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Home My WebLink About1321 COBBLESTONE RD; ; CB013006; Permit09-18-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB013006 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1321 COBBLESTONE RD CBAD ELEC Lot# VISTA LAS FLORES 100 AMP PED FOR IRRIGATION Applicant STANDARD PACIFIC CORP STE 200 5750 FLEET ST CARLSBAD CA 92008 619292-2200 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/18/2001 MDP 09/18/2001 09/18/2001 Owner STANDARD PACIFIC CORP STE 200 5750 FLEET ST CARLSBAD CA 92008 619292-2200 0161 09/18/01 0002 01 02 CGP 35.00 Total Fees $3500 Total Payments To Date $000 Balance Due $35 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 Additional Fees TOTAL PERMIT FEES 100 0 0 0 $1000 $2500 $000 $000 $000 $000 $000 $000 $000 $000 $3500 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORI FOR OFFICE USE ONLY PLAN CHECK NO n\ EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite *)Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Total * of units Assessor's Parcel #/]for Existing Use Proposed Use Description of Work CONTACT PERSON (if #of Stories tt of Bedrooms # of Bathrooms diffanpUrgm L* Kca gm applicant) Name ^ (I 3 APPLICANT fS^pntractor D-Agent for Name 4 PROPERTY OWNER / L&W**£J s gent for Contractor EJuwner Q gf/W/f -nun0$ Add^fes uty State/Zip Telephone* Fax* ^Ac City State/Zip Telephone « 7&X)' Address City State/Zip Telephone #Name 5 CONTRACTOR - COMPANY NAME (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 exemption Any violajjojj of Section 7031,5 by any apjalicant for a permit subjects the/applicant to a civiljjenalty^of npt mope thafl.fjve jiundred dollars I$5p01) Designer Na State License # 6 WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D >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 of yk work for which this permit is issued "0 I 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 issued My worker s compensation insurance carrier and policy number are . Insurance Company ~Cj&Qlfi-£.—. Policy No /\J Dl U/~xl<-P I Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) n 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 secirfe workers compensatign coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars Il^AfltWMroK in-addition to the cost oncompensatipn damages as provided for in Section 3706 of the Labcrr coder interest and attorney t fees 7 OWNER-BUILDER DECLARATION (^J^^. I hereby affirm that I am exempt from the Contractor's License Law for the foliating reason O 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) (T/ 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 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES I~|NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 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 number / contractors license number) ______^^^^^____^^^___^^^____^^______^_^_^_^^^^__^_ 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) /} ^—i , PROPERTY OWNER SIGNATURED S f)f_/LJL./l/?DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITSCONLY Is the applicant or future building occupant required to submit a business plan, Mutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES CD 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 AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION 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 stones 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 is not commenced within 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 commepced/fopa pjriod of 180 days (Secttgn^OS 4 7uni(crmM|uilding Code) / I QJ18/01APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant ) PINK Finance City of Carlsbad Bldg Inspection Request For 11/27/2001 Permit* CB013006 Title VISTA LAS FLORES Description 100 AMP RED FOR IRRIGATION Inspector Assignment 1321 COBBLESTONE RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT STANDARD PACIFIC CORP Owner Remarks Phone Inspect Total Time CD Description 39 Final Electrical Act . Comments Requested By BRIAN Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments PO. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSUFt ANC FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE NOVEMBER £0, 2000 044-00 UNIT 8019176 POUCY NUMBER CERTIFICATE EXPIRES rSTANDARD PACIFIC CORP 5730 FLEET ST STE 200 CARLSBAD GA 92008 A/01/ JOB: ALL OPERATIONS L This is to certify that.wei Jiave issued a valid Workers' Compensation insurance policy in a form approved by the California __' IrisuraTJc&^COTTmis^ohertb the^mpftiyerflarneti'belowrforthe poln^ftjenod Indicated - - -^- ----- -' ^ --^ -J - — -- ••-" - • -~ XXThis policy is not subjecLto cancellatjon by the Fund except upon ten days' advance written notice to the employer We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any. requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 01,000,000 PER OCCURRENCE. ENDORSEMENT f2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 11/20/00 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT 12570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 11/20/00 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY ,NAM£i STANDARD PACIFIC CORP EMPLOYER r PACIFICA CONTRACTING, INC. P.O. BOX 90668 SAN DIEGO CA 92169 RB THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10262 (KEV. 3-95