HomeMy WebLinkAbout1633 FARADAY AVE; TP; CB000110; Permit„..,c__/t(R.L._City of Carlsbad01/11/2000 Electrical Permit Permit No:CB000110Building Inspection Request Line (760) 438-3101Job Address:1633 FARADAY AV CBAD St: TPPermit Type:ELEC Status:ISSUEDParcel No:Lot #:0 Applied:01/11/2000Entered By:GMFReference #:Plan Approved:01/11/2000IssT4410:01911.1.0631 01 02Project Title:INSTALL TEMP POWER POLE Inspect Area:C—FRMT 20.00
Applicant:Owner:
TEMP UTILITY SERVICES
1167 LAW ST
SAN MARCOS, CA 92069
619-471 -5494
Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due:$20.00
Electric Issue Fee $10.00
Single Phase per AMP 0 $0.00
Three Phase per AMP 0 $0.00
Three Phase 480 Per AMP 0 $0.00
Remodel/Alteration per AMP 0 $0.00
Remodel Fee $0.00
Temporary Service Fee $10.00
Test Meter Fee $0.00
Other Electrical Fees $0.00
TOTAL PERMIT FEES $20.00
FINAL APPROVAL
Inspector$--Date:004?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 right to protest the2ecified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar applicationjibUsigEt GAB lefillAkection with this project.NOR DOES IT APPLY to any
fees/exactions of which you have previcalWeeLaisfeltahtaigttivlileinththatts CAhiA2MititutriAlhit4W s1t6ireviously otherwise expired.
..—.....,........_
FOR OFFICE USE ONLY
PERMIT APPLICATION •0 cts.PLAN CHECK NO.CBocalic)
•EST VAL.CITY OF CARLSBAD BUILDING DEPARTMENT VT 3.00 Plan. Ck. Deposit2075 Las Palmas Dr., Carlsbad CA 92009 •\c"
(760) 438-1161 'qt/FIDO Validated By -.57-
Date if ilia
•717.7.V 77-7"7-,•;MirrilPto—Mpwritis:X.Z3
i 633 cf.'"a_ckty.AV€.
Address (include Bldg/Suite I)Business Name (at this address)
/
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total ar of units
Assessor's Parcel S Existing Use •Proposed Use
57t-///Y.war /21.7e--•
Description of Work SQ. FT.*of Stories ft of Bedrooms of Bathrooms
•
••
..
•••
-
••
Name Address 'City State/Zip Telephone if Fax
Agitnif-
U.i.O4iiiiii!:::T7•:•
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Ebneu-&freisi mod. tge)>.--76 3 2_A/92/4•57 (a/z ?Ci46
Name Address City State/Zip Tele one //
4.--PROPERTTOilYPEER •
:•••
••.••..*.::i••::41;/...••l•Veno Lonte-cfcity./6 5-o 1-}07`e/6. r-cle /V 4 -206 512/64/9' 2 /Cry
Name Address City State/Zip Telephone
5..:..:1T.VONTRACTORCOMPANt 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 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 applicarit for a permit subjects the arplicant to a civil malty of
n7ore
than five ndred dollars 155001).
fifP/WE'r /141 5 4-7(36 ,4'.&cf.i-jc 57:,Scodiadoy,L_4 92023
-2337-9'4/30
Name Address City State/Zip Telephone S
State License S 5-2.3 5w"License Class L'—6/City Business License
Designer Name Address City State/Zip Telephone
State License ft
8.WORKERS'. COMPENSATION •.•...
Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations:
O 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.
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
Fss11.My worker's compensation insurance_ssrrier and/policy number are:
Insurance Company 314-eri c..f/IC/Policy No./5 -537/e)-Expiration Date 3
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
O CERTIFICATE OF EXEMPTION:I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING:Failure t••workers' compsnsation wage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars 1$I•in addition to ost compensation. damages as provided for in Section 3706 of thi Labqr code. ii9brest and attorney's fees.
SIGNATURE DATE //61"
7.OWNER-BUILDER: DECLARATION ••-•
-
•l••••••-
I hereby affirm that I am exempt from the Contr ctor's License Law for the following reason:
O 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).
0 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).
0 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.0 YES ONO
2.I (have I 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
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS: 3NLY•:•.:•,;„,••••••...••""
.
"•
.„••-
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?0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school 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 MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8..'CONSTRUCTION'LENDINGAGENCY:::''
•••.•'•
.
•
.
.-•
I hereby affirm that there is a construction lending agency for the performance of the -work for whiCh this permit is issued (Sec. 30976) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
'E••••'01iLiCAgrtERTIFICATION -
••
certify that I have read the application and state that the above information is cornet and that the information on the plans is accurate.I agree to comply with al)
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 AU.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 6'0'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 by limitation and become null and void if the building or
work authorized by such permit is not menced within 365 d ys m the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the rk •o enced fora od 180 days (Section 106.4.4 Uniform Building Code)./APPLICANT'S SIGNATURE DATE
WH ile YELLOW: Applicant PINK: Finance
0C Ajo—153 City of Carlsbad Bldg Inspection Requestt-,)94 C;For:P-24720000-zor 1/2-LPermit# CB000110 Inspector Assignment:Title:INSTALL TEMP POWER POLEDescription:Type: ELEC Sub Type:Phone:7608399430Job Address:1633 FARADAY AVSuite:TP Lot 0
•Location:Inspector:
APPLICANT TEMP UTILITY SERVICES
Owner:TEMP POWER POLE
Remarks:
Total Time:Requested By:MICHELE
Entered By:CHRISTINE
CD Description Act Comments
32 Const. Service/Agricultural ,Ade-_tridmigo
Associated PCRs
Inspection History
Date Description Act Insp Comments
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BUILDING PERMIT Permit No:CB982228
07/14/98 12:05 Project No:A9802948
Page 1 of 1 Development No:
Job Address:1633 FARADAY AV Suite:
Permit Type:ELECTRICAL
Parcel No:Lot#:
Valuation:0 Construction Type:NEW
Occupancy Group:Reference#:Status:ISSUED
Description:TEMP POWER POLE Applied:07/14/98
Apr/Issue:07/14/98
Entered By:JM
Appl/Ownr :LUSARDI CONSTRUCTION 760 744 -7261
1570 LINDA VISTA
SNA MARCOS CA 92069 9010 07/14/90 0001 01.02
***Fees Required ***ollected &Credit4MMT **M -00
Fees:20.0 CAAdjustments:Oib .44109.'.00
Total Fees:.00
20.00
Fee description Alk ts 5/Ext fee Data
Enter "Y"for Elect 071k04.--440000000„10.00 Y
Enter "Y"for Tempo 411111h4vic.."m-V 10.00 Y
kW;
111
004..•
r°'•
Cl%
INCORPORATED
115?
1/F lit1111:°rw
'-e
NA A
,OVAL
INSR111%DA1 ZLtakv
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr.,Carlsbad,CA 92009 (619) 438-1161
FOR OFFICE USE ONLY
PERMIT APPLICATION oF
c
(4.PLAN CHECK NO.7g1-
2.2/E5
tP.
EST.VAL.CITY OF CARLSBAD BUILDING DEPARTMENT u )1°°Plan Ck.Deposit 7-6i.a..?2075 Las Palmas Dr., Carlsbad CA 92009 o
(760) 438-1161 '74/FoccO Validated By
Date 7//it(ce
1.PROJECT INFORMATION/b3.F74-72_.40.49y
Address (include Bldg/Suite #1 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 SQ. FT.#of Stories # of Bedrooms # of Bathrooms
\AC --/-
717.40 /90/1/2.CONTACT PERSON Of cliffemnt from applicant)
Name Address City State/Zip Telephone #Fax #
3.APPLICANT Contractor 0 Agent for Contractor 0 Owner CI Agent for Owner
Name Address City State/Zip Telephone #
*4.PROPERTY OWNER
Name Address City State/Zip Telephone #
5.CONTRACTOR -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
suance,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
hapter 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
e emotion.Any violation of Section 7031.5 by any applicant for a permit subjects the applican to a civil penalty of not more than five hundred dollars 18590))
.4 0.511-2.42 CON STYLUCT-19-5'
ame Address City State/Zip elephone
tate License #?437 License Class )4-13 City Business License #
Designer Name Address City State/Zip Telephone
State License #
6.WORKERS' COMPENSATION
Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations:
0 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.
IS
-
4/1 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 comyensation insurance carrier and policy number are:
Insurance Company /^6 a.. acii-/C570116;,or /04.Policy No.taf e 3 363 0 /Expiration Date 0/—/1'99
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1810010R 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 California.
WARNING:Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars 1=.in additi° th cost 12ompensation, damages as provided for in Section 3706 of the Labor code.erest and attorney's fees.
SIGNATURE a g.on y.?,DATE 7—/4-9
7.OWNER-BUILDER 'DECLARATION •
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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).
o 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).
O 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.0 YES ONO
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):
4.1 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
COMPLETE THIS SECTION FOR NON-RESIDENTIAL' BUILDING PERMITS ONLY
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 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school 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 MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
S.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(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9.APPLICANT'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 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'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 by limitation and become null and void if the building or
work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time aft wor s
comzced
r a nod of 0 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE }f"OK DATE 7-74-1‘
WHITE: File YELLOW: Applicant PINK:Finance
CITY OF CARLSBADINSPECTIONREQUESTPERMIT#CB982228 FOR 08/06/98 INSPECTOR AREADESCRIPTION:TEMP POWER POLE PLANCK#CB982228OCCGRPTYPE:ELEC CONSTR.TYPE NEWJOBADDRESS:1633 FARADAY AV STE:LOT:APPLICANT:LUSARDI CONSTRUCTION PHONE:760 744 -7261CONTRACTOR:PHONE:OWNER:PHONE:REMARKS:C/DON/918 -9995 INSPECTORSPECIALINSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const.Service/Agricultural %'p
*****INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS