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Home My WebLink About1101 KNOWLES AVE; ; CB990004; PermitCity of Carlsbad 01/04/1999 Electrical Permit Permit No:CB990004 Building Inspection Request Line (760) 438-3101 Job Address: 1101 KNOWLES AV CBAD ELEC Status: Permit Type: Parcel No: I ~5" '(71. \'t()O Lot #: 0 Applied: Reference #: Project Title: TEMPORARY POWER POLE Applicant: PERFORMANCE POWER 10638 PROSPECT AV 92071 619-596-4622 Entered By: Plan Approved: Issued: Inspect Area: Owner: MAYFAI.R HOMES ·3443 CA!\.111110 DEL RIO 92108 619-~0-5777 . . ISSUED 12/30/1998 JM 01/04/1999 DH Total Fees: $20.00 Total Payments To Date: $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 0 0 0 0 Inspector: 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 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 · tatute of limitations has reviousl otherwise ex ired. 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ··~-----·· PERMIT. APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pa/mas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ---,-~,--;-=~'-"-'""'-. Validated By· __ ..,,._Ll<=b.,-r,:..;,-r_ Dij• Legal Description Lot No. Subdivision Name/Number Unit No. Phue No. Total I of units Existing Uae Propolld UH SQ. FT. #of Stones I or Bedrooms • or Bathrooms 2, . CONT ACT PERSON llf dlttarant 4iom appb~niJ ·~---__, ... , ...... •--·------·-·•----•· _..,.. ___ ...... -. N1m11 State/l;p Telephone• fax 11 5. CONTRACTOR • COMPANY NAME ---···--·••----:-·~----~ -·-... ·-·---...-..,.,...···-:--•-- (Sec. 7031.5 Business and Protess1ons Code: Anv City or County which requires• permit to construct, attar, improva, demolish 'or ,■pair •nY structure. prior to Its issuanc11, also reauires the ■Pplic■nt tor such permit to file ■ signed statement thlt he is lic.ntad PUIIUlnt to the provisions Of the Contractor's License Law (Chapter s, commanding with. Section 7000 of Division 3 of the Business and Prof.,sions Code) or that he ts axempt therefrom, and the basis tor the alleged Any violation of Se n 7031.5 by eny applicant lo permit subjects the applicant to ■ civil penalty ot nat more than five hund~J!_ollars Jt5001). C\':(J I .:::Hi - Name A~ .,..,:::;... Stat~ Liconse I ~ta"·'-:::::,_. ___ 8' _ _;· I~ Lic•ns• CIHS _,(' ..... -...... 1~1_)~---Ctty Buainns Uce1W9 I _______ _ Desi~ner Name Ster. License # __________ _ Address City State/Zip T~ephone 6. WORKERS' COMPENSATION Workers• Compensation Decler1t10n: I hereby affirm under penalty of perjury one of the following declarations: 0 I have end will maintein a c11rtificate of conunt to Hlf•insure tor workers' compenution as provided by Section 3700 of the Lebor Code, for the i,ertormence of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Leber Code, for the performance or the work for which this permit is issued. My worker's compensation insur■nce carrier and policy number ate: / l 1 ,,_ 1 J Q13 _ 0 D- lnsurence Company S)P\±0: Cow p@D Scrt::4 · t)t') P~icy No._..;..-'''--'""::;.._"_.;l_:=--'=D'--Expiretion Dau, i-78 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lf100J OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work 'for which this permit is issued. I ahlll not employ any person in any manner 10 u to become subject to the Workers' Compensation Laws of C1lifomi1. WARNING: hilure to Hcure worxers' compen11tkm cov.raga la unlawful, and ahall ■ubt■C1 an emptoyer to crimlnal penettlq end dvll fN• up to one hundred thousand dollars ($100.000), In addition to the cost of compM\Utlon. damage■ aa provkNd for In Section 3706 of th■ Labor code. lntern:t end anomey'e fNI, SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION -~· .. .:.•:11·• ·-1 '•·' • •• · ,.,,•;-; ' I hereby affirm th■t I am exempt from the Contractor's License Law tor th■ following r■eaon: 0 I, as own■r of the propeny or my emplov-s with wegaa ■s their SOie comP■ns■tion, will do th■ work ■nd the structure ii not intended or olt■r■d to, ■ate !Sec, 7044, Business and Profeuions Code: The Contractor's Licene• Law dou not ■PPIV to en owner of property who bl.Mids or Improves thereon, and who don such work himself or through his own em.ployees, provided that auch lmprov■menu ere not lnt■nded or ottered tor Nie, U, however. the building or lmpn,venNNtt II sold within one yHr of completion, the owner-builder will hava the burden of proving that M did not build or Improve tor the purpose of .. le). 0 I, es owner of the propeny, am axclusiv~y contrecting with lic■nsed contrectors to construct the project IS■c, 7044, Buainn1 and ProfHaions COde: Th■ Contractor's License Law' does not ap~y to an owner of propeny who builds or improves thereon, end contract• tor auch pro;.ct1 wtth contrectorle) lictn■ed pursuant to the Contractor's Ucenee Lawl. D I am uempt under Section ______ Busineas and Professions Code tor this r■11on: 1. I personally pl■n to provide the major labor and materiel• tor conetruction of the propoaed propeny Improvement. 0 YES ONO 2. I (have/ have not) signed an ~PDlication for• building permit for the propoHd work. 3. I have contracted with the tollowing-per■on ffirm) to provide the proposed construction (Include name/ addtus / phone number/ contractors license number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, superviae and provide the m■;o, work tinclude name I 1ddrn1 / phone number/ contractors license number): _________________________________________________ _ 5. I will provide some of the work, but I heve contracted I hired) the following pe,aona to provide the work indicated tlnciude name I addr .. a / phone number / type of workJ: ____________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------ DATE ________ _ ·cOMPI.ETS THIS SECTION FOR NON-RESIDENTIAL BUILDING PEfiMrri ONLy-.:.'.:-:.---. ..,..., ·; .,..,,.. .... , .. -··i-. -·':":""!"""·•':9"~.~: ,:~;:::;::-::·:-.-•~•,-.-i,, : . ,.,., .. ~ .... Is the applicant or future building occupant required to aubmi1 a business ptan. acutely hu■rdoUI material• l1lgtstration form or riak management and Pf'•vention program under Sections 25505. 25533 or 25534 of the PrHlty•Tanner Heurdous Substance Account Act? 0 YES □ NO Is tha applicant or future building occupant required to obtain a permit from th• ■ir pollution control distr!ct or ■Ir quality menagement di11rict7 0 YES O NO IS tha facility to be c:onstructad w'fthin 1,000 feet or th11 outer boundary of • school 1i1e? 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 DF THE OFFICE OF EMERGENCY SERVICES AND THE AIR PQUUTIQN CONTROL DISTRICT. ,s.. 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(il Civil Coda). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ ;9, APPLICANT CERTIFICATION -.• •• -•~-•• •oT•-• ,0 J ,...... ••·.-· ~••• •~·. o• •--•~·''•'"•"•• ~-~.: ·•···•••.• •:'."'".:••~•,,.....,, .. p •~ I cenify that I have reed the application and state that the above information is correct and that the Information on the plans is eccurate. / agree to comply with all Citv ordinances and State laws relating 10 building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above ment,onad ptopeny 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 CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is reQu1red for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ii the buildrng or worlr authorized by such permit is not commenc11d within 366 days from the date of such permit or It the building or work authorized by such permit is suspended or abandoned at any time after the ork is co mence for a r" d of 180 days (Section 106,4.4 Uniform Building Codel. DATE WHITE: File YELLOW: Applicant PINK: Finance