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Home My WebLink About2582 TOWN GARDEN RD; TP; CB061844; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-27-2006 Electrical Permit Permit No: CB061844 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type Parcel No: 2582 TOWN GARDEN RD CBAD St: TP ELEC Status: ISSUED 06/27/2006 JMA 06/27/2006 06/27/2006 2131306300 Lot#: 0 Applied Entered By: Reference #: Project Title: TEMP POWER FOR MODEL CONSTR. Applicant: POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714 223-3600 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 0 0 0 0 Plan Approved: Issued: Inspect Area: Owner: GREYSTONE HOMES INC 1525 FARADAY AVE #300 CARLSBAD CA 92008 $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: Date: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE ___ _ Clearance: $0.00 NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack. review, set aside. void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fee /exac ion of whi h h v revi I been iv n a N Tl E similar to this or s whi h h atu e al limi a ion h reviousl otherwise x i r . FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C6a lo l~lf 4 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ ~:::•ted •0 {iit(!J; Address (Include Bldg(Suite #J Business Name lat this address} Legal Description lot No. Subdivision Name(Number Unit No. Phase No. Total # of units Assessor•4,~cel I p p l 1emp ower o e Proposed Use Description of Work sa. FT. tot Stories # of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax II Name Address City State(Zip Telephone# Name Addrua City State/Zip Telephone# ~lt~c~-~a•M~MtUi!ll~i1,:f,;ii;$*~j~~',:i'.i'~,\~;b'.',';"'it!)}~,,, ''L:;.: •• ,,,:.,,:., ··•· (Sec. 7031.6 Business ■nd ProfeHions Code: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structure, prior to IU issu,mce, aleo require, the applicant for such permit to file a signed statement that he is licensed pureuant to the provision& of the Contractor's License Law !Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Codal or that he Is exempt therefrom, and the basis for the alleged exemptlo1$Powerif<l 4~ffli~· 'lttc'.n~c~. ff eeir~'ttiS'f. th,Pt!eebti8~''(1)A'a!,\'2S,()nore than flv87'4'14r:.o!!>M6(9e)1, Name State License • * 6967} 3 Addrus License Class _____ C=--=l'-0=---- City State/Zip City Bu1inus License I Designer Name Address City State/Zip Telephone State License # _________ _ ~~i,~\'IIIR~~~•M~iii'l...'•~t!,:Jffi::,1W!1;,,if;;f.J;;.i;fltcj~,kiiA!:,1::1>~iiiil,k<',li;Jf,:.'i\l¼•~f!,'il,t:·'.'::tt:.'.!:ifi1i~•11::f)i,::''):iI"'{l!1!i'A\;:'!1'••',.:,, ,.;,, ii1sf,,,.:'\1' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I heve and will maintain a certificate of consant 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. D I have and will maintain workers' compensation, es required by Sactlon 3700 of the L11bor Code, for thl!I performance of the work for which this permit is issued. My worker''-°PP?l!e~tien i'l,ll,!r1nc!9.. cerr,ler end policy number are: 1 CWS 02 05 3 Q Q } 0/0 l fQ 6 Insurance Company. V trgmta .)Ufely LO. Polley No. • Expiration Date·---~---- ITHIS SECTION NEED NOT SE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thia pl!lrmlt Is Issued, I shell not employ any person In any manner so aa to become aubje the Workers' Comp11nsation Laws of California. WARNING: Fa • r worker•' compenHtlon coverage Is unl11wful, and lhall aubject an employer to crlmlnel panaltlea and civil flnH up to one hundr.cl thou••nd doHar , n •ddltlon to the cost of compenHtlon, damages as provkhtd fGf In Section 370B of the Labor cod■, lnt■reat and attomey's fH■. ~~~~=~-J-)' .J·•,~·L.N, 11i1,0.l:~i~'U'=e.;,~·~' ·•~•.•, •• • ...... , ..... •·••'"·.· .=;,~=;;;,1::~::~~='.,:''":l:l::~::.·:,-~-;;;;-.-,,.-,'..-f-~tr-,~--,~-.~-,~-~-,i-!¥!"-W~-(~-J-:~-.~-,;,-:0-;:f-;(-,,;!-,i;"-,'-:/-;,-,'<1-_J_)I-'.fi>-•t::~'-:<R~~:,~J;~ .. :?;~,,i~k:t••··'.i I her11by affirm that I e exempt from the Contractor's License law for the following reason: D I, as owner of t e roperty or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sac. 7044, Busiriass a ProfaS&iona Code: The Contractor's License Law does riot 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 th11t he did not build or improve for the purpose of 59tel. D 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 Lic11nse Law does not apply to an owner of property who builds or improves thereon, and contracts tor such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Pl'ofasslons Code tor this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I !have f have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson lfirml to provide the proposed construction !include name / address f phone number / contractors license number!: 4. I pltm to provide portions of the work, but I heve hired the following person to coordinate, supervise and provide the major work (include name I address f phone number/ contractors license number!:. ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name/ address / phone number / type of workl:. _________ ~-------------------------------------------------- PROPERTY OWNER SIGNATURE----------------------,--DATE _________ _ l¢Q~ilfl~GJ1dN.~eORVNOJJ.e.RatP.~,9Pl~QtN"G~PE.ffMllti~P"-t;~.i1~t1-iif:~;'.'.=~-ij~~~li;:~~ /►'~ii:ti,tt;f~;:1·i~:t~>;'bU>:=iii~t.\~~~}~~~~~~fyfu~~t-l~i'.;i:/~~~t:<~1irtrAL.\_::;,i:'';\ ;:~- Is 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 25605. 25533 or 25534 of the Presley•Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. \l~?oogo1$,TJi\i:m1QHd~R!Np\l.,t:l;)gNQff.\M~~f{/J1;i,,;itiir2:'l1r1ii?.· ,,/:'l\:i{'rn:~~:i>"'h}/)' /:'I!:''·:,.. ·, y;:.,. :,,,:, :-: :,!, ;;;;.,:,, • •' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 309711) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ ~wn-.,~""'MNi!"~i~t~~~l:ti)~ll~iR~f;fftk\fi'.~~~\~i~1~1t;)~1~!_fi~~[\',¥.~~\~~J;fi,l~::i~H~i~~~Sf~~tr1~1Mt~~-:&_~1-~~¼~ld~~~~it,}t~~%f:i;¼~~•;~~~.~~!/~~-.:(~;i::~l;( ~i'~Pli~Ur~t,:}-:i;i: :::;'.~ /tJ~:-; ,•', '., .' --~;•~-:-~ .:::~.; I certify that I have raad the application and state that the above Information is correct and that the information on the plans ls accurate.' I agree to comply with all City ordinencea 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 11xcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit lss the bui g Official under the provisions of this Code shall expire by limitation end become null end void if the building or work aulhonzed by such permit is no com e t n 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 c riod of 180 days (Section 106.4.4 Uniform Building Code).