workers' co ens lion. as required by Section 00 of lhe lj~or Code, for the performance of the work for which lhis per::nit is issued, My workers' compensalion in:urance carrier and policy m1mberare lnsuranceco__li _ ';2, PolicyNa. V'{{., q(~J--\ ?z(fJ Expiration Dale 1-1-WO§--- This section need not be completed if the permit is for one hundred dollars ($100) 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 penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as prov· d for· ection 37 of,the Labor code, interest and attorney's fees, LS CONTRACTOR SIGNATURE .,./J I hereby affirm lhat I am exempt from Contraclor's License Law for the following reason: □ I, as owner of the rroperty or my employees with wages as their sole compen0al1on, will do the work and the structure is nol intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of properly who builds or improves thereon, and who does such work himself or 1hrough his own employees, provided that such improvements are not intended or offered for sale. IL however, the b1J1lrl1ng or improvement is sold wrlhin one year of cample1ion, the owner-builder wrll have the burden of proving that he did not bu1lrl or improve for the purpose of sale), 17 I, as owner of the propmty, am exclusively contracling with licensed conlractors lo construe! the proIect (Sec 7044. Bus,ness and Professions Code: The r:ontraclni s I icense Law does not apply lo an owner of pmperty who builds or improves !hereon. and conlracls for such proIects wi1h contractor(s) licensed pursuant to lhe Conlraclors License Law) C"I I am exempt under Section Business ;md Professions Code for lhis reason 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No 2 I (have I have nol) signed an application for a bu1ld1ng permit for lhe proposed work. 3. I have con Ir acted with lhe following person (firm) lo provide the proposed construction (include name address I phone I contractors license number) 4 I plan to provide porlions of the work, but I have hired the following person to coordinate, supervise and provide lhe major work (include name I address I phone I contractors' license numher) 5. I will provide some of lhe work, but I have con1ractPd (hirerl) the lollowing persons lo provide the work indicated (1ncl11de name I address I phone/ type of wnr,) ----------------- LS PROPERTY OWNER SIGNATURE DATE Is the applicant or fu1ure building occupan1 required lo submit a business plan, acutely hazardous materials registration form oc risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accounl Aci? □ Yes □ No Is the applicant or future building occupant required lo ob!ain a permit from the air pollution control district or air quality managemenl district? □ Yes □ No Is lhe facility to be conslructed within 1.000 feet of lhe ouler boundary of a school si1e7 □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR lS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND 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 complywilhall CilyordinanC€s and State laws relating to building construction. !Jiereby authorize representative of the City of Ca~sbad to enter upon the above mentioned property for inspection puiposes. 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 1 OSHA. An OSHA permit is required for excavations over 5·0· deep and demolfon or construction of structures over 3 stories in height EXPIRATION: Every perm rt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void f the building Of work authorized by such permit is not commenced within 180 days from the dale of such pem1il or if the building or woi'<; authorized by such ermrt is suspended or abandoned al any ~me affer !he work is commenced fOf a period of 180 days (Section 106 4 4 Uniform Building Cade). ~APPLICANT'SSIGNATURE/ • DATE (7,_,rz/o·-o1 -----~------------~ City of Carlsbad Bldg Inspection Request For: 12/27/2007 Permit# CB073188 Title: TRI CITY WELLNESS CENTER Description: 200 AMP TEMP POWER POLE Type: ELEC Sub Type: Job Address: 2509 TOWN GARDEN RD Suite: TP Lot: 0 Location: APPLICANT LUSARDI CONSTRUCTION COMPANY Owner: Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7608025133 Inspector: L Requested By: JOHN Entered By: CHRISTINE 32 Const. Service/Agricultural Ai!_ ___________________ _ 39 Final Electrical _L_ ___________________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments