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HomeMy WebLinkAbout1599 TURQUOISE DR; TP; CB990482; PermitCity of Carlsbad 02/03/1999 Electrical Permit Permit No:CB990482 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: POWER PLUS 1599 TURQUOISE DR CBAD ELEC TEMP POWER POLE 846 N QUINCE ST ESCONDIDO CA 92025 760-839-9430 --(f Lot#: 0 Owner: Total Fees: $20.00 Total Payments To Date: 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 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/03/1999 OT 02/03/1999 02/03/1999 6076 02/03/99 0001 01 o: Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 C-PRMT :o.oo $20.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, ded' tions, 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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 'PERMlT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK No.c.#?o/0 "1-8 2. EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ :,:~~//?9oW,~;;~~~~e'ii«F.~~~ifio~L Address (include Bldg/Suite II ~ Business Name lat thi1 addressl Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Alle■sor's Parcel I -r~h, ~ Existing UH Proposed Use Description of Work I SQ. FT. lot Stories # of Bedrooms. # of Bathrooms AddfHI City State/Zip Telephone # Fax ti • ' ' '-~-~~"-'t.•·•t~ ... -~,.~•-,q ... : ...... ' 'J.i 1-tn~::a, tl> ·itf~--f,ri i Name Acldr-■ City S.tate/Zip Telephone I [i~,tOtmulCTDR-'.:iebMPANY,'NA~~ w ., ...,. • tSec. 7031.5 Buaines■ end Profeasions Code: Any City or County which requires• permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, alao requires the applicant for such permit to file • signed statement that he Is licensed pureu■nt to the provisions of the Contractor's License Law [Chepter 9, commending with Section 7000 of 0iviaion 3 of the Business end Professions Code) or that he Is exempt therefrom, end the basis for the alleged exemption. y violation of SectleJI ]031.5 by any 1j~nt for rmit ubjtlcts the applicant to• civil ~tty of nqt "}Of'• th five 1)/Jndred d_A!lars .J.!.50011~ (..,,--/ Iv :J YC ' $' ,,_.Sc~.,, cl1d~ 7 I g I 83 '(-,'13 v Name Stet• License I ---'J'--""':J._J_S-_9_( __ Address License Clan __ ~ __ ?_/ ___ _ City State/Zip ~)!bone I City Business License I l '1-0 (,I? Z-> Designer Name Address City State/Zip Telephone State LicenH # _________ _ ,e:~-._~;'"W0flKERr~COMP£NSATION;.r;~~~~Vi=~~~~lS~~M~-~..J'~;11:;~~'"t:;"~~(Jr:~;r:~~~~:~t!4J~~-.--H .. "";.;~~.;:~-::~ .. ~:;1!~~~-.'::!-:-·- workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain • ceniflc■t■ of consent to self-insure for workers' compensation H provided by Section 3700 of the Labor Code, tor the pertormence ot the work for which this permit Is Issued. 19(' 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 covns■tio? ipsur■nce carrier and policy number ■re: Insurance Company t!_ / /-r Policy No. C... ~ (J ())/I / C) ~ Expiration Date ______ _ tTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I cenltv that in th■ performance of the work for which this permit is issued, I shall not employ any person in any manner so ■s to become subject to the Workers' Compensation Laws of C■litomie. WARNING: F■lluno to ■-worti .. • compllfMldllrl c:ovenige le unlawful, and shd IIUbject an employer to crtmlnel penaltle■ end clvR fine■ up to one hundred thou■■nd dollar■ 1•10 , 0 In addition st of compensation, demagu ea provided for In Section 3708 of the labor coda, lntar■■t end ■ttomey'■ fHs. SIGNATURE 1,<,LA,..,..,,. • DATE ;; ..,. s-9? 7.-1~bWNER-iiulimltoECtARATK>N;~ t~~~i~~~m~.~~~,:,~-fl~~:f,Z~;fi~~C-3.'~~~!~~~~~~;~~~:7":.::r~~I!?:•tfr~lftw.·. I hereby affirm that I ■m exempt trom the Contractor's License Law for the following reason: O I, as owner of the property or my employ-with wages es their sole compensation, will do the work end the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Uc-• Law does not apply to ■n owner of property who builds or improves thereon, and who does such work himselt or through his own employees, provided that such improvements ■re not intended or offered for sale. It, however, the building or improvement i■ sold within one ye■r of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, es owner of the property, ■m exclusively contracting with licensed contractors to construct the project tSec. 7044, Busineas and Professions Code: The Contractor's License Lew does not apply to en o-of property who builds or improves thereon, and contr■ctl for such projects with contractor(sl liceneed pursuant to the Contractor's License Law). 0 I em exempt under Section ______ Business and Professions Code for this ruson: 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 not) signed en application for• building permit tor the proposed worti. 3. I have contracted with the following person (firml to provide the proposed construction (include name / address / phone number / contractors license number): 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 / address / phone number / contractors license numberl: _______________________________________________ _ 5. I will provide aome 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 _________ _ COMPt:m.:THIS'SECilON'FORNtfru;mr;EN'iiAl.aulU>itio~;Q~S~rnf,~~~t,Wa~~'Gi~~~-::z::·7_;"'.;!::iZ.[~!~:fiS;,,L.. Is the applicant or tuture building occupant required to submit • busin-■ plan, acutely haurdous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Actr O ¥E& 0 NO . Is the applicant or future building occupant required to obtain • permit from th• air pollution contrOI district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 fHt of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIACAn 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 POUUTION CONTROL DISTRICT. a~i:QNi'.l'RVCTIOPfUNDJNci'l"GEii~lif,;~~~~~~~~¼~~-·~~;;j~J~t"'@;f.¥.·~~f~..i'';.:.;~:;:,yJ;_;·-~':-:. ,?~:~~~::~~ I hereby affirm that there is • construction lending agency for the performance of th■ work for which this permit is issued (Sec. 3097tn Civil Code I. LENDER'S NAME :;:;;;;:;:;;;:;::;;;:;:;;;::::;;;;::;;;;:;;;;_;;;:;;._;L:E:N::;O:.E;:R',:;S;,;A:;O;O;R;;.E:S:S;;:;;;;:;;;;;;;::;;;;:;;_:;;;:;::;;:;::::::;;::;;:;:::;;;:;;;;;;;:::::;;:::;;:::;:::::::;::;:::::-::;--:-;:-:::;:::;:-::::::::;=:;:::-: '91:~~All;LiC~RCA'.fidN"J.:'.~;~~™~Q/.t.\Z¥:-4¥ti~~~ ... ~...!iZ'~u.a~:_;-~:,:,_~;:·.'~::.::. ... : ..:_:_.~~-::.i:':•~ I cenitv that I have read the application end state that the above information is corTect and that the information on the plans is accurate. I ■grH to comply with all City ordinances and State laws relating to building construction. I hereby authorize rapreHntatives 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 AU 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• dHp 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 commenced within 36 deva from the date of such permit or if the building or work authorized by such permit is suspended or abandoned et any time after commanct,lLgr ·od of 180 days tSection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ..L.::.:d~~:t:__-"7J..~:::;, ~,..~.,~~~4::~-=------------DATE _;;l_,._s_-_5"f' _______ _ YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 2/12/99 Permit# CB990482 Title: TEMP POWER POLE Description: Type:ELEC Sub Type: Job Address: 1599 TURQUOISE DR Suite: Location: I\PPLICANT : POWER PLUS Owner: Remarks: MAY BE DONE Total Time: Lot 32 Const. Service/Agricultu:-at 0 Inspector Assignment: PY --- Phone: Inspector: Requested By: MICHELE Entered By: CHR:STINE CD Description ~c Comments ------------·-------- Inspection History Date Description Act lnsp Comments