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Home My WebLink About1814 GUEVARA RD; ; CB052894; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09-2005 Electrical Permit Permit No: CB052894 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1814 GUEVARA RD CBAD ELEC Status: Parcel No: 1562701800 Lot #: 0 Applied: Reference #: Project Title: SMITH RES-UPGRADE ELECT 100 TO 200 AMP ~ \ Applicant: ~YWRENCE ELECTRIC 2439 CATALINA AVE 92084 760-726-6168 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 0 0 0 100 Entered By: Plan Approved: Issued: Inspect Area: Owner: SMITH JOE N lll&TERRY ALICIA G 1814 GUEVARA RD CARLSBAD CA 92008 ISSUED 08/09/2005 LSM 08/09/2005 08/09/2005 $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 4268 08/09/05 0002 )1 CGF" Inspector: 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 '1ees/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 Gar1sbad 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. 02 35"00 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. {J,i) (:) 5 ;;J--'{'°tc.; CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.------~--- Pia~ Ck. Deposit ~ Vahdated By _ ~ Date ~• 0 ~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bathrooms State/Zip Telephone I Fax I Name . •~1~am 1co11w·~•,1s1,~~1:tJl:~~~\,:~~~:~)yr.;at~:·t~/i'.l~Jkt.:~})tti:~~~f:~if~: _,-.(lit::,-:·.\-r~!J~:4~_..;,~:;•~~t~~½-4:ti:~~"~u\/i·•~~4flt~t:~l\k\t~J)'.!~~~1.~f~;.<~:::~~~ .. 1!·•:.~~-•1 ~;1· :;.):'. .· , (Sec. 7031 .6 Business and Professions Coda: 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 exa ptlon. Any violL n ~~*~5 by any appS ant for a permit subjects J/.J,llicanVi a civil penalty of ~ore han five huU ~~,8j)}500)). t Name Address City State/Zip Telephone I State License I ~(.{2,. L3" License Class C-/t) City Business License I I '2..t> 41 \ \ Designer Name Address City State/Zip Telephone State License I _________ _ .. ~ ·. .. ' ' .. ·-· ... -~-~;Jtu~.tt~t~~t~~~-~~Jil}tJ;~~~l:l\'it.1~'.'.i1.f~~i~.~ll:ilf">.'.~IFxi/,'t1,'-\"isi;,1~;;·:,;;,,)l•.si-clit.:C: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificat e of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 0 I have and will maintain workers' compenaation, sa raqulred by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued, My worker's compensation inauranca carrier and policy number are: Insurance Company_____________________ Policy No •. _____________ Expiration Date. _______ _ ...._\ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS! 1''fiil CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any parson in any manner so as fo'"become subject to the Workers' Compensation Laws of California. WARNING: Failure to a,lkll1~•, ~Ill :2i>t'.'.!'IJP4t,!N!,! Milltlon c:overage la unlawful, and lhall aubjec:t an employ• to crlmlnal penaltiN and cl vii fines up to one hundred thouaud dollars I 1 the coat compenaatlon, damages as proYided for In Section 3708 of the ~~~eat and attorney'• faaa. SIGNATURE'...L~~~~~!!!::;~.£.!~~~~=----------------DATE ~<t-,-_-"7 ....... _-_V.._,~=----,.l_ t..'~'l>Ja ·, .. ~--··' •· · ··, ·• ··,., '' ''" · ·,, "i!t.\f~,,,m,;;.,i,,111,a:,;-.~;;.,1,,,oc'Md-,~•~M-,.,,,.,.,,.,.~··,, ._,,,,,._,,,.,.,..,,,.,.,,;,""!'·.1,;,,.,,-.,,•,.,a'i(e.,,.,,~-.,.,,., .. ,,,,,·.·-••:,•. " l «r~: _. . , , .. -'-. i~~~~!"!~n.tmf.ir~~~·,«Ni"rl~Jil;~~(-~•r:r~ir~#~~~i;'~!tQ:)'.~MAflt~J~~~':)r.,f>ir.,i?t-'~~,~\f:f'r:~-rL;l-i:ki,~,~~fr;.~fi,, ~•:1.~-: I hereby affirm that I am exempt from the Contractor's License Law for the followin9 reason: 0 I, H owner of the property or my employees with wages as their sole compensa~ion, will do the work and the structure is not intended or_ offered for sale (Sec, 7044, Businaas and Professions Coda: 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 lmprovamenta 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, H owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The Contractor'• License Law does not apply to an owner of property who bullds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor'• License Law). 0 I am exempt under Section ______ Business and Profasslona Coda for this reason: 1. I personally plan to provide the major labor and material• for conatructlon of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work, 3. I have contracted_with the following parson (firml 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 I phone number/ contractors licanaa numbarl:. ______________________________________________ _ 6. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of workl: ________ --'------------------------------------~------------- PROPERTY OWNER SIGNATURE--------------------~-DATE _________ _ W~lii1RCDGilmR!'~~ii{,QNJ,i ' ~,:l~Ji(t.~if.liffllk1J~'\~~~'tf.~~,~{!{1w.f1>'.~J'!.'i~t~i:lt··l:::~~ ;,,,'i j,_ Is the epplicent or future building occupent required to submit • business plan, acutely hazardous meterials registretion form or risk manegement and prevention program und!lr Sections 26606, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ll~~~~ll li~fltrlQJt!t.mR.tmgWiy~~~t .. ~itlt~~lt~•tc;);,1);'tt:f~:J~.i,~1Ji.Li,:,i~.;t:··,cC(t1r:s:;,';'~/;t,.,(~t I hereby affirm that there is a construction landing agency for the performance of tha work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ LENDER'S ADDRESS _______________________ _ ~~~i:~-~ll1i£f.§tt~~/ii~1-l'~:i\!~~~'!'~~~~f~~~~s.:t;t1;;ft~~Jtl'!!~\;~~~.\lll!ir>'";;'j;,~-t!1l!~,;.,;.:J~•:;:,,;;;i,"1.•.;1,1J,;.;, I certify that I have read the application and state that the above Information Is correct and that the information on the plans 11 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every pe!~lt Issued by the bulldi?g Oflicl under the provisions of this Code shall expire by limitation and become null and void if the building or work euthon~ed by such permit 1s not comm ed wnh1n 18 from the date of such permit or if the building or work authorized by such permit is suspended or abandoned \ at any time alter the work is co tl for a period f days (S lion 106.4.4 Unilorm Building Code). r _ '-\,.APPLICANT'S SIGNATUR ~ ~ ~ATE 'if.If-OS WHITE: File YELLOW: Applicant PINK: Finance . m City of Carlsbad Bldg Inspection Request For: 08/10/2005 ·. Permit# CB052894 Title: SMITH RES-UPGRADE ELECT Description: 100 TO 200 AMP Type: ELEC Sub Type: Job Address: 1814 GUEVARA RD Suite: Lot 0 Location: APPLICANT LAWRENCE ELECTRIC Owner: SMITH JOE N lll&TERRY ALICIA G Remarks: Total Time: Inspector Assignment: Phone: 7607266168 Requested By: N/A Entered By: JANEAN CD Description 33 Service Change/Upgrade Act Comment -e:1/Y) f---: -!fp.--~(_____L_I__~, -- 2f'r f1Ylfrt..-~ a»[~ I~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments