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Home My WebLink About1253 BELLEFLOWER RD; ; CB010130; Permit. 01/10/~001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Electrical Permit Permit No:CBOIOI 30 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 21 4541 2400 Lot #: 0 Applied: 01/10/2001 Reference #: Plan Approved: 01/10/2001 Issued: 01/10/2001 Project Title: DUBIA - ELEC TO FUTURE SPA Inspect Area: 1253 BELLEFLOWER RD CBAD Entered By: JM Applicant: DOWDEN FRANK 119 PLAYA DEL REY OCEANSIDE CA 92054 760-845-1 550 Owner: DUBIA DUSTIN ANAURIE 8647 #1/1#/0f 0002 01 1253 BELLEFLOWER RD CARLSBAD CA 92009 02 CGF‘ 20.00 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 RemodellAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES $10.00 $0.00 $0.00 $0.00 $0.00 $1 0.00 $0.00 $0.00 $0.00 $20.00 FINAL APPROVAL inspector: sci Date: 1 QIO\ Clearance: 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/exactiins.” 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 wlh Calisbad 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 feedexactions 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 - PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 L FOR OFFICE USE 0 Y PLAN CHECK N &6( 3b EST. VAL. Validated By Date ~ Business Name (at this address) 1153 &I Iffo-/er MIPIJ, Lot No. Subdivision NamelNukber Unit No. Phase No. Total # of units Address (include Bldg/Suite #) Assescor’s Parcel # Existing Use Proposed Use Leqal D scription S,~le #of Stories # of Bedrooms # of Bathrooms (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor‘s License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code] or that he is exempt therefrom, end the basis for the alleged exemption. Any vi0 tion of Section 7031.5 by any applicant for a permit subjects the penalty of not more than five hundred dollars [$500]). Frank ,&&SO 114 P kC$a oe I fl2y( State/Z;pXO Tfphr # City Name‘ Address State License # 7429 7 o License Class - City Business License # Designer Name Address City Stetelzip Telephone State License # 0 of the work for which this permit is issued. I have 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 ers‘ compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Insurance Company Policy ~0.w I Y5163 Expiration Date 44J- I insurance carrier and policy number are: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 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 Californra. WARNING: Failure to secure workers’ compensation coverage is unlawful. end shall subject an employer to crfmlnal panaltier and civil fines up to one hundred e interest and attorney’s fees. k I hereby affirm that I am exempt from the 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 ISec. 7044, Business and Professions Code: The Contractor’s License Law does not 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 that he did not build or improve for the purpose of sale). 0 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor’s License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not1 signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): Business and Professions Code for this reason: 4. number / contractors license number): 5. of work): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type PROPERTY OWNER SIGNATURE DATE CO 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future buildrng occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. LENDER’S NAME LENDER’S ADDRESS 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. I hereby authorize representatives 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required 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 if the building or work authorized by such permit uch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work .4.4 Uniform Build- Code). APPLICANT’S SIGNATUR DATE i/h/O/ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/1 1/2001 ..A Permit# CBOl0130 Title: DUBIA - ELEC TO FUTURE SPA Description: Type: ELEC Sub Type: Job Address: 1253 BELLEFLOWER RD Suite: Lot 0 Location : APPLICANT DOWDEN FRANK Owner: SEASIDE ESTATES L L C Remarks: Total Time: % Inspector Assignment: Phone: 7608451 550 Inspector: % Requested By: NA Entered By: CHRISTINE CD Description Act Comments 31 UndergroundlConduit-Wiring Dp h Associated PCRs InsDection Histow Date Description Act lnsp Comments