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
^^
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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. Mo)> Xtoes AMC )«
When mtot
MIMRK » «Wi BWK iad M iseuwiea wn WXBO* *"« untt atmtet !:
mma»jn»raim«>i«io»:
»fwii»ctien. 13 ft @ cedar af ^t=«t «r 12 frsffl
, 12 ft over
ttrvka; pjww Dtf Atet l-80»422-»m M Tewt
4B to pnftr to tren&ug
Ma* Swiicii2£fi_i9tips
L°it«se 4 W;K 7 Mter QlfM I2IV20E Vote
Ulluu«» mBmnUrt casviteofie to finilt eunus azK.Allp mapa
For Thr« pTiisa Jraasfonnere with hindhole senlpw,
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of itnpfiic vvtetfdeat ertatlc moral oveewni «Wfe8«w«w«w ytMBmidon. LWo» i? k *«u^» ncgBgcneeafEDGAE.
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