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HomeMy WebLinkAbout1575 MARTINGALE CT; TP; CB990429; PermitCity of Carlsbad 02/01/1999 Electrical Permit Permit No:CB990429 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1575 MARTINGALE CT CBAD ELEC Parcel No: Reference #: Project Title: TEMP POWER POLE Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760-839-9430 Total Fees: $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 TOTAL PERMIT FEES lnspecto,Gl:-: Lot#: 0 0 0 0 0 FINAL APPROVAL Date: J_ ·({. 1'1 Status: Applied: Entered By: Plan Approved: ISSUED 02/01/1999 DT 02/01/1999 02/01/1999 Issued: Inspect Area: ., 4 \" ,J1o.oo ·: ·: •• •$0.00 , ~ . ,. · '$0.00 . $0.00 $0.00 $0.00 .' ,. . $10.00 $0.00 $0.00 . , $20.00 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 prooessilYJ 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 r~ht to protest the specffied fees/exactions DOES NOT APPLY to water and sewer connection fees and capacliy 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 vou have meviouslv been civen a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr,, Carlsbad, CA 92009 (760) 438-1161 t-UH Ut-t-11,;t Ul>t Ul~L I PERMIT APPLICATION PLAN CHECK NO. G0 9 q O 4 2 7' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated BV _ _..!Oc_:r __ ,--....,,-r-- Date, _____ aj~.,_( J../...l.q_f __ I 1, PROJECT INFORMATION ,J. <j /.. /S7.f" ,1-/Qrt />,fl <:t._a '!. AddteH f1nclude Bldg/Suite II 8uainea1 Name lat thi1 eddr ... ) L■g■I DHcnption Lat No. SubdiVi1ion Name/Number Ur1't No, PhlH No. Total I of units AsHnor'1 Parcel I /,,.sh.II ProPOHd Ute Description of Work SQ, FT. lot Stories I of Bldrooms I ol Bathrooms z. CONTACT PERSON u; dltt■ren, from ai,puC8nt1 ---~---· ------....... -~-.............. ---·-........ ,---~--•·•-·---....... ---· Nam• 3, Name 4. PROPIRTY:'.:"ER '/ c~ e (1t1$ Nam■ &. CONTRACTOR • COMPANY NAME Name State Uconse , _.,.S~J..::J:.::S--::...;'?~(:__ __ Oesigntr Nam, St1t1 uc,nH , _________ _ 6. WORKERS' COMPENSATION Address City 0 Agini ioi Owner s. City State/Zip Telephone I Telephone I State/Zip Telephone I ·---·~·-......... -..... _.... .... _,,..,... ·----.. ·-·----•---··-· ··---- AddroH C ,1 ( St1101Zip License Class __ ..:....::"..:.._____ City Business Uc.nse I _______ _ Address Chy State/Zip Telephone Workers' Compenaation 01clar1tion: I hereby affirm under penaltv of perjury one al the following declarations: Fax I O I have tnd will maintain I certitic1t1 ol conHnt to Hlf•ln1ura for workers' compenaation II pro~d•d by Ste11on 3700 of the Labor Code, tor the pertorm1nc1 or the work Im which this permit is issued. $ I hive and will maintain workers' compen11tion, H reQuired by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker's comhnsation jnsurance carrier and policy number are: CJ 5' / JI d ::Z -S ( ... p '1 Insurance Company /:!:. / (I Policy No. C (!J t) Expiration Oate_.;'3 _____ _ ITHIS SECTION NEED No"T IE COMPLETEO IF THE PERMIT IS FOR ONE HUNORED DOLLARS 1•1001 OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify th1t in th, p1rtorm1nc1 of the work tor which this permit ii issued, I shill not employ ■ny person in 1ny m■nner 10 as to become 1ubj1ct to the Worker■' Compen11tion Lew• or C11ifomi1. WARNING: Fellure to eecvre wort.,,• compenaetk,n cover■ge I• unltiwful, and ah■II eubject an empk,ye, to crtrM"lal penalUu and ctvll tine, up to on■ hundred thousand doll■n lt100.0 ddltlon to the of mpenaetlon, dllm■g11 u provided for In Secdon 3708 of Ille Labor code. lnt'9» and ■ttomey·1 fNI, s1GNATuRE oATE 2 -I -rr 7. OWNEA.SUILDERDECLARATION . _., .. ;.~-.-,p.~,. I hereby affirm that I am ■x■mpt from th■ Contr■ctor'a Llc■ns■ Law for the followtng r111on: 0 I, H own■r of the property or my ■mploYHS with wages H th■ir sol■ compana1tion, will do the work and the atructure Is not int■nded or ofleutd tor sele (Sec. 7044, Buaineu and Prot■11ion1 Code: The Contr■ctor'a Ucena■ Law does not apply to 1n owner of prapeny who build• or lmprovea th■reon, end who do•• auch work himself or through hi• own ■mPtoy■es, provided lhlt such lmprovement1 ■re not Intended or offered for ute, If, however, the building or Improvement II sold within on, year of completion, the owner-buHdlr wlU hive the burden of proving thlt he did not build or Improve for the Pl#POH of 11111. 0 I, 11 own■r of the property, ,m exclusively contr1c1ing whh licensed contractor■ to construct thl project IS■c. 7044, Bueinu1 end Prol■11lon1 Code: Th• Contractor's Uc1n11 Law does not apply to an owner of property who builds or lmprov81 thereon, and contracts for 1uch p,o)ect1 with contractorCsJ liceneed pursuant to the Contractor's License Lewi. 0 I am exempt under Section ______ Business end Professions Code for this r111on: 1. I p■rsonallr plan to provide th• msjor labor and materials for construction of the propoHd PIOPllnY lmp,ov■ment. D YES ONO 2. I lh1v1 / have not! signed ■n application for • building permit for th• propoHd work. 3. I have contracted with the following person lfirmJ to provide the proposed construction Unclude n1m1 I 1ddru1 I phone number J contractors license number): 4. I plan to provide ponions of the work, but I heve hir■d the following person to coordin■tl, 1uperviee ■nd provtde th■ ma.tor work (include n1me / addr111 I phone number I contractor, license number!:. _____________________________________________ _ 5, I will provide 1ome of the work, but I h1v■ contr■cted Chi red I the following person■ to provtd1 the work Indicated tlnclude n■me / 1ddre11 / phone number / type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ '··•. -· ts the applicant or future building occupant required to 1ubmtt • business plan, acutely huerdoua m1teriel1 ,.,ittr■tion form or risk m1n1gement 1nd prevention program under Sections 25506, 25533 or 251534 of the Pr81ley-Tlnn11r Haurdoul Substance Account Act1 □ YES O NO Is the 1pp1icant or future building occupant required to obt1in • permit from the elr poHutlon control di.trlct or ■Ir qu1llty m1n1g■ment district7 O YES O NO Is the fscllltv to be constructed within 1,000 feet of the outer boundary of I school 1h11 D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, 8, COI\ISTRUCTIOI\ILENDIIIIOAGEiiCY -..--~··,•T··•· ......... .,._.,_ .... ' .............. . I hereby affirm that there is a construction lending agency for the performance of the work to, which this permit le i11u1d ISec. 30971IJ Civil Code). LENDER'S NAME _____________ _ :9, APPLICANT CERTIFICATION LENDER'S ADDRESS. _______________________ _ • , ..• -•~-,.••, ••·--•,• _.,.,_ ·· ··o. ... , ··.·.·• ., .. ,, •.• •·· •·':"·-,.··1,r .... "~:->'••••""'!1" f~ ~ I ~enitv thlt I have read the application end 1t1te that the abova lntorm11ion Is correct and that the Information on the plans 11 1ccuret1. I agr■e to comply with all City ordinances and State fews relating to building construction. I hereby authorize repr11ent1tive1 or the Cltt of C1rlsbed to enter upon the abov■ men11on,d prop■ny tor inspection purp0H1. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requi,■d 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 11\der the provisions of this Code ahlll e,cpire by limitation ind become null end void ;1 the building or work ■uthorlHd by such permit is not comm1nced within 366 d rs from the dat■ of such permit or If the building or work authorized by aueh permit is suspended or abandoned It any lime alter thew. I omm1nc1d ~p d of 1 BO d1y1 !Section 108,4,4 Urwtorm Buildtng Code). APPLICANT'S SIGNATURE __ _(::;'.:~~~~.:..~~~~:::::~----------DATE )-I -9'? W~ E: FIie YELLOW: Applicant PINK: Finance J . ·, City of Carlsbad Inspection Request For: 2/12/99 Permit# CB990429 Title: TEMP POWER POLE Description: Type:ELEC Sub Type: Job Address: 4' Suite: · Location: 1575 MARTINGALE CT Lot 0 I\PPLICANT : POWER PLUS Owner: Remarks: MAY BE DONE THURSDAY Total Time: CD Description Act Comments Inspector Assignment: PD --- Phone: 7608399430 lnspecto~ Requested By: MICHELE Entered By: CHRISTINE 32 Const. Service/Agricultural .M_ __ JJ_ ___ _ Inspection History Date Description Act lnsp Comments