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HomeMy WebLinkAbout1900 LEVANTE ST; ; CB043615; PermitCity of Carlsbad '• 1635 Faraday Av Carlsbad, CA 92008 09-17-2004 Electrical Permit Permit No: CB043615 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1900 LEV ANTE ST CBAD ELEC Lot#: LA COSTA GLEN-TEM POWER POLE 0 Applicant: Owner: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 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 Total Fees: $20.00 Total Payments To Date: Inspect Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/17/2004 RMA 09/17/2004 09/17/2004 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $0.00 Balance Due: $20.00 _1450 09 /17 /04 0002 01. CGP Clearance: at approval of your project includes the "Imp sition" f 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 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 connection with this project. NOR DOES IT APPLY to any f x ( n fwhi h h v r vi Tl i ii r vi I h i 02 20.,00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C!(}12lf. Jbr_j CITY bF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Validated By r __ + Plan Ck. Deposit ~ Date 1 ( ! 7 (_ a .. _._ ..... - Address (incl~ Bldg/Suite II ,vTti' M=?a ~ s:r u Business Name (at this address) Ca.Sr.A: Legal Description Lot No. me/Number Unit No. Phase No. Total I of units Assessor's Parcel I~ A /J. ~Y(M1/L I/£ Proposed Use Description of Work Id, Existing Use SQ. FT. lot Stories # of Bedrooms # of Bathrooms ·,•· ... , ~ Address City tr _cjor.,..,.i..•t~gen(t<>!~<;9ij_tr.~~Q~!.,1,0 tP.wner,:;>,;l!;[~g•'lt•for Owner l ,l'7l'TII State/Zip ~>-. l • Telephone I Fax I Name Address City State/Zip Telephone# Name Address City Telephone # ~-coNt.BA<tT0Bttco"'1PA.,.Yi•NAMEf1t•JIZ#~;-,!#l'l;....-~;-.,;,,1,1rll":.: s!•11t,..1''.~'t~:.tr.:,1t":•·~~---·~.,,--• -. ,~,.~ ~--• .. •.-:· •· ..... , ''!::"!!'· ,,?~~ -•-:;,, .: ~.,-,;,,.t,:;!.' • (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 Any violati ol}_sction 7031. by ny appllcan or a piit ubjects the app t to a civiZ::"J.Y of no more tha!!.!'.ve hundreddollars I$ 0 . Q City State/Zip Telephone # State License # 0,-~ \f ~ License Class /1& City Business License # /iJ2 {;, C sT Designer Name Address City State/Zip Telephone State License # _________ _ ~ :,.WORKj:RS!<;OMPEl'fSATJO ,~.:-, -..,_ ·• ,,., _ ..• ~1.·. ,,._., 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. r/, 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 ~ued. My worker's compensation surance arrier and olicy number are: ~ / / Insurance Company -+''+-~--'-..;,_---<'-"'-L.<L.oL..=--------Policy No. ~~~ Expiration Date ~?' () L (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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: Failure to ■-cure w • compen■etlon coverage la unlawful, end ahell aubject 1111 employer to criminal penaltiea and civil fin•• up to one hundred thouaand doll••• t•10 0 J, In tiop to the coat of compen■etlon, damage• aa provided for In Sactlon 3706 of the Labor code, ntereat and attorney', feH. ·{.,,.. DATE CJ 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 auch 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 salel. O I, H 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'• License Lawl. O I am exempt under Section ______ Buslneu 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 of the work, but I have hired the following parson to coordinate, supervise and provide the major work (include name / address / phone number / contractors license numberl: _________ -,-____________________________________ _ 5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): ________________________________________________________ _ ' , . , -,. L•~ t; . Is the applicant or future building occupant required to submit • 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 O NO Is the applicant or future building occupant required to obtain• permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of• sch~ol site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT llE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. [fh'£.:i,g9NSI!iUC.I!Q!,l.:.!.!:_~plfiQ:'A9l~g_Y.:~!'ft,._';~.::...t:.:.:.'..±. •. .'...~.!..:::i::..~~"'.::!,::.!1 .... ~:...1:..-... : •.• , .. _, ---·-•·--_ _, _ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ f!la'° ,_ PPUCANT/CEBT!flC.~Ji9.~,t,j,i ~-~~~.,,;;.i(::,~;;...i,-.'.;\,'!•.;..itS::-dt~;.~,i;;jih,41,,,~.lf,~,;,,..,J,..;.(.:...:,;,;,.:"".; ""·" .... ;~,~, ..... "... -,,,., , · • ,,_;,, , .•. ,, •".,.-, .. ,,,. d., • 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 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 commenced within 18~ 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 commenc peri ~ (ys (Section 106.4.4 Uniform Building Code). • /, • /4. APPLICANT'S SIGNATURE --~=t,,.,~~C----~....!..-------------DATE ~4¥ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/30/2004 Permit# CB043615 Title: LA COSTA GLEN-TEM POWER POLE Description: Type: ELEC Sub Type: Job Address: Suite: 1900 LEVANTE ST Lot 0 Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: Inspector Assignment: PS --- Phone: 7608399430 Inspector: ~ Requested By: MICHELE Entered By: CHRISTINE CD 32 Description ,2'fnomm~ Const. Service/Agricultural/~_ ~? _, Associated PCRs/CVs lns12ection Hist0!Y Date Description Act lnsp Comments 09/27/2004 32 Const. Service/Agricultural co PS PHASE TAPE @ TRANS 09/22/2004 32 Const. Service/Agricultural NS PS 09/22/2004 32 Const. Service/ Agricultural NR PK NEED SVCE & XFMR OPENED