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HomeMy WebLinkAbout1921 SILVERLEAF CIR; ; CB020832; Permit03-21-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No Building Inspection Request Line (760) 602-2725 CB020832 Job Address Permit Type Parcel No Reference # Project Title 1921 SILVERLEAF CR CBAD ELEC Lot* 0 Status ISSUED Applied 03/20/2002 RMA 03/20/2002 03/20/2002 LA COSTA GLEN-TEMP POWER POLE Entered By Plan Approved Issued Inspect Area Applicant =>OWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner 3526 03/2I/02 'J002 O; COP Total Fees $2000 Total Payments To Date SO 00 Balance Due S2000 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 SO 00 $000 $000 $000 $1000 $000 $000 $000 $2000 Inspecto 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 "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 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 FROM JOHN EOT I OFF FOX NO 714 5620969 Mar 20 2002 01 31PM PI PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated Bv r Date \ / J2 .23- Address (include Blag/Suite •)Business Name (at this address) Legal Description Subdivtoon Name/Number Phase No Total * of unrts Assessor's Parcel»Existing Use Proposed Use Description of Wort -.cbK f of Bedrooms t of Bathrooms (Sec 7031 5 Business and Professions Code Any Chy or County which requires a permit to construct, alter, improve demolish or repair any structure prior to its Issuance, also requires ths eppllcenl for such permit to file t signed statement that he fa licensed pursuant to the provisions of tic Contractor's License Law (Chapter S commending with Section 7000 of Division I of the Business and Profaesions Code! or that he Is exempt therefrom and the basis for the alleged n 7031 5 byastuipolicsnt for a penprt, subjects the^pncant to a civil penalty of not more then live hundred dollsrsj»5pennit subjects the applicant V-?£ uimt Name State License * Address License Class. City State/Zip Telephone* City Busmen Uoense t /" 2& Cs> Z. <.""<.•" Designer Name State License » Address City Stete/Zip Telephone ^S^^j^j-^^^ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations: Q I have end 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 rX^ 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 permrt is /issued My worker's composition Insurance canter and policy number are ^_ insurance Company ^^* ' f-T**4y* Policy No 'J 3l-5{/& Cy Expiration Data >*" (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q CERTIFICATE OF EXEMPTION! I certify that in the performance of the work for which this permit Is issued 1 shall not employ sny person in any minnic so ea to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation cvnrege Is unlawful, and shall subject an employer to criminal pennies and dva fins up to one hundred thousand doUan ($1001000) jp^ddltfpn to the cost of compensation, damages as provoted for m Section 370E of the labor code Interest end attorney's *•» SIONATl«6 JV--^fr^><t-- [>ATE_*"5 !PiS?™*«lKBj9SKte'HWB»W«rW I hereby affirm that I am exempt from the Contractor's License LSw for the following reason Q I, es owner of the property or my employees with wegea as their tola compensation, win do the wort end the structure is not intended or offered for sale (Sec. 70d4 Business and Professions Code The Contractor's uconse Law does not apply to an owner of property who builda or improves thereon and who dooe Such work himself or through his own employees, provided that euch improvements are not intended or offered for ssle If however, the building or improvement is sold within one year of completion the owner builder wdl have the burden of proving that ho did not build or improve for the purpose of sele) 0 I, as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for tucn projects with eontrectorisl 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 maior labor and materials for construction of the proposed property Improvement Q YES QNO 2 I (hive I have not) signed an application for a building permit for the proposed work 3 I have contracted with the fonowmg 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) , , __ 6 I will provide some of the work but I have contracted (hired) the following patens to provide the work indicated (include name / address / phone number / type of work) ... __ PROPERTY OWNER SIGNATURE DATE. Is the applicant or future bulldng occupant renulred to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 2SS05 25533 or 25534 of the Prestoy Tanner Hazardous Substance Account Act? CI YES Q NO Is the apphr^t « future buiUtlr« ocittpaM reared to ebtdn a pwmM D YES Q NO Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school srto? D ySS D NO IF ANY OF THE ANSWERS ARC VIS A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction tending agency for the performance of the work for which this permit Is Issued (See 3097M Cml Cods) LENDER S NAMi LENDER'S ADDRESS ^I certify that I have read the application and state that the ebove Iruorrnsbon la correct and That the mformvtton on the plane rs accurate I agree to comply with all City ordnances and State Isws relating to building construction. I hereby authonz* 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 UABILmES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0* desp and demolition or construction of structures over 3 nonos in height EXPIRATION Every permli Issued by the bulMhg Official undir Ihe provisions of this Code shall expire by imitation and become null and void if the buildino, or work luTorfcedby such perrnit is not commenced within 180 days from Ihe date of such permit or ,l the building or work authored by such paimil a susp-iaM Of abandoned commenced for a ported of,1SO days (Section 106.4 4 Uniform Building Cods) \**n~3 APPLICANT S SIGNATURE YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/03/2002 Permit# CB020832 Title LA COSTA GLEN-TEMP POWER POLE Description Inspector Assignment PS Type ELEC Sub Type Job Address 1921 SILVERLEAF CR Suite Lot 0 Location APPLICANT POWER PLUS Owner Remarks Phone 7608399430 Inspector Total Time CD Description Act Comments 32 Const Service/Agricultural Requested By MICHELE Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 04/01/2002 32 Const Service/Agricultural NR RB 03/28/2002 32 Const Service/Agricultural NR PS CITY OF CARLSBAD ELECTRIC AND GAS METER CLEARANCE INTER-DEPARTMENT ADDRESS: /?£/ /9'Z..3 S E O Service Equipment Only YES NO Reason, If Denied ELECTRIC METER COMMERCIAL RESIDENCE NEW SERVICE YES RELOCATE NO TSPB TEMP P/P X UP-GRADE TEST METER IRR PEDESTAL GAS METER COMMERCIAL YES RESIDENCE NO TEST METER BuilSTng Ijrapecpr Signature Date Time Called In By Date Time ^^ _>0, Callecfin FROM : JOHN BflTIOFF FflX NO . 714 5620969 Mar. 20 2002 01 '47PM P15PER^ir SERVICES INC HAUL M *& C -20Q2 *IED 08 '38 M C1"Y OF ClRSLBftD FflX NO, 760 602 3558 F 02 MAR 2 1 2002 City of CARLSBAD BUILDING DEPT FROM . JOHN BflTIOFF * -ersur FROM . JOHN BflTIOFF FflX NO . 714 5620969 Mar. 20 2002 01 42PM PB Confirmation of meter and service request 05/12/02 G LIFE COMM Phone; 760 479 3199 Want date: Service Address; 1921 SHVERLEAP OR CB Ccgflftot: MICHRLT ,T SCOTT : 7698399430 We have investigated your request for temporary swvice and de:«nuiaed thai tfce fecilitws jjgjj have Idwjftfied as D UMaift.f*1 »teia*uoally avni^bJe fe* y<Mir nw m prpvjdiH^ teraporaiy jhwef fox yoar project If tempoffljy service is to be provided mdgiground, please place your iacilihes no closer then 7 ft or no fbriaer tbaa 20 it firom fee Utility source described above (see generic sketch below) As <MXHL>$ voa movide aurith-_a firm date vour fictltttM will be iastalled. we cfltt schftfluto. your Tlie mricr wiB be set paitdSag iracMBt of both For any questions oOBEcmlng das fbnn or flsdiar io&ntWDon nil SM Dieg* Gas ft Electric «' JOBB ActOit 7tH> Ml 7303 rfafenaaiioa. . .. . ifp resulted » be nuSfy socDuiWcM Hn. 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