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Home My WebLink About1153 HOOVER AVE; ; CB992374; PermitCity of Carlsbad 06/25/1999 Electrical Permit Permit No:CB99237 4 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: POWER PLUS 1153 HOOVER ST CBAD ELEC TEMP POWER POLE 436 N QUINCE STREET ESCONDIDO CA 92025 760-839-9430 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 Inspector: FINAL APPROVAL Date: :J J b /Cf=t Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/25/1999 JM 06/25/1999 06/25/1999 1273 06/25/99 0001 01 02 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 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 aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 • • PERMIT APPLICATION FOR OFFICE USE ON~/1 rJoJh PLAN CHECK NO ._....:L--f~ '-.._ l_..lL:_;.____,,)1 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. -------,,~H-t'7'1:r Plan Ck. Oepos:..:it;irl-:------"----- Validated By_~4-~,---:;::i,-r-:--:::~n:::, Oate _______ --f.,9,j~..-(o:,lf--fr-f- 1. PIIO-iECT fNFORMATION-=r-·• . : w:--.~~~-u,;: 1!'~ P!' ,;J:;;Jt:~ ~~:,;r~:· ;::;':I{;--•-· Li.53 Hoover 5 I. . . Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel I :r:,,, f-t-q// Existing Use pd cA/-t!!C P-le. Description of Work SO. FT. lot Stories 2. Unit No. Phase No. Proposed Use I of Bedrooms ••. ;. .;_~ ':J."' ._l 'f'.1'19jf,:'i'U•'!' Total I of units I of Bathrooms Name Address • City State/Zip Telephone I Fax , 3. -APPLICANT G/m.er Name .·□ tontrac:tor:!;~m;,.fenlio~'irtri'"ctof~E~er·:,:}EJS~~~ofi>wiw't~:::_~:-.-.. ,, .:·· ~~.'.E'· ::,~: '"~:~; : .. C.ly,rn e, O. Box-76 :1 , ~.L?, C.,,,,f/c,7c~ 7 ' Address City State/Zip Telephone I Name Address City State/Zip Telephone I 6. CONTRACTOR;; COMPANY'.NAM~~~ ""·:;. ~-~.;:-.... ~~~~--. , :,~~ ·•-:.~~!,i?;~~~;;;-...,.·;.;J. tJ:~:..-:.,..:..~ ~ -:.:I\\~::: ~~~-,:~~-~. ~ . -: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, attar, 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 ■nd Professions Code) or that he is exempt therefrom, and the basis for the alleged elSl,mption. Any vi«;J,tion of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not m,o~ than five hundred dollars ($500)1. {-'C,vVer" rlu$ 4¼ ,;v, aw,AC~ ?1"; fi3~con,zef-/o C.,,.,/92'-ZS" g-79'-9y.1't' Name State License I _S-_-Z--').'---5"''---~-'i:(5-"---- Address City State/Zip Telephone I License Class __ C.._-_G_/ ___ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 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 certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Lebor Code, for the performance of the work for which this permit is issued. Jid... 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 numbJ, are: Insurance Company S'z:q Te E t:-T nq:__ Policy No. I S"'5'S'" I/' 0 -y z': Expiration Date 3 -3 / -c:J 0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•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 es to become subject to the Workers' Compensation Laws of California. WARNING: Falklre to secure workan' cornotlftSlltkl,n covange la unlawful, and ahal subject en employer to crlmlnal penaltlea and civll flnn up to -hundred thousand dollara ($1 In addition to of compensation, damage■ u provided for In Section 3706 of the !,,,bor ~•• ln1f1LH1 and attorney'■ fH■. SIGNATURE _ ___j:::..,C:12~L-~~~~~------------DATE '7 -;,t. "j-7 'J' ~ . - I hereby affirm that I em exempt from the Co actor's License Law for the following reason: 0 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 (Sec. 7044, Business end 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 ■re not intended or offered for sale. If, however, the building or Improvement la 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 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, end contracts for such projects with contrector(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business end Professions Code for this reason; 1. I personelly plan to provide the major lebor 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 / 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 / contractors license number): ______________________________________________ _ 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 -----------COMPLETE THIS SECTION FOR NON-RESIDEN71AL BUILDINO PERMITS'ONLY .. ., is the applicant or future building occupant required to submit • business plan, ■cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE 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. CONSTRUCTION LENDING:~"GEN~v_i:::?t:~·~ ~.'~:J · ••·~~~"'·t~'.''"',s•:r:s:r,,, .. ,,.v., .• 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). LENDER'S NAME______________ LENDER'S ADDR~ss _______________________ _ ;s. APPLICANT cERnFICAnoN\~!..:·1 ';:i·-~,~~-~;::;:~~~;; .... ~::··M: ... •·;~-;;::::~:.:~ .!··~;t).:: "~•z1~J~-~.11~~~r.:~?;.:5s?~ .. .,. "_ ·"~-~R · 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 Coda shall expire by limitation and become null end void if the building or work 11!.lthorized by such permit is not commenced within 365 d vs from the date of ■uch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the r mmenced f p d of 180 days (Section 106.4.4 Uniform Building Code). · DATE _c_-_:1_¥_-_~_'1 ___ _ YELLOW: Applicant PINK: Finance 4\ \17 City of Carlsbad Inspection Request For: 6/28/99 Permit# CB992374 Title: TEMP POWER POLE Description : Type: ELEC Sub Type: Job Address: Suite: 1153 HOOVER ST l.:.ot Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: S \S Phone: 7608399430 Inspector: .S\\ Requested By: MICHELE Entered By: CHRISTINE 32 Const. Service/Agricultural {\~ ____________________ _ Inspection History Date Description Act lnsp Comments