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Home My WebLink About1640 MAGNOLIA AVE; TP; CB020724; PermitI City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-08-2002 Electrical Permit Permit No: CB020724 Building Inspection Request Line (760) 602-2725 Job Address: . Permit Type: 1640 MAGNOLIA AV CBAD St: TP ELEC Status: ISSUED 03/08/2002 RMA 03/08/2002 03/08/2002 Parcel No: Lot#: 0 . Reference#: Project Title: TEMP POWER POLE Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 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 Additional Fees TOTAL PERMIT FEES Inspector: Owner: Total Payments To Date: 0 0 0 0 $0.00 Applied: Entered By: Plan Approved: Issued: Inspect Area: 25JB 03/08/02 0002 ~j_ C:GP Balance Due: $10.00 $0.00 $0.00 $0.00 $0.()() $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "lmpositi • of fees, dedications, reservations, or other exactions hereafter cOllectwely referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these lees/exactions. II you pretest them, you must follow the protest procedures set forth in Government Code Section 6602D(a), and file the pretest and any ott"er 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 swsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIAED that your right 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 oonneciion with this project. NOR DOES IT APPLY to any f x i n I whi h h n iv n N E i ii rt i wh' t f limi • n h i I h i 20 ./)0 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.c ~£/) il '-j CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By~...-...-+---'---,-..,..'++-- Date ____ --1-+~~+-+1-------- 1. '" ,-:f!~Q"J * 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 * SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# ~-~c~.PP.PPAN.,: ' . D .GQn~ra,ctor, ' D'►gentJo[Contr11p_tqr1 ';10 :Qv,\n~1.1;i,o .£>,g_~rit'.(QrP,wJ',:~r,,"'Sfa'!!rnTi!,' :-:fJG1I'~.i~£:1,l;B;''.' ',i,,;]!JcJ'iL:. -:,..:,. ':L,;,;,: . ,. *Gary Seymour 2458 S Santa Fe Ave Vista, CA _92084 760-439-1999 '"1-·;. Name Address City State/Zip Telephone # .'I:':. ',:: J:'J:l9.P"RD't Q..WN!;R '';· , , *Erickson Hall 500 Cqmorate Dr. Escondidp, 92(l29 Name ress 1ty S.tate/Zip Telephone # '5. ,,'.,;_'. C.Q.NTl:l~Gi'(QflJ,COMl:'8!'ft'iiNAME-<;, iJ"".rY1J, .i'' ' ' :,,,, ,.,· (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 the applicant to a civil penalty of not more than five hundred dollars ~6~)). *Temp Power Systems 2458 S Santa Fe Ave, Vist~ CA. 92084 760-439-1~9~ Name · Address City State/Zip Telephone # State license # --tllti.-4_......8µ:3J-4~3--"c3,__ __ License Class ----.tC'"-'--tlc-101-+---City Business License # 1201652 Designer Name Address City State/Zip Telephone State License # _________ _ 6"' ;· .J.WQ,RJ'1~RS~ .COM ~fN.$.ATlQ.N ~~ · ..•.. · .'.' · ,,, . 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. O 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: Insurance Compan,lcState flHld Policy No. 1589783-01 Expiration Date] Q/0] /02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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: Failur ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( d ition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE:;;;~~'1;i~~lt.~~~~~~:;;:;;::::::~=M;;:;:~~~~~~~ DATE ,q3. 'Q8 •Q "2.-tl ~. :i~~QWN~~~,QY.J~.PtR1 c~.. . I.Qt.I ~: >Ji~l'i:· '"!:;;,_, ,·!,r,: ;:~1 ·:i . i'tu~ ,,,;_ ~.:.:.~· .~-,. ¼~··;;~~t~·~t~,f1~~:t(iii~lti1l:'.h·:!J!fl::;:{~~?./il/1:::tl~t1~fa~~:~::r-i1r.~m~~~fa~i1~~~~~~:~mr~{t~l~;i:~H~Jit~i~t!irr-~~~~Lfu1~j~~]~rr1~tt~~tti:~~t;f!,' ;}~:\:;,;~~ hf;. :w I hereby affirm that I am e empt from the Contractor's License law for the following reason: 0 I, as owner of the r erty or my employees w ith wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and ofesslons 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(sl 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 / 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 ot 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): ________________________________________________ _ 6. 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 ------------ !CQ~Ptl;:tli:-Tf.lll! SECJfQt-l:J;QJl.'N9-i/,R~$ID."ENiT/A~,aQi~D!NGie.J;RMiJ$'.QNI.Yb¥t4/l,~lllSfi{ltt,J:L'.}f;,J:liiflli~~Jl~~i~~t!;:t~1ilifil~:irY,f:(;;&i'.JJ,.~1i:~:;5.~~;__;,;fJ';:::;~,,.'&l~:O. 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 Haaardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feat of the outer boundary of a school site7 0 YES O 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. 1e;\1UcQJ'l~.rRucr.1ON.LE~o1N~A.o~Nc;v:J. ·;, ;; ~ , ·-v;;, x.\\. -1,,:i-\t~:::lti,!J:1i?:Jt.ll};itrii:;;;?;:t1:::,,:,;:tti:'i\Itli11~?i~i\t:,;1;i':1Uit::tllttili'~itf1,it:!%1S,ff1':.:::i;,j,:: • •'!"; ,! -· 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 ______________ _ 9,:'.,_ Af,'f'J.!C,~NJ. C.~f.lTIFlC8Tl01)1":,. i. ,:c ; :' 1 ,,;: :;(/,",../.. J 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 compiy 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 requi or excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit i ued by 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 n t commenc wi 180 days from the date of such permit or ii lhe building or work authorized by such permit Is suspended or abandoned zt any lime alter the work Is c mmenc d for rio of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 03 ·09 ·0V WHITE: File YELLOW: Applicant PINK: Finance ' . .. City of Carlsbad Bldg Inspection Request Permit# CB020724 Title: TEMP POWER POLE Description: For: 04/01/2002 Type:ELEC Sub Type: Job Address: 1640 MAGNOLIAAV Suite: TP Lot 0 Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7607998703 Inspector: ---- Requested By: GARY Entered By: CHRISTINE 32 Const. Service/Agricultural /:?ff__ ___ ,._·=e:.......a../11.___.,/'c_.-..,__ ____________ _ 39 Final Electrical k--------------------- Associated PCRs Inspection History Date Description 03/26/2002 39 Final Electrical 03/21/2002 39 Final Electrical Act lnsp Comments CO PY COMPLETE DOWNSTREAM WIRING NR PY