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Home My WebLink About1301 SHOREBIRD LN; ; CB003404; Permit, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/14/2000 Electrical Permit Permit No:CB003404 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1301 SHOREBIRD LN CBAD ELEC 2157800700 Loi#: 0 ELEC OUTS;ETS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/14/2000 JM 09/14/2000 09/14/2000 ALLSCAPE INC PMB403 DOWNES HAROLD&MARY A TRUST 02-28-90 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 760 480-4041 Total Fees: $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 1301 SHOREBIRD LN CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 $0.00 FINAL APPROVAL Date: la-fZ-00 Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $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 r~ht 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. xv J . ' FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Cl) 3~tJL,,/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Depos,~i!ati.4-.-----~--- Validated By·...:,..J!.L~-,,,-,t-,,-,+-,,.,,,.--; Date, _______ -6./-<C:....W.J.,,~<'., 1. PROJECT INFORMATION 1301 Shorebird Iane. Carlsbad, CA Addre~s (mclude Bldg/Suite #l Business Name (at this address) Legal Dosctiption Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel # Proposed Use 4 110v lights Doscription of Work hooked to Existing Use existing switch SO. FT. in front: 2 1 JOv #of Stories lights hooked to II of Bedrooms exisitng switch in # of Bathrooms back. 2. CONTACT PERSON lit different from applicant) Name Address City State/Zip Telephone# Fax I 3. APPLICANT frconmu::tor D Agent for Contractor O Owner D Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER Harold and MaryAnn Downes, 1301 Shorebird Lane, Carlsbad. CA 92009. 760,602.8437 Name Address City State/Zip Telephone II 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 extJmptIon. 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 [$5001), Mark A, Snith, AJl::r:&12 IaCXHJl!.P & D-nign, Jrx:: • 629 S RlD:±n &nJ-a Fe R4 IM3 JQ3 Slo Maro::s~ CA 92069 7ffi 480., Name Address City State/Zip Telep one # Stale Lict1nse # 7 1 4 0 0 4 License Class C-2 7 City Business License II l 2 0 3 ] ] 4 Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. tE:I I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance Company fl'RMFR ~ S INSlJisbNCE Policy No. N2QQ8 79 65 Expiration Date 7 /28,/Q J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O 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: F1:1ilure to secure workera' compensation coverage is unlawful, and ahall subject an employer to criminal penaltiea and civil fine• up to one hundred thouum.1 dolhr.rs ($1 • 00), i(I addition to pensation, damagea as provided for in Section 3706 of th~abor coda, i~i,-eat and attorney's fees. SIGNATURE y DATE ~/V-tJV 7. OWNER-BUILDER DECLARATION I hereby c1tfirm that I am exempt from the Contractor's License Law for the following reason: O I, c1s 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). D 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 contrector(s) licensed pursuant to the Contractor's License Law). D 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. 0 YES ONO 2. I (h.ive I have not) sigmid an apphc<1tion for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number I contractors license number): 4. I pl;:an 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 / phone numbtir / contractors license numbt:lr): ________________________________________________ _ 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 I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ COMPLETI:. THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is tha applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progrdm under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ls the applicant or future budd111g occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE VES, A FINAL CERTIFICATE OF OCCUPANCY MAV 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. 6. CONSTRUCTION L.(NOING AGENCY I hereby affirm that there is a construction lending agency for the performanco of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS, __________________________ _ 9. APPLICANT CERTIFICATION I ct1rtify that I have read thu applic,1t1on and state lhat the above information is correct and that the information on the plans is accurate. I agree to comply with ■II City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned proptirty for inspection purposes. I ALtiO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pttrmit is required for excavc1tions over 5'0~ 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 shall expire by limitation and become null and void if the building or work c1utt1ori1.:d by such permit Is not comm ced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned al u11y t11ne utter the work if:;4.oryirnen for 3 periQd ol 180 day ( ction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /:'._.\,. __,~)(1;!c"1c..J.'..d&<~'__,,L_~,!,,_~~i.-----------DATE --=-?_-('.'---'-)'-'_,---,,_@=-.. ___ _ WHITE: File YELLOW: Applicant PINK: Finance --------.---·--- City of Carlsbad Bldg Inspection Request Permit# CB003404 Title: ELEC OUTS;ETS Description: For: 10/10/2000 Type:ELEC Sub Type: Job Address: Suite: Location: 1301 SHOREBIRD LN Lot APPLICANT ALLSCAPE INC 0 Owner: DOWNES HAROLD&MARY A TRUST 02-28-90 Remarks: Total Time: CD Description Act Comments Inspector Assignment: JL --- Phone: 7604804041 Inspector: \,TL Requested By: N/A Entered By: ROBIN 34 Rough Electric t1L Gqacfu IT Associated PCRs Inspection History Date Description 10/4/2000 31 Underground/Conduit-Wiring Act lnsp Comments AP JJ GAS LINE