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Home My WebLink About1730 POINSETTIA LN; MP; CB994556; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/11/2000 Electrical Permit Permit No:CB994556 Building Inspection Request Line (760) 602-2725 Job Address: 1730 POINSETTIA LN CBAD Nl,f Permit Type: ELEC Parcel No: Reference #: Project Title: IRRIG METER PED 100 AMP Applicant: POWER PLUS 436 N QUINCE ESCONDIDO CA 92025 760-839-9430 Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/10/1999 JM 12/10/1999 12/10/1999 TL Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: 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 TOTAL PERMIT FEES Inspector: 1L 100 0 0 0 FINAL AP~RO IAL Date: / 7__. t I ~D . I , Clearance: $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reseNations, 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 Ca~sbad 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. ---1- 1 - PERMIT. APPLICATION FOR OFFICE USE 'l!'Jbr L I~ PLAN CHECK NO. -l,..,' {SC:S VI ,,,. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL _________ _ noN·:;~~~E~~~~~~~T~\':riJJ~H~Li~~Ftm~-r~1;~;·:.-•· 'CJ ,'n 5eH /c; Plan Ck. Depos1t~ Validated By \... __ / <,_ Date -~t/(~1 :.:1 •• Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Address ' City State/Zip Telephone fl Fax fl z 2 3 -'7tJl6 Address City 'w ~R;+~~WNER'~c, 7,~;·~:!~~~~Jl ;:f~~)}~"t;i ·It1~;,'1~v1itzt;~~i:~i,,t~~i%>( ;, .. Name Ad City State · . '~·-~--•-·_,,. (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 Lew [Chapter 9, commending with Section 7000 of Division 3 o! the Business and Professlona Codel or that he is exempt therefrom, and the basis for the alleged ex mption. Any violation of Section 7031.5 by any epplicant for• permit subjects the applicant to 1 ci ·1 penal!Y ot,rot ore than five hundre dollars ($5001). we,, f'luf' 'f {, . {,,(,nc 5~ E .fco'ldt. o c..,/j-~ t:?2cJ2 7'50 39'-fy,7, Name State License fl ~Z:...,_.;c.2.---=3....:5=---9-_'b __ _ License Class __ L __ --~~/ ___ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License fl _________ _ 6. WORKERS' COMPENSATION . , _ . Workers' Compensation Declaration: I hereby affirm under penalty of perjury _one of the following declarations: 0 I have and will maintain a cenificate 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. ~ I have and will maintain workers' compensation, IS required .by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insur,nce carrier and policy mber are: _ 2 _ Insurance Company. 5 -;1-t:?7"" e r ~ '7 Policy No. I s-~t:J 7 9 Expiration Date / j' /-0 0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS (♦100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I cenify 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 Califomia. thousand dollara (♦ 1 ,0 , addition tot st compensation, damages u provided for In Section 3706 of the Labor code. Interest and attorney's fHs, WARNING: Failure to cure workera' com~ "'11119 Is unlawful, ■nd ah■ll aubject ■n employer to criminal penllltles and clvll fines up to one hundred SIGNATURE __ ~..,d~~~-____.:!!.._::::Jt~~:.._~_:--___________ DATE / ,2...-/(),... pp 7. OWNER-BUILDER DECLARATION- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, IS owner of the propeny 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 propeny 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 propeny, 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 propeny who builds or improves thereon, and contracts for auch projects with contractor(sl 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 propeny improvement. 0 YES ONO 2. I (have / have notl 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 I: 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number): ______________________________________________ _ 5. I will provide some of the work, but l have contracted (hired) the following peraons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR,NON-RES1DEN11AL·■UILDINO PERMITS:ONLY,,,;,.,. ;,: ... '. . ....;,_~l:11, , ... , . Is the applicant or future building occupant required to aubmit 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? O 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 • school site 7 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. !8~ .··• ~~t,;.snu~o_,. ~Q1NQ~~Ji~~V~t:~t't7?:.JJi-t.~3r(r0J~I:~{'.~;~w;r~7~'~:~~:~~::t~'.}i/~~i('~ 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 I. LENDER'S NAME ______________ _ I cen ify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I igree 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 propeny 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 AGAl~ST 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 permit issued by the Building Official under the provisions of this Code ahall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced within 365 days fr the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the menced for a od 80 days (Section 106.4.4 Uniform Building Code!. · ,-/ # , 9 <:>t APPLICANT'S SIGNATURE __ ....!i......::==--=;c_--.x....-=~",t:_;:::_:~:::-_________ DATE _.,/,_:,). __________ _ YELLOW: Applicant PINK: Finance ~--· ~--_\,.. -- ---~---·-·- P.03 . -' --. -~. ~ --:-.· ~-, ... < ·: . 5£Zh. @·· l -~ . ··./ .... -~-P"~ . .. ~... . 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