HomeMy WebLinkAbout1420 FARADAY AVE; ; CB020632; Permit02-28-2002
City of Carlsbad
1635 Faraday Av Carlsbad, OA 92008
Electrical Permit Permit No: CB020632
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #:
Project Title:
1420 FARADAY AV CBAD
ELEO
TEMP POWER POLE
Lot #:
Status: ISSUED
Applied: 02/28/2002
Entered By: RMA
Plan Approved: 02/28/2002
Issued: 02/28/2002
Inspect Area:
Applicant:
POWER PLUS
436 N QUINCE ST
ESCONDIDO CA 92025
760 839-9430
Owner:
2012 02/28/02 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
$10.00
n $0.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$20.00
inspector:
FINAL APPROVAL
: /V/Z-A:Date 2=.Clearance:
NOTICE: Please take NOTICE Ipat approval of your pn^ Includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as feea/exactions.' You teve 90 days from the date this permft was Issued to protest Imposition of these fees/exactions. If you protest them, you must
follow 6ie protest procedures set forth In Government Code Section 66020(a), and file the protest and any other required information with the CHy Manager for
processing In accordance with Carist)ad Munich Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legai action to attack,
review, set aside, void, or annul their Impositirx).
You are hereby FURTHER NOTIRED that your right to protest the specified feea/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or ciher simltor application processing or service fees In connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have orevlousiv been given a NOTICE slmiar to this, or as to which the statute of limitations has orevlouslv 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.
EST. VAL.
Plan Ck. Deposit
Validated By
Date ^
Address (include BIdg/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
pcx;
2. CONTACT PERSON (if tflfferoht from
SO. FT.
applcant) "
#of Stories # of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone # Fax #
3,APPUCANT □ Contractor ^aent for Contractor Q Ownerr 0 Agent for Owner
Name Address City State/Zip Telephone #
4. PROPERTY OWNER
Name
B. CONTRACTOR ■
Address City StateyZip Telephone #
COMPANY NAME
(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 ItaIssuance, also requires the applicant for such psrmlt 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 allegedexarnptlBB. Any violatlonxf Section 7031 .B by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [♦500]).^<ro^^,^c '=rs^zX~ 3.'=^
Name
State License #
Address
License Class
City State/Zip Telephone #
City Business License # t Z. b 3
Designer Name Address City State/Zip Telephone
State License #
6. WORKEFiS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ 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 wWch this permit is issued.
Vn I have and will maintain workars' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit isi^ued. My worker's compensation insurance carrier and policy number are:
Policy No. f ^ Expiration DateInsurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
□ 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 Califomia.
WARNINQ: Failure to secure workers' compensation coverage Is unlawful, and stiaii sul^ect an employer to criminal penalties and dvl fines up to one hundredthousand dollars (♦100,0<n)^^ addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's feas.
SIGNATURE DATE7. OWNER-BUILDER DEb^^T%N ^
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do ttie work and the structure Is not Intended or offered for sale
(Sec. 7(M4, Business and Professions Code: The Contractor's License Law does not appiy to an owner of property who buiids or improves thereon, and who does
such work himself or through his own empioyees, provided that such improvements are not intended or offered for sale, if, however, the buliding 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).
I~l 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 appiy to an owner of property who builds or Improves thereon, and contracts for such projects with contractorjs) licensed
pursuant to the Comractor's License Law).
□ 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. □ YES QnO
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 tfre proposed corrstruction (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 (Nred) 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-f{ESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk marragement and prevention
program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ 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? □ YES □ NO
is the facility to be constructed within 1,000 feet of the outer boundary of a school site? (Zl YES □ NO
IF ANY OF THE ANSWERS ARE YES, A RNAL 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(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I9. APPUCANT CERTIFICATION
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 ail
City ordinances and State laws relating to building construction, i hereby authorize representatives of the CitV of Cariabad 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 E'O" 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 tjy limitation and become null and void If the building or work
authorized by such permit Is not commenced within 180 days from ttie date of such permit or If ttie building or work auttiorized by such permit Is suspended or attarxloned
at any time after the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Ckxfe).
APPLICANT'S SIGNATURE DATE
WHITE: Fne YELLOW: Appllcam PINK: Finance
City of Carlsbad BIdg Inspection Request
For. 03/12/2002
Permit# CB020632
Title: TEMP POWER POLE
Description:
Type:ELEC Sub Type:
Job Address: 1420 FARADAY AV
Suite: Lot 0
Location:
APPLICANT POWER PLUS
Owner:
Remarks:
Inspector Assignment:
Phone: 7608399430
Inspector
Total Time:
CD Description
32 Const Service/Agricultural
Associated PCRs
Requested By: MICHELE
Entered By: CHRISTINE
Act Comments
Inspection History
Date Description Act insp Comments
./