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Home My WebLink About1902 LEVANTE ST; ; CB043616; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-17-2004 Electrical Permit Permit No: CB043616 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1902 LEV ANTE ST CBAD ELEC Lot#: LA COSTA GLEN-TEMP 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: 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: ':l,-)e•<2..., NOTICE: Please take NOTICE th approval of your project includes the ''lmpos ion" 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. 02 20-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {t!zOL/3b(6 'CITY 'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Cle Deposit __________ _ ~::~ated By 1/ { ? {o F t11,'.;;tf(.P.RO'liECT:INFORM~ TION, , Business Name (at this address) Legal Description Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bedrooms I of Bathrooms Name _/_ Address City O ~raq;ior.•·: ~gent tor ·cont,oiqroi-.l, •. □•P_wne .• ,. O :.&;,nt for OY.:ner State/Zip Telephone I Fax II Address City State/Zip Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires I 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 exampt therefrom, and the basis for the alleged ~~viola ·~~ Section 7031 b any applicant f(,; permit subjects the a · ant to a ci~lty of n~ore than five hu dred dollars $500(). Name City State/ZIP. ~one I State License I (2~ r-f 6 License Class /'Y~ City Business License II 7 M-e,2( \ Designer Name Address City Stete/Zip Telephone State License I _________ _ (8. · \'YORJ(tRsr C.O~eJ;NJATIOl'uJj;tj.!.,,,;'/,...;i,.;:,;.,;.,.:.,,..,':.:.. ·,,,;.1 ••••.. , _ .• ~.. ••"''· , •' · .·~•, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain e certificate of consent to self-insure for workers' compensetion es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M I heve end will meintein workers' compensetlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is (s;ued. My worker's com ensation insurance carrier end poiic number are: ...,. / / insurance Compeny ~~L:,~-+.....:.a'----::.,,,,e.....-:,,<.,µo:::....______ Policy No. Lt<: ,7/4 rrrv Expiration Date ~/0 r (THIS SECTION NE NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ~( 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallura to Hcura era' compenaatlon coverage 11 unlawful, and lhall aubjact an amploya, to criminal panaltiH and civil finH up to one hundred thouHnd doHara ($ 0001, I dltlon to the coat of companHtlon, damage,•• provided for In Section 3706 of the La~r_}°~· :,,;;,:d attor.ney'1 fea,. SIGNATURE._-~-~~=~-------------------DATE ~ # i..,..hc,1!-IAIIU";,;Jwi,'l'iil-""'~ ', ·~"N. . . .,.. ~=.,, ... .• ~ ._ . .,.t.i:,."l>\~,~,. , •.•• , .~., .. -•' ,. • ..tt. .·.,~ y. ~ ...... ..,,, .• :/.~~~· ' -, •• ·• ~ ... .:: .... :._ l'.l~..!.,_t'!a;D!JR .. Y-J,.;1!!!5,._'EJ,,I' . -' cu .. v. ~ -.~~ ... la''\ '----.. ..... .h -............ ~ -' -I• :,i. ... ... , .,. .... .. , I heieby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 sele (Sec. 7044, Business and Professions 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 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 axclu1ively 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 pursuent 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 of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contrectors license number): ______________________________________________ _ 5. I will provide some of the work, but I heve contrected (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ lCQMel.UJ!crHIS Sf;CTIO,CFOR'NON~ES/DEN17AL' B',!JtplNO.:f'ERM!If QNl,f' ,' . ruit-t..e1'\!?; ~1'J:l..:r.r:.:id ........ .:r...:....,~.-~ .; :.:.:; -...!..:.:. LJ, '' .•.• l . 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 25506, 26533 or 26534 of the Presley-Tanner Hazardous Substance Account Act?• 0 YES O NO Is the applicant or future building occupent required to obtain a permit from the air pollution control district or air quality manegement district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A Flt~AL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR iS ~HING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS __________________________ _ ~' -~ l'PUCAm C.E8TlflCAI101't · . · ~,.~_,,.~,_ .. .,.,. ·-" · .,...,~ •. ,-.,,;J,. ,..;_.,;·.:~,':,.•• ,,,,.:-,. ·-,':.· ,_,. I certify that I have read the application and ltate that the above information is correct and thet 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 Cltt of Carlsbad to enter upon tha 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 excevations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permll Issued by the building Official under the provisions of this Code shell expire by limitation end become null and void if the building or work authorized by such permit Is not commenced with' • 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 comma d for a ri of 180 days (Section 106.4.4 Uniform Building Code). DATE A°l//?/4,U 11.PPLICANT'S SIGNATURE ~ WHITE: Fila YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/30/2004 Permit# CB043616 Title: LA COSTA GLEN-TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: Suite: 1902 LEVANTE ST Lot Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: 0 Inspector Assignment: PS --- Phone: 7608399430 lnspector:22 Requested By: MICHELE Entered By: CHRISTINE CD 32 Description Const. Service/Agricultural Jf!-mm~ Associated PCRs/CVs lns12ection Histo[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