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Home My WebLink About1660 CORTE ORCHIDIA; ; CB020011; Permit01-03-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB020011 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1660CORTEORCHIDIACBADSt TP ELEC 2159501500 ENCANTADA TEMP POWER POLE Lot# Status ISSUED Applied 01/03/2002 MDP 01/03/2002 01/03/2002 Entered By Plan Approved Issued Inspect Area Applicant TEMP POWER SYSTEMS 750 N CITRACADO PKWY ESCONDIDO CA 92025 760439-1999 Owner RYLAND HOMES OF CALIFORNIA INC 5740 FLEET ST #200 CARLSBAD CA 92008 8028 01/03/02 0002 01 02 CGP 20.00 Total Fees $2000 Total Payments To Date $000 Balance Due $2000 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 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $000 $2000 Inspector are- FINAL APPROVAL Date 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 lees/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 the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION * 1660 Corte Orchidia TP- FOR OFFICE USE ONLY PLAN CHECK NO EST VAL ( ( Plan Ck Deposit Validated By Date Address (incTucte"BI<JS3/SfJitV#)~Business Nan-a (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel Existing Use Proposed Use *Temp Power Polenotion or workDescription 2 , CONTACT PERSON (if different from applicant! SQ FT #of Stones tt of Bedrooms # of Bathrooms Name Address City 3 APPLICANT [3 Contractor D Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone tt Fax # 2458 S. Santa Fe Ave Vista, CA 97084 760-439-1999vjcu y iJVj VIIJAJUJName J J 4 PROPERTY OWNER *T? \r\ar\ f\ "Hrvmp»e Name 15373 Address InnovationAc! dress Dr SRH Diego City Q2008 City State/Zip State/Zip Telephone tt 858-603-1878 Telephone tt 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 issuance, also requites 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 I$500)) Pnwpr Systems 2458 S Santa Fe Ave. Vista. CA 92084 760-439-1 Name State License tt M83433 Address License Class -ew- City State/Zip City Business License tt Telephone tt 1 Designer Name Address City State/Zip Telephone State License tt 6 WORKERS' COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of tha Labor Code, for the performance of the work for which this permit is issued f~l I have and will maintain workers compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Compar»g»Qfg pund P°''CV H° 1589783-01 Expiration Date! 0/01/02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) Q 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 Failyfg tiSsecure/yvjmWs compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarsf($10<Rop)[ \ addition to the cost of compensation, damages as provided for in Section 3706 of the Laborcode, interest and attorney's fees SIGNATURE I ./BpAX-r "" "- ~" - DATE 1 * ^? ~Cs&*' 7 OWNER-BUTOERfflECUWATION> »i I hereby affirm that I am \xemplifrom the Contractor's License Law for the following reason Q I, as owner of thekproperty 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 anV Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon, and who does such woik himself ot throusc 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) n 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 am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials tor construction of the proposed property improvement Q YES flNO 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 n<ime / 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-RBSIDENTIAL BUILDING PERMITS ONLY „,:....„ Is the applicant or futura 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 CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control districr or air quality management district? Q YES |~1 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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 8 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 30970) 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 properly 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 stories in height EXPIRATION Every permit issued_by the bulldog 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 noyr5mffcnce(kj|thnn 180 days 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 co*men*uUprlaberlod of 180 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 01/04/2002 Permit# CB020011 Title ENCANTADA Description TEMP POWER POLE Inspector Assignment 1660 CORTE ORCHIDIA TP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT TEMP POWER SYSTEMS Owner RYLAND HOMES OF CALIFORNIA INC Remarks Phone 7607998703 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Act Comments Requested By GARY Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments (Jl. r COmO GJ 0} OJOJ t O CD mo=*=O5 Ov 00OJ O._O ti S3 OJ to o en \M2SS xxa* o CD COmo (i Vr 3NOIS3Q CJi NJ enen *-J OJ oI N) CD 09 O FROM . TEMP POUER PHONE NO : 7146325586 Oct. 08 2001 09 20PM PI ACOBQ. CERTIFICATE OF LIABILITY INSURANCE "****** TW>dBB. Vvercn. & Ife^wcs - OWAHGE 765 Th« City Drive, Suit* *300 Oraage, CA 92868 Phone: 714/748-0464 Fax: 714/7*8-0474 "SU""B Power Fabricating, Inc. dba: T«ap Paver Systems Attpt Kathy Miller 1111 S. TustiaAnaheim. CA 92806 DATE OMVMVVV) 10/08/OJ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATtON ONLV AND COHFGRS NO MIGHTS UPON THE CERTIFICATE HOLDER THS CEHTOTCATE DOCS NQT AMEND, EXTEND OftALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AfFORDMG COVERAGE •WACTA. frranston Insurance C«B«»BV WWM<K«, Golden £ atlc Insurance Corp. WSVWA& Constitution lASuran^e Conoanv MsuRSRo- Ca. Staee Conoeneation Insurance MBUREK& COVBUGES TMC POtlC«S OF INSUfMMCE LISTED B6UOW HAVE BEEN BEUS6 TO IMC WSUPCD NAMED ABOVE Km TX POUCV PERIOD MWCATED NOTWCWSTANDWG AMT ReXMRSMENT TERM OR CONDITION Of ANY COMTRACT Qfl OTHEH DOCUMENT Wn>l fWBPECT TO WWCH THIS CERTTRCATt MAY B£ ISSUED OR HAY PERTAIN. THE INSURANCE Af FORDED BY THE POLICIES OSSCfKBeO HEREIN IS SJBJ6CT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OP SUCH POUCIE& AGGREGATE LIMITS SHOWN MAY HAVE 8ECN REOUC6D BY PAID CLAlue rvMOfMSUUNCC mrr vtues ««• ( lose WdTS 01GLP1005045 10/01/01 10/01/02 KWOUCTB tl.OOO.O'OO SO. 000 5.000 « I, 000. 000 t2.000.OOO i I .OOO.OOO AVTOMOMCUMIU1V CBP9529872 10/01/01 10/01/02 AIL OWED «yttKJ OOMOMCD «NBIE l*«T •J ,000, 000 (f«r nation) PnOPEKTr (MMME EAAGODOtT AW At/It) eteessiwew CDL4120 10/01/01 10/01/02 t 4. 000. poo a i 10.000 D 158978301 10/01/01 10/01/02 »HSff .. ooo. oo .000.000 CJ.DIBEA86 ,'ltOOP.QQIL OlttCTt *Excapt 10 day nocice of cancellation for non-payment of premium. Re; All Operation* Certificate Holder la Named «« Additional Insured as respects General Liability C62010 11/85 endorsement; attached. CEKTWOATE HOLDER JY I AOOfflOMM.IIBmBymm^lHgTttfc A CANCELLATION City of Chula Vxsta A ten: Business License Oept. P.O. Box 7549 Chula Vista, CA 91912 ACORD 25-5(7/97) , TOC N8uma KMiten *tx o>ftc«wBB to wuai *3Q MYS wwrret IMPOSE M> MUQAT«H OH iMM/tt OF AHT IQMD UMM 1HE WSWW. m «OP<TS <M Glenn L. GA COBCORAIH3N IMt