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Home My WebLink About1373 CHESTNUT AVE; ; CB011725; Permit05/10/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB011725 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1373 CHESTNUT AV CBAD ELEC TEMP POER POLE Lot#: Status: ISSUED Applied: 05/10/2001 Entered By: JM Plan Approved: 05/10/2001 Issued: 05/10/2001 Inspect Area: Applicant: TEMP UTILITY SERVICES 1167 LAW ST SAN MARCOS, CA 92069 619-471-5494 Owner: 9010 05/10/01 0002 01 02 CGP 20=00 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 Additional Fees TOTAL PERMIT FEES 0 0 0 0 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Inspector: FINAL ARPROVAL Date:Clearance: 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave,, Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY /#-?PLAN CHECK NO.C/,2/ EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel tt Existing Use Proposed Use Description of Work -V*it'vwp <POvjO-e<Z.<P>al<. 2.,: CONTACT PERSON (if different from applicant) SQ. FT.#of Stories tt of Bedrooms tt of Bathrooms Name ^^ Address City 3.' 'APPlllCANT 'Q, Contraptor. (STAgent, for Contractor"" D Owner Q Agent for Owner State/Zip Telephone tt Fax tt Address CitV Telephone 4. PROPERTY OWNER Address Citv£.etec*5cJ State/Zip Telephone* '7 25? 7 «?£=></Name ,5. :. CONTRACTOR - COMPANY (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 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 [$500!). 760 Name State License tt *f "2. 3 5 Address ~*^2 f'i ^ K? License Class <L (o\ City State/Zip City Business License tt j c Telephone tt Designer Name State License tt Address City State/Zip Telephone fli WORKERS' COMPENSATION , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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 <^~j(. e\\~<l 4-W'^iCV _ _^ Policy No. / S~S"5'' / / O ''OC- Expiration Date 3 " 3 ' ' O'tL (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE gT^^U _ . _ _ DATE ^^f~ ~_ . _ _ _ _ 7, ',' OWNER-BUILDER DECRATION ~ ~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 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). Q 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(s) licensed pursuant to the Contractor's License Law). Q 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, d YES CDNO 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 NO 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 CD 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 Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES fj 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. 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(i) Civil Code). LENDER'S NAME _ LENDER'S ADDRESS~ 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 CitV 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedJor a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE City of Carlsbad Bldg Inspection Request For: 05/16/2001 Permit# CB011725 Title: TEMP POER POLE Description: Inspector Assignment: Type: ELEC Sub Type: Job Address: 1373 CHESTNUT AV Suite: Lot 0 Location: APPLICANT POWER PLUS Owner: Remarks: Phone: 7608399430 Inspector: Total Time: CD Description Apt. Comments 32 Const. Service/Agricultural Requested By: MICHELE Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 05/0B/2001 16:44 7075287663 PERMIT SERVICES INC PAGE 03 Confirmation oi Temporary meter and service request 05/08/01 _^ __ Pfaons ; 760 729-?964 Want date; jervice Address. 1373 CHESTNUT AVE CAt^'^ADTI5M3^7.()ie "~~~ Phone: 760839-9431 We have investigated your request for temporary service and determined that the facilities 3331 have identified as P12?3S1 STA$303-99S .are/are not mechanically available for your use in providing temporary power for youi project If temporary service Is to be provided underground, please place your facilities no closer than. 7 ft or no ftirther than 20 ft from tfie Utility source described above (see generic sketch below). For any questions concerning shis form or further information call San Diego Gas & Electric at: BSTELA 760 480-7642 Iiif'urroation. Meter heigh; = 4*0* mm -6-3" max from fluisfc gr«de to ssnierUw af metst base. Meters art «<{ui<«t to be readily wecffitfe 24 Hi*, /day MM*« wtut lt«in a tafo .sn™ free of Mi^ jsownsioJ hninio « iiingerot ^snaer,room it proposii, contact the netMM SDC&E office. Mttef bant ana tgryJM dittonntaM BWsl be kaaiad w Witt tddrcfs «n4toand b*unii number it 48 irs prior to trenching. Main Sw»tdL_ ZOO ramew; phone Dig A!«t I-800-422-41J3 at kast i _ niasB J^.Wtro* _ mm Clips !2W2*__voie Utilitiej nutximum Qontrilwtion to fault current amps For dead front transformers, trench ta Facility in the shaded area Customer i fediitiqe to i««ivc d«ctnc service are subject B> ail ipplicaiier !M»J and Srtte of C«&&>mi> impecttoa auihcriiy reijuitements, Buikiiog mttcr bate MzMt )w potted (»«w ta ntttcr Jet Information en this sh«r is void after 4' rrrentds fiom due of issue. Jf SDG&E cnoowierf hazardaoi t» toxic mfcSriM v»tole psrforening conKimctlen 9f your project, wwk win halt SmnKdittcly and it win be your respoasibilitv to remove ami/or cl:-*r ail h wardens cr toxic ias»M prior to SOG&E continuing comttuciion, SOOfeE shail have no liability c? obllggtion to clean, nm#v« or rcmcdlsii. nay botniilous or u»Jc nuwrfat diswvwwJ iurlog •** eewrM of woKriMSicn. Unless it U threngh o«yti0enM of GDOAE. revised 12/29/CC .BSL'35 RPR 25, 2801 •12880 2-'E CERTIFICATE OF LIABILITY l4««M«t 05CO4C Qftft » CX »172J , Inc. c?:S!£i*ts!j»$i arfcOrwg« TUB OI^V ANC <»NreM NO RMMT9 UMN THE CttrrnCATE HOLDER, TH* CEftmCATE OOCSHOT AMEND, CXTCMO CMALTER THE COMBW0C AfKMOfB «r TW1 POUCC* WEtOW MSUMRS AFFOWJWO COVCftAtie »»ttoa taa. glovar* laa.Co gt . Co, WSURERO: INSUWHE. COVPUBM THI *OUCM9 OF imumiiM L snto Mto* fVW! 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