HomeMy WebLinkAbout1625 BRADY CIR; TP; CB012561; Permitc A! City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
08-0 1 -200 1 Electrical Permit Permit No:CBOI 2561
Job Address:
Permit Type: ELEC Status: ISSUED
Parcel No: Lot #: 0 Applied: 08/01/2001
Reference #: Plan Approved: 08/01/2001
Issued: 08/01/2001
Project Title: PACIFIC SCENE -TEMP POWER POLE Inspect Area:
1625 BRADY CR CBAD
Entered By: JM
Applicant:
TEMP POWER SYSTEMS
Ownsr:
750 N. CITRACADO PKWY.
ESCONDIDO CA 92025
760 439-1 999 6285 08/01/01 0002 01 02
CGP 3.00
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
RemodeVAlteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
0
0 0
0
$1 0.00
$0.00 $0.00
$0.00
$0.00
$0.00
$1 0.00
$0.00
90.00 $0.00
$20.00
FINAL APPROVAL
Inspector: Date: 9 4-w 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 Ci Manager for
processing in accordance with Carlsbad Muniapal 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar applicatbn processing or service fees in connection with this project NOR DOES IT APPLY to any
feedexactions of which you have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired.
PLAN CHECK NO. PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 -_ Plan Ck. Deposit
Validated B
Date
I
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms I of Bathrooms
ONTACT PERSON (if different from applicant)
Name Address City StatelZip Telephone # Fax I
ONTRACTOR - 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 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 Sectton 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged
iolation of Sect' 7031.5 by any applicant for a p rmit subect the applicant to a civil penalty of not more than five hundred dollars 1$5001).
city Statelzip ' telephone # qz0e.c 76a. lf39 .rcqc f 6- P3d b€utv€Jlsl# qzLt#v*- eusm
Address
tion.
Name
State License &3&3
Designer Name Address city Statelzip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
License Class C ID City Business License t
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
dve 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
Insurance Company Policy No. Expiration Date fo 91 -01 inssMcrjier and policy number are:
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISlOOl OR LESS)
0
WARNING: F
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
compensation coverage is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred to the cost of compensation, damages as provided for In Section 3706
I, as owner of t erty 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 fessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does
such work himself or 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 o tion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 1, 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).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and matenals for construction of the proposed property improvement. 0 YES ON0
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
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 / phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-UESDEIUZAAL BUlLDlNQ PERMITS ON
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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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
0 YES 0 NO
0 YES 0 NO
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
PPUCANT CERTlFlCATlON
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 Cit). 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
EXPIRATION: Every permi
authorized by such permit is
at any time after the work is
APPLICANT'S SIGNATURE DATE
er 5'0' deep and demolition or construction of structures over 3 stories in height.
cia1 under the provisions of this Code shall expire by
days from the date of such permit or if the building or
180 days (Section 106.4.4 Uniform Building Code).
City of Carlsbad Bldg Inspection Request
For: 08/3 1 /200 1
Permit## CBOl2561 Inspector Assignment: RB
Title: PACIFIC SCENE -TEMP POWER POLE
Description:
Type: ELEC Sub Type:
Job Address: 1625 BRADY CR
Suite: Lot 0
Location:
APPLICANT TEMP POWER SYSTEMS
Owner:
Remarks:
Phone: 7607998703
Inspector:
Total Time: Requested By: GARY
CD Description ; ]3omments
Entered By: CHRISTINE
32 Const. ServicelAgricultural
39 Final Electrical f
Associated PCRs
InsDection History
Date Description Act lnsp Comments
08/14/2001 39 Final Electrical CA RB BYGARY