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HomeMy WebLinkAbout148 MAPLE AVE; ; CB033286; Permit11-25-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB033286 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 148 MAPLE AV CBAD St T P ELEC Lot# VILLAS DE LUZ TEMP POWER POLE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/25/2003 SB 11/25/2003 11/25/2003 Applicant POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner 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 $1000 $000 . ' -$0 00 $000• - $0 oo4000 $1000 • ' $0 00 $000 $000 $2000 Total Fees $2000 Total Payments To Date $000 Balance Due $2000 9570 11/25/03 0002 QJ CGP Inspector FINALAPPROVAL 7- 2 *7 0 •-/Date / -^ , V " "7 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity 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_nreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION dltY CF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO._£ EST VAL Plan Ck Deposit Validated By Date *£Business Name (at Mis 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 Name Jtft/fylf Address City State/Zip Telephone # Fax Name /flu££&tf 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 Any violation of Section 7031 5 by any applicant for a permit subjects theapplicant to a civil penalty of not more than five hundred dollars I$500J ~ Name ' Address' City State/Zip Telephone # State License # i C-j 5 f & License Class f fCs Citv Business License # Designer Name Address 5f"State License # XK> City State/Zip Telephone wnoMPFMCATinNLtt jlv:;,vc.sj"sp' ! !"r s t!>- — • ? **. s ^ 3» «v ™» r Kf> i~( * wsaF' rr^'s^r ? !3 *>* J,AS ^ * * Y'P****" r=:f\iWW|llpl*C^nl*rt HJ^^I "^ fif;.J srt^l^ a^fi Lk-*^* ^.'-^ J ^^-^ ™ *, "•* ~ 3 s "' s"7 ^& '"s^s-P ^.^.t^ N',&.* < ^fr^t, r>. 3 ^ .~.^ -- - • $ ^£; sJsW^j* i "">;••> ^L Jjt^wi-.&,fi;-~'&;.'V.i.^L& i. i r ^.^ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations>f_J 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 07 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 — VI ^ ft + * ' *—f*'-^' i «£-• L^^J S Insurance Company /$T) f& Sf^f^^_ Policy No W-/C- /f& J\\Y Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failute to secure workeis' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$ 100,000), in addition fa the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE £~7'&C/ '_J^L ~*' DATE 1 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) PI 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 arn 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 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 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 'SECTION FOR /iro;v*es/Qp(Wit BU^LQINQ^ w^^ , zm^A ti&s! L^.vrir.,-^e,'' a i&& €£ :u 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 tna faciiny to be constructed .^.th.n-1,000 feet of the outer boundary o* a school Site?—-0—YES- Q MO — -————-—-. -,^-r_. ___. ~_ *r +*,—,—*_ 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 ta; H ^AREUCANT,; CERTIFICATION.!* SW1 <8 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 City 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 stones 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 1 SQjlays 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^ a period d( 1&9 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 09/22/2004 Permit* CB033286 Title VILLAS DE LUZ TEMP POWER POLE Description Inspector Assignment PD Type ELEC Sub Type Job Address 148 MAPLE AV Suite T P Lot 0 Location APPLICANT POWER PLUS Owner Remarks LOCK IS,DJJMMy_LOCKED BUT NOT REALLY LOCK Phone 76Q0399430 Inspect Total Time Requested By MICHELE Entered By CHRISTINE CD Description Act Comment 32 Const Service/Agricultural Associated PCRs/CVs Inspection History Date Description Act Insp Comments 09/17/2004 32 Const Service/Agricultural CO PD GATE LOCKED 09/15/2004 32 Const Service/Agricultural CO PD ffl John Batioff Southland Permits FAX HO. 714 5620969 Nov. 21 2003 07.15PM P28 11/23/2003 IS-25 787S267S63 i^s&==— PERMIT SERVICES INC PAGE 17 - P ^« ^ &-3 . BUILDING LEFT. FROM John Batioff Southland Permits FAX NO. 714 5620969 Hov 21 28B3 67 15PN P27 H/ 20/2833 15t25 7075287663 PERMIT SERVICES INC PAGE *. b 11/3CAJ3 Confirmation of Temporary meter and service request CKSTRCT* , Phone; ****** Addiesa ttt MAMi AVfffCJE -IP Witt due:11/20/03 mCSCOTCT we hiv« tnvtjyiJgarAl yotr eequest ftv fiftEAporu)' tervi^ «gd dfrtemuflMl that the fitdime« #331 hive Jdsmifled &i . aul^61 • are/arffi not acdunicilly availtble for your UB£ in previdia^ temporary power fcffy WIT j>»Ject IF tH* l«T!^oniry #*rvk* is to IM pn^d^ gvtt«tu^ pku« piMv your fitcilik« no closer tivn 10 ft or no further ihi& LOO A Ooffi (fceole lir*d itove. PUce tempomry pol« \wicbia25. drrrcabk iurfite, car Uw 25-clA3S 5 climhatl* pule with dcftii gauge mcbcd. All fhciliUcc should b* plaetd aa tb« prtnws «wv«d. Par *«y (juestJoiu or flinter Inftrmaiian ccDcereiog tttu form call 5DC&Z at n OB |Hfli to aaiiMitii or memMM M<HCW«V rwmrci to *vmdRy«craW« 1* Kn. 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