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Home My WebLink About157 MAPLE AVE; ; CB060565; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-02-2006 Electrical Permit Permit No: CB060565 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: Project Title: 157 MAPLE AV CBAD ELEC 2042331900 Lot#: GARNER RES ELEC UPGRADE FROM 100 TO 200 AMP 0 Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/02/2006 SB 03/02/2006 03/02/2006 GARNER ROGER D&SCOTT-GARNER THEA TRUST 08-10-88 GARNER ROGER D&SCOTT-GARNER THEA TRUST 08-10-88 P O BOX 235508 ENCINITAS CA 92023 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 P O BOX 235508 ENCINITAS CA 92023 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: FINAL APPROVAL 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 f h' v r i I Tl f i i h i I ---------------·--·· PERMIT APPLICATION FOR OFFICE USE Q,~L Y PLAN CHECK No.cz:r,s:1~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Date ' \D' 2fi 'XiAfow 2t:. j\_Addrua (Include Bldg/Suite II ! swm iAA z 111 -111111 Bualneu Name lat this addreu) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units II of Bathrooms Name Addreu City State/Zip Telephone I Fax I L ffilllNll'F?l1M!B (Sec. 7031.6 Bualneu and Profusion■ Code: Any City or County which requires a permh: to construct, altar, Improve, damolllh or repair any structure! prior to ltl iuuance, also requires the applicant for 1uch permit to file a signed statement that he la licensed pursuant to the provtslona of th9 Contractor's Ucenu Law (Chapter 9, commending with Section 7000 of Division 3 of the Businen and Professions Coda) or that he Is exempt therefrom, and the b11f1 for the alleged exemption. Any violation of Section 7031.6 bv any appJlcant for a permit 1ubjects the applicant to a civil penattv of not more then five hundred doHara [t&OOJ). Nama State Ucenn # ________ _ Designer Name State Ucense I Addru1 LictinH ClaH ________ _ Addreas City State/Zip Telephone I Citv Bu1inu1 UcaMe # ______ _ Cltv State/Zip Telephone Worklf'II' Compensation Declaration: I hereby affirm under penaltv of perjury 0n1 of the following declarations: 0 I hav• and will maintain a certificat• of consent to self-insure for workers' compensation II provided by Section 3700 of the Labor Code, for th• performance of the work for which this parmlt 11 luuad. 0 I have and will maintain work.era' companntion, as required by Section 3700 of tha Labor Code, for the performance of the work for which this permit la llaued. My worker's compensation Insurance carrier and policy number are: Insurance Company__________________ Polley Na. Expiration Date, ______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [♦1001 OR U!SSI 0 CERTIFICATE OF EXEMPTION: I certify that in th• performance of the work for which thla permit 11 luued, I ahall not emplov any person In any manner ao a, to become 1ubject to the Worker•' Compensation Laws of C11ifornia. WARNING: F...._ to HClft wortc .. • ----• unlawful, and -llilljoct an ompl-to -ponollloo Md olvl -up to one -thousand dolara ($100,000), In addition to the cat of compenH,don, damegu u provldad tor In Section 3708 of 1h11 Labor coda, lnterat and attomey'a fen. SIGNATURE iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii DATE I hl;eby affirm that I am exempt from the Contractor's Llcan1e Law for the follawlng rea1on: D I, as owner of the property or my employees with wages as their sole eompanladon, will do the work and th• atructure 11 not Intended or offered for sale (Sac. 7044, BualnNI and Profauion, Coda: Tha Contractor's Ucensa Law do• not apply ta an owner of property who buUdl or lmprovea thereon, and who does 1uch work hlmHlf or throwgh hit own employau, provided that ,uch lmprovamant1 era not intended or offered for nl1. If, however, th• building or Improvement ii sold within on• year of completion, thl owner-builder will have tha burden of proving that he did not build or lmprov• for thl purpo11 of ula). )( I, as owner of tha property, am exclusively contracting with llcan1ed contractors to construct the project (Sae. 7044, BUllneu and Prof ... lona Code: Tha Contractor'• Licen1a Law dou not apply to an owner of property' who builds or Improves thereon, and eontract1 for auch projects with contractor(1) llcennd pur1Uant to the Contractor'• Ucansa Law). D I am axampt under Section _____ Buslnau and Profaulon1 Coda for this reuon: 1. I paraonelly plan to provide the major labor and material• for con1tructlon of the propoud property Improvement. 0 YES ONO 2, I (hava / have not) signed an appllcatlon for a building permit for the proposad work, 3. I have contract•d.wlth tha following peraon (firm) to provid• tha proposed con1tructlon (Inell.Id• n1m1 / addr111 / phone number / eontractora Ucen1e numbarl: 4. I plan to provtda portion, of the work, but I hava hired tha following person to coordinate, aupervlH and provide tha major work (lncludl name I addreu I phone number I contractors lleenae number): _________________________________________ _ 6. I wlll provide some of tha work, bwt I have contraet f work): PROPERTY OWNER SIGNATURE 11 tha applicant or future building occupant required to submit I meu plan, acutely hazardous matartala ragiltratlon form or risk management and prevention program under Section, 26606, 26633 or 251534 of the Presley-Tanner HazardoiJ1 Subatanca Account Act? 0 YES O NO 11 thl ippllcant or future building occupant required to obtain a permit from the air pollution control dlltrict or air qualltv management dlatrlGt:7 D YES O NO 11 tha facility to be conatructed withtn 1,000 faet of the outer boundary of a school site? D YES O NO IF MY OF THE ANSWERS ARI YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS DF THE DFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ., I hereby affirm that there Is a construGtion lending agency for the performance of the work for which this permit II Issued (Sec. 3097(1) Civil Code}. LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and atata that the above information i1 correct and that the Information on the plana ii accurate. I agree to comply with all City ordlnancu and State laws relating to building construction. I hereby authorize repranntativH of the Citt of Carlsbad ta enter upon the above mentioned property for Inspection purpoaH, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMWS THE CITY OF C_ARLSBAD AGAINST ALL LIAIILiTIES. 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 l1 required for excavations over 6'0 .. deep and demolition or construction of atructurea over 3 stories in height. EXPIRATION: Every permit Issued by lhe building Official under lhe provisions of this Code shall expire by limitation end become null and void H lhe b<llldlng or work authorized by such permit Is not commenced within 180 ys from the date of such permit or If the building or work authorized by such permit la suspended or abandoned at any time atter the work Is commen r a period 180 ys ( on 106.4.4 Uniform Bulldlng Code). / j '\] APPLICANT"S SIGNATURE "C ~ DATE ...:,.34/c.,c'.J..<::' :+f..J-"(J'-&...:. _____ _ J\ I PINK: Finance CITY OF CARLSBAD REQUEST FOR REFUND Account No. c,-o, 3b IO -'-j:~3, V do N J1 enro. Amount of Refund 08 OO Fee Paid For: ..,<'.?£...,o><--=6::......:0::....:Slo=.c=!::):c_ _____________ _ Date Fee Paid: a).;>. {ob Fee Paid By: !He.A 6A,e.01Je.r Facts Supporting Request: u.ptrttAC5 pJ 6, fa:PJ C. SEN ie( aJQT A:JttJ>e.t:, Perm,, W mtOeA.DfJ , Fe&:> R..Sr:u;a "0% of. Bu..tu:>rt.:>6--~ pp,, o a...s A-u..o1~eo i>.H ~LUU>1AJ6-C.OD-l!. Name of Applicant: :theOr .5co++-C'-,o.c(\ec Address: :J/¥) 51'A-12.RDW w'-7 QC:eOl'\&.Oe. ~ q~s, 6G:>V"°7ot1-7,~,0 Street City State Zip Telephone Signature of Applicant:----------------------Date .. Dept. Justification: . Rec: D Approve D Disapprove Date .. Finance Investigation: Rec: D Approve D Disapprove Dept. Head Signature Date City Manager's Action: D Approve D Disapprove City Manager Signature Date I. • ... City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 1111111111111111~ 11m11m111111111111111111111111 Applicant: GARNER ROGER D&SCOTT-GARNER THEA TRUST 08-10-88 Description CB060565 Receipt Number: R0056436 Transaction Date: 03/31/2006 Pay Type Method Description Payment Other Amount -28.00 Transaction ID: R0056436 Amount -28.00 Transaction Amount: -28.00