Loading...
HomeMy WebLinkAbout1400 AVIARA DR; ; CB042658; Permitbecity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 07-07-2004 Electrical Permit Permit No: CB042658 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot#: 0 Applied: 07/07/2004 Reference #: Plan Approved: 07/07/2004 Issued: 07/07/2004 Project Title: 1400 AVIARA DR CBAD St: TP Entered By: MDP TEMP POWER POLE / ROEL CONST . Inspect Area: Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner: 07/07/04 a002 01 02 CGP 20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration 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 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carisbad, CA 92008 Date - Business Name lat this address) Subdivision NdmeMumber Unit No. Phase No. Total X of units A%+ &v Lot No. p'qt90('t7p) Address (include Bldg/Suite I) Legal Description Assessor's Parcel X Existing Use Proposed Use (Suc. 7031.6 Business end Profeesions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requiree the applicant for such permit to file a signed statement that he is licensed pursrunt to the provisions of the Contractor's License Law Name State LicmnM t 63 Wb City Business License # . Designer Name Address City StatelZip Telephone FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By State Licme X Workers' Compensation Dedaretion: I hereby affirm under penolty of perjury one of the following declarations: 0 of the work for which this permit is issued. issued. My worker's compo Insurance Company Mf 37WF Policy No. m7/@ cffs/ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED WUARS I$lOO] OR LESS) 0 to become subject to the Workers' Compensation Laws of Cslifornie. WARNINQ: F&um to .HV. I hove end will maintain e certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance p I have and will maintain workers' cornpeneation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is r on insurance carrier and pdicy number are: CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner eo as comp.nnknco~ bunlnnrful. un4rh.l ngi.et n.npkywtoah*ulpmultiu.nd dvilfinos up toonelnmdmd to the cost of comp.nutbn, drnupu ea pl0Vid.d for in s.ctlon 3708 of tho L.bgr cop., intereat and attoNmy's fns. I hereby affirm that I am exempt from the Contractor's License Law for the following meson: 0 1, os owner of the property or my employees with wegas as their sde compensation, will do the work and the structure is not intended or offered for de (Sec. 7044, Business and Professions Code: The Contrsctor's Liconse Low does not sppty to an owner of property who builds or improves themon, and who does such work himself or through his own employeoa, 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 hevo the burden of proving that he did not build or improve for the purpose of eale). 0 I, as owner of the property, am exclusively contracting wlth licensed contractors to construct the project (Sec. 7044, Business and Profmions Code: The Contractor's License Law doos not apply to an ownor of property who builds or improves thereon, and contracts for such projects with contractor(s1 lid pursuent to the Contrector's UUIUO Law). 0 1. 2. 3. 4. number I contractors license number): 6. of work): I am exempt under Section I ~~lly plan to provide the ma@ lrbor end materiale for construction of the pr~p~ed property improvement. 0 YES ON0 I (have I have not) slgnod on application for a building permit for the proposed work. I have contracted with the following parson (firm) to provide the proposed construction (include name I eddreu I phone number I contractors license numbor): 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 I address I phone I will provide =me of the work, but I have contracted (hired) the following persons to provide the work indiceted (include name I eddrer I phone number I type Busimu and Professions Code for this reason: Is the applicant or future building occupant required to submit a business plan, ecutely hazardous material. registration form or risk management and prevention program under Sections 26606,26633 or 26634 of the Predey-Tanner Haurdow Substance Account Act?. 0 YES Is the spplicant or future bullding occupant required to obtain a permit from the eir pollution control dimict or air quality menegement district? 0 YES 0 NO k the facility to be constructed within 1,000 feet of the outer bwnduy of e schd site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEmNQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 NO LENDER'S NAM 1 certify that 1 hove read tho applicrtion and state thet the above information is correct end that the Informetion on the plem is accurate. I agree to comply with dl City ordinances and State laws relating to building construction. I hereby euthorize npresentetives of the Ci) of Cerlsbad to enter upon the above mentioned property for inspection purpoees. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABIUTIES, 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 6'0' deep and demolition or construction of structures over 3 stories in height. the provisions of this code shall expire by limitation and become null and wid if the building or wutk the date of such permit or if the building or work authorized by such permit is suspended or abandoned (section 106.4.4 uniform BUiMng Code). APPLICANT'S SIGNATURE DATE 7- WHITE File YELLOW: Applicent PINK: Flnence JM-24-2004 'IHU 10:30 An CITY OF CARSLBff) _., ........ I_ ..-# ; , I , FAX Nd, 760 602.8558 i ! '. ._.." . . *. I" .. ."&..' , f ...... I. 4.. I-..- . P. 02 . ..a ... -- a. .C I .. '! We have investigated your rcqucst for tcrporay service and detcrtniacd that the facilities have identified as R131159 am nwchanically available for your use in providing temporary power for your project. lftemporary service is to be provided undurground, please place your facilities no dour than 7 ft or no Auther dun 20 ft fmm the Utility s~ur~e descn'bed above (stt generic sketch below). I Mane Taybr 760 931 7301 I FERMIT SERVICES INC PAGE ai 71 4-76t-T$81 F744 ~.002/0nt P-QPI