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Home My WebLink About1269 BELLEFLOWER RD; TP; CB990878; Permit03/17/1999 City of Carlsbad Electrical Permit Permit No:CB990878 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: 21 4541 2000 Lot #: 0 Applied: 03/08/1999 Reference #: Plan Approved: 03/08/1999 Issued: 03/08/1999 Project Title: SAMBI SEASIDE HEIGHTS Inspect Area: RB 1269 BELLEFLOWER RD CBAD Entered By: MDP TEMP. POWER POLE FOR SALES TRAILER $30RE-INSPEC I FINAL APPROVAL Inspector: Date: 3 sq Clearance: I NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and tile the protest and any other required information with the City Manager for processing in accordance with Catisbad 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK N0.77- 8 Plan Ck. Deposit PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms e Descriptio8 of Wbrk 4. PROPERTY OWNER (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 and Professions Code] or that he is exempt therefrom, and the basis for the alleged Any violation of Section 7031.5 by any applicant not more than five hundred dollars 1$5001). rm @.'be &?*@6-'$4!~ fice GXJ a- h63X City State/Zip Name Address License Class C- (0 City Business License # \?% z[y ' Designer Name Address City State/Zip Telephone State License # 6. WORKERS' COMPENSAllON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 &he work for which this permit is issued. 0 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Insurance Company Policy NO. f Y6l47 [ 3 Expiration Date 919 9 (THIS SECTION NEED NOT BE COMPLETED fF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 penattiis and civil fines up to one hundred tion to the cost of compensation, damages as provided for in Section 3706 of the Labor cod , i erest and attorney's fws. DATE 3-84 et 7. 'OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 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 contractorls) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have / have not) 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 I address I phone number / contractors license number): 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 / 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 Business and Professions Code for this reason: UNO PROPERTY OWNER SIGNATURE DATE COMPLm YHlS SECTION FOR NON-R€S/DBWUL BUILDING PERMITS ONLY 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 c] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 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. 8, CONSTRUCTION LENDING AGENC I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS UCANT CERTtFlCATlON I certify that I have read the application and state that the above information is correct end 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 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 excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Official under the provisions of this Code shall expire by limitation and become null and void if the building or within 365 days from the date of such permit or if the building or work authorized by such permit is suspended ced for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE 3 -8-99 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 3/18/99 Permit# CB990878 Title: SAMBI SEASIDE HEIGHTS Inspector Assignment: RB Description: TEMP. POWER POLE FOR SALES TRAILER $30RE- INSPEC FEE Type: ELEC Sub Type: Job Address: 1269 BELLEFLOWER RD Suite: Lot 0 Location: YPPLICANT : PERFORMANCE POWER Owner: SEASIDE ESTATES L L C Remarks: Total Time: Phone: 61 95964622 j< (3 Inspector: Requested By: STEPHANIE Entered By: CHRISTINE CD Description Act Comments 32 Const. ServicelAgricultural 8 /3 Inspection History Date Description Act lnsp Comments 3/16/99 32 Const. ServicdAgricultural CO RB PAY REINSP FEE- ND 18 FT CLEAR FOR OVRHD 3/10/99 32 Const. ServicdAgricuItural CO RB SEE NOTICE ATTACHED