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Home My WebLink About1376 CYNTHIA LN; ; CB012498; Permit07/25/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB012498 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1376 CYNTHIA LN CBAD St: TP ELEC 1562304100 Lot#: HERMOSA CONSTR/TEMP POWER POLE Status: ISSUED Applied: 07/25/2001 Entered By: CB Plan Approved: 07/25/2001 Issued: 07/25/2001 Inspect Area: Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner: PACIFIC VIEW DEVELOPMENT C/OGARYW1NANS 5656 07/25/01 0002 01 02 2541 STATE ST #202 CGP 20, CARLSBAD CA 92008 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 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Inspector: FINAL APPROVAL 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 Carisbad 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 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated Bv Date Address (include Blclg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work SO. FT.#of Stories # of Bedrooms # of Bathrooms •760 Name Fax #Telephone # Name City State/Zip Telephone 9 Name Address City State/Zip Telephone # (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. Apy-wiolation of Section 2031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name ( Address State License # O 2^ ^ 0 iTts License Class t « Designer Name Address State License # City State/Zip Telephone # ' / City Business License # 1 ~2-& e> 2, $~$ City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wilt 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 S* 4" TV v^^T _ Policy No. ' ~~><JJ> / }0 _ Expiration Date {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 ia unlawful, and shall subject an employer to criminal panaltiaa and cjvil fines up to one hundred thousand dollars ($100,008), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE «^V'-"^S-<n' DATE "7" *2-b "Of 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). O 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). O 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. O YES QlSIO 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 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES Q 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. 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 commenced for a peftpd of ISOdays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITBV File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/27/2001 Permit# CB012498 Title: HERMOSA CONSTR/TEMP POWER POLE Description: Inspector Assignment: Type: ELEC Sub Type: Job Address: 1376 CYNTHIA LN Suite: TP Lot ( Location: APPLICANT POWER PLUS Owner: Remarks: Phone: 7608399430 Inspector Total Time: CD Description Act Comments 32 Const. Service/Agricultural Requested By: MICHELE Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 87/23/2031 16:37 7075287663 •;!! m 03:38 PM CITY OF CfiRSLBflD OLU 0>D. >- PERMIT SERVICES INC /"")FAX NO. 780 602 8556 Q PAGE 98 P. 03 rsl Q 07/23/2091 16:37 70752876B3 PERMIT SERVICES INC PAGE 10 .#07/21/01 Confirmation of meter and service request Cuttomsr: HKRMOSA CONSTRUCTION Phone: 7607297964 Wanidate: Service AddtCM: 197< CVNTmA LN TP CB DPSS 140110010 Contact MICHELLE SCOTT Phone: 760 839 9430 We have investigated your request for lernpgiiry service and determiaed that the facilities jpjj have identified as U 103361 are mechanically available for your use in providing temporary power for your project. If temporary S«rvic« U W be provided underground, plflase place your facilities no closer than 7 ft or no fiirtbttr than 20 6 from the Utility sotirce de-ftarftad AhrtVfi (ftw* gftuftnc. aVtxeh hslmw). .is &OOB qa von erevldc its with a finno dot? ypu plan to imtftU ygur fgnUttioc, we aon nohodulo ygur service installatJon. The meter vl tot w diae j-ecept of >t hitn oBlication and muicipal For my questions concsmirg this form or further information call San Di*JO OlS & ElftCfftc &C: John Acuna 760 480 7623 Gongral Cnitomer lirformatian. Mnief h8iEhr-<'0"mln-(l'l" mix farn flnisti grwlc w cwcDrlinc of meter t. M«WS«fe ccqoircd IB be readily actctsiblft M Hn. AMJ Mctcn must be It) 4 lift Mtt Ate «f Ifty MUlRiU hURH* <* (JW{it»Ui Mnditianl. y X.V ftlBtf Mut Ifctfal Uiftnitinf tpU* IB ftMl df mfitCI1. WhtH )Mt6l'tpU* IB ftMl 100m is prflpaaed, eaotict the neuect SDCiE office. Mara., hatai! tn|H r«rMJne <bi«j^^p*pti miut b* locttod at to etch uid b* Idwtlflci wirt &Uiotc u>d jnlt number « servo. *: mutt miintttn a minimum of of strut or 1212 ft @ point of connection. 18 ft curb whichever i< less, liftgvtrwmraireii] driv«v/««, 12 ft overreii4«ntUl dnvewtyi Mainrdn all required 0.0.95 cleuanees. UailtrpTmntf ffrvlcM! phonfi Dis Alert 1-800-422-4133 at feUI 48 hn prior to 100 amps3my mue 3 wm 4 nucer. Ciipt 1 20/i4(j volts Utilities maximum contribution » Aull CUne&l <^1C AIC For dead front transformers, trench co FKitity in the shaded wsa ^!—• Cl*4ri Level in Front of HUT. ••• MM* i Dead front ! I Transfertnere ! n ^~mnf owned AtciifiiCf u tawlvc fitocdc ;arviet ire luejec: » m ipftbcaaie bul and atue of Ctltforeia i«p«don e\j*ori^ and/or ine«rb»Mimi»t>SpftSttdprio»'to aiaicr act, Jnfcmiattoii cmthlt tftcct IE void irfter 4 monihs fVoiadm* of issua artowlo maswiiil wtilopotionn]nft»rUtfW*T)iri af yvji-pr«jo«c, w*rfe will hsltlmmedliwly ^crt !n*lt! hf/n-ir »«pn remove into: ckin tH htfudoui or nwie mitn-lit pnor to SDGftfi ccnanuinj MrtfiVCTion. SMiE ih*ll b»vc no lutbility at otligUton to dean, iny hRZinlOUS «r tpxic material discovered during the tnurec of cOwtruClion Unteai it >4 tiKOttgb uc»U»tiS« of SDQAt, (iWdfrOr.t.doc revised 2801 »12fl00 PftGC' AOttft. CERTIFICATE OF LIABILITY IN8URANC Vmllay tmnnaca Mtvi««. Inc UMMii OMffl4fl•tt •»•» MUMWft **•*«< QQMBUflBBi "i iiff!."j!ia •.i- —WM r I