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Home My WebLink About1285 SHOREBIRD LN; ; CB003403; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/14/2000 Electrical Permit Permit No:CB003403 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1285 SHOREBIRD LN CBAD ELEC Status: Parcel No: 2157801100 Lot#: 0 Applied: Reference #: Project Title: Applicant: ALLSCAPE INC PMB403 ELEC TO OUTLETS 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 760 480-4041 Entered By: Plan Approved: Issued: Inspect Area: Owner: WILLIS FAMILY TRUST 12-06-98 1285 SHOREBIRD LN CARLSBAD CA 92009 ISSUED 09/14/2000 JM 09/14/2000 09/14/2000 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 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 TOTAL PERMIT FEES Inspector: ~ 0 0 0 0 FINAL APPROVAL Date: 1-2.J.CJ/ Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 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 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 oreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviousfv otherwise exnired. FOR OFFICE USE ONLY ' . PERMIT APPLICATION PLAN CHECK r{i, t?;(/d 3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ 1. PROJECT INFORMATION 1285 Shirebird Lane, Carlsbad, CA Addre!.s (include Bldg/Suite #) Business Name lat this address) legal Dt1scription Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units As!.t1ssor's Parcel# Existing Use Proposed Use 4 ea J J Ov J i ghts hooked ta switches Dtiscription of Work exi sti og J i ght SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON lit ditftlront from applicant) Name Address 3. APPLICANT j5;:Contractor D Agent for Car.tractor Name Address 4. PROPERTY OWNER City 0 Owner O Agent tor Owner City Marilyn Willis, 1285 Shorebird Lane. earl sbaa, CA 920D9 Name Address City 5. CONTRACTOR • COMPANY NAME State/Zip Telephone# Fax I State/Zip Telephone II 76D 438 QJ55 S.tate/Zip Telephone# (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 tor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chopter 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($6001). M,rl; A, Snith. AJJRJ3P;' Iaai;rap? & Design. Trr; • 629 S Rm:to Saot·a Ee RJ R!E ~03, Sm Mm:rs, CTI 92069 760 400, Name Address City State/Zip Telephone # State License # 7 1 4 0 0 4 License Class C-2 7 City Business License # 12 Q 3 1 J 4 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I h;ive 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 the work for which this permit is issued. '3:} J 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 la issued. My worker's cornptrnsdt,on insurance carrier and policy number are: Insurance Company _ _FffijIB.....:Ji_lli..._SU@NCE Policy No. N20Q8 79 65 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS !$100] OR LESS) Expiration Date 7 /2 8 /Q 1 D 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 bticome subject to the Workers' Compensation Laws of California. WARNING: Failure to ecure workera' compensation coverage is unlawful. and shal subject an employer to crimin• penalties and civil fines up to one hundrad thousand dollars 1$10 . 01, in a(t,dition to the of o pensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE / DATE r-~10--tti2 7. OWNER·6UIL ER DECLARATION I htirtiby affirm that I am exempt from the Contractor's Li ense Law for the following 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 (St1c. 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 doea 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, th1:1 owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the pr0perty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License law dot1s not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's license Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I pt1rsonally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (hi.Ive / have not) signed an application for a building permit for the proposed work. 3. I havt1 contractud 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 I address I phone number/ contractors license number!: ________________________________________________ _ 5. J 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): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls 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 Act7 D YES D 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 O NO Is thti ·facility to be constructt1d within 1,000 feet of the outer boundary of a school site7 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 ANO 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 rt:lating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned propurty for inspt1ct1on purpo!>us. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is rtiquirad for excavations over 5'0H deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pHmit is!:>u&d by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work author1u d by such permit 1s not comrnenrnd w1th1n 180 days from the date of such permit or 11 the building or work authorized by such perrmt 1s suspended or abandoned c1t dr1y 11rne after tt1e work 1s,...pmmerifJf !or a pevod of 180 days ( e t1on 106 4 Uniform Bu1ldmg Code) APPLICANT'S SIGNATURE /i AIM -1., ".11 I DATE ?-/ </--µ WHITE: File : Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB003403 Title: ELEC TO OUTLETS Description: For: 03/22/2001 Type:ELEC Sub Type: Job Address: Suite: Location: 1285 SHOREBIRD LN Lot APPLICANT ALLSCAPE INC 0 Owner: WILLIS FAMILY TRUST 12-06-98 Remarks: GATE CODE #2222 Total Time: CD Description Act Comments 39 Final Electrical Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: JL --- Phone: 7604804041 Inspector: ~ Requested By: ALLSCAPE LANDSCAPE Entered By: CHRISTINE 10/04/2000 31 Underground/Conduit-Wiring AP JJ CONDUIT WIRING