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Home My WebLink About2561 TOWN GARDEN RD; TP; CB044713; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29-2004 Electrical Permit Permit No: CB044713 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2561 TOWN GARDEN RD CBAD '(P ELEC Parcel No: 0000000000 Lot #: 0 Reference#: Project Title: BRESSI RANCH TEMP POWER POLE PLANNING AREA 10 ~~~i~WER SYSTEMS) ,---•~•••-•r_, ... 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 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 o 0 0 Owner: Total Fees: $20.00 Total Payments To Date: Inspector: c7~ FINA1~~~L Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/29/2004 SB 12/29/2004 12/29/2004 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $0.00 Balance Due: Clearance: $20.00 NOTICE Please take NOTICE that approval of your project includes the "Imposition" of 1ees, ded1calions, reservations, or other exactions hereafter collectively relerred lo a5 "tees/exactions," You have 90 days from the dale lhis permit was issuej to prolest 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 protesl and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to limely follow that procedure will bar any subsequent legal action lo 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 lees and capacity changes, nor planning, zornng, grading or other similar application processing or service lees in connection with this project. NOR DOES IT APPLY to any fees/exactions o1 which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has orevioustv otherwise exoired. FOR OFFICE USE ONLY ' PERMIT APPLICIION PLAN CHECK NO. 0 ;_/ l.( 1 (J CITY OF CARLSB BUILDING DEPARTMENT • ' ,-1, EST. VAL __________ _ 1635 Faraday Ave.:_ ' arlsbad, CA 92008 Plan Ck. Deposit ~ ...... :5:.---------- Validated By~<;,.~_r__, ,,; ______ _ Date ( 2-/,z_.q Jc,._/ t r I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total It of units Assessor's Parcel # *Temp Power Pole Existing Use Proposed Use Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# 3; • ·:AP'cfa'& ~ym3tif2~~est_fS~t~~r~-x1 ~~~ev.Pt~9CA.Ow9i084 760-439-1999 Name Address City State/Zip Telephone II 760-804-7700 Name Address City State/Zip Telephone # 5.• ·' edNI~C'l'06{~cCPMPANY NAME'· ISec. 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 exempti~mplt'o~~t~ys1tWi;y f4~1i~t ~ranitttXvt V~sut t1t pe?J}tfs~r more than fiv3/6~~e41o~a~i [99~). Name Address City State/Zip Telephone It State License # * 4 8 J 43 J License Class ---~C-~}1-+O-1------City Business License II 1201652 Designer Name Address City State/Zip Telephone State License # _________ _ ;e, · WQRKERS\CQMPlr-J.$A110N 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 for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I 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 is issued. My worker's compensation insurance carrier and policy number are: Insurance Company*State Fund Policy No. 1589783-2003 Expiration Date 1 0/01 /04 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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: Failure to rs' compensation coverage Is unlawful, end shell subject en employer to criminal penalties and civil fines "up__ to one hundred tlon to the cost of compensation, demages as provided for In Section 3706 of the labor code, Interest and attorney's fees. DATE , 1... '¼-a'-{ pt from the Contractor's License Law for the following reason: 0 I, as owner of the pro rty 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 ottered 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 salal. 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 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 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 person (firm) to provide the proposed construction (include name I 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 / phone number I contractors license numberl: ________________________________________________ _ 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 / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ • C::Qr,tP.~E,il'f:tll11$i'SE¢'ff!)Nlf)()Q!,fON..RESI.QBlr'.ftA(!;Bl)ll;.P.INQl;p1;J(MJ;t$i:QNl!Y}illLl:ltl1U]i?W ,!; Cii'i!",h , ,,. ,;;,:8 '!':A:' (:;! tI!t Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ·f:il:l{¢!:fN$';i'~VP,IIQl'(,1;~.PlNQlAG~N¢:Y::t;r,::,i::::t1,:1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 30971ll Civil Code). LENDER'S NAME _____________ _ i~(,i,:,::,A:e.Pt.!OAl\lfi,~iSflTli!'IG:irlo'NJ:,:::0;;:;:;;;:.,rr•:,,:;::',,t:;i;iiitil:<til\'i,;i., 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 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 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 authorized by such permit is not co ced ·n 180 days from the date of such permit or if the building or work authorlzed by such permit is sus ended or abandoned at any time after the work is com nee for e iod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance