HomeMy WebLinkAbout1984 LEVANTE ST; TP; CB062986; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-1,-ioo6 Electrical Permit Permit No: CB062986
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
Project Title:
1984 LEVANTE ST CBAD St: TP
ELEC
0000000000 Lot #:
200 AMP TEMP. POWER FOR CONSTR
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
200
0
0
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/17/2006
JMA
10/17/2006
10/17/2006
$10.00
$50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due:
Inspector:
FINAL APPROVA.l-
Date: J(, I• ".6 I Clearance:
$0.00
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 legat action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED lhat 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 seivice fees in connection with this project. NOR DOES IT APPLY to any
f in f h v r i I T hi h h fli i i I h i
PEF.tMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1. PROJECT INFORMATION
1984 Levante St TP
Address (include Bldg/Suite #) Business Name (at this address)
La Costa Glen N.
Legal Description Loi No. Subdivision Name/Number Unit No.
Assessor's Parcel #
Temporary Power Pole 200 Amp
Existing Use
Description of Wont SQ.FT. # of Stories
2. CONTACT PERSON (If different from applicant)
FOR OFFICE USE ONLY
PLAN CHECK NO. ~6.;J°t8/b
EST. VAL. _________ _
Plan Ck. Deposit -f=bz:'---1----------
Validated By __ ..::~~~-><---~--
Date _____ _;_to~f...!..l....:.'7+fi .... o=>.h_,_
Phase No. Total# of units
Proposed Use
# of Bedrooms # of Bathrooms
Michelle Scott 436 N Quince St. Escondido CA 92025 760-839-9430 760-839-9436
Name Address
3. APPLICANT O Contrador O Agent for Contractor
.Jeooitec Gale Pa Sax 711564
Name Address
4. PROPERTY OWNER
Baker Electric 2180 Meyers Ave
Name Address
5. CONTRACTOR • COMPANY NAME
City
D Owner
Santee
City
State/Zip Telephone#
Iii Agent for Owner
Ca 92072 619-405-2648
State/Zip Telephone#
Escondido CA 92029 760-745-2001
City State/Zip Telephone#
Fax#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, atter, 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 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 ($500]).
Power Plus! 436 N. Quince Street Escondido CA 92025 760-839-9430
Name Address City State/Zip Telephone#
State License # ---=-5=2-=-3-=-5-=-9-=-6 ____ _ License Class C61, C10. 031 City Business License# -'1:.::2:..::0.a6:..:2:..::5.a5'--------
Designer Name Address City State/Zip Telephone#
State License# _______ _
6. WORKER'S COMPENSATlON
WOll<ers' Compensation Declaration: I hereby affirm under penalty d perjury one of the following dec:18/llllons:
O I ha\19 and will maintain a certificate d consent to self-insure for woritera' compensation as provided by Section 3700 d the Labor Code, for the performance of the work
for which this permit is issued.
[Z] I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the wor1< for which this permtt is Issued. My
worker's compensation insurance carrier and policy number are:
Insurance company American Home Assurance Policy No. WC? 171634 Expiration oate._0_3_-3_1-_0_7 _____ _
(TltlS SECTION NEED NOT BE COMPLETED IF TME PERMIT IS FOR ONE HUNDRED DOU.AR$ [$100) OR LESS)
□ CERllFICA TE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I shall nol employ any person In any manner so as to
become subject to the Woritera' Compensation Laws of California.
C'.antradol'.IUcense Law for the following reason:
empl01• with wages as their sole compensation, will d the work and the structure is not intended or offered for aala (Sec. 704-4,
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 such improvements are nol intended or offered for sale. If, however, the building or Improvement is sold within one year of
completion, the owner-builder will ha\19 the burden of proving that he did not build or Improve for the purpose of sale).
O I, as owner of the property, am exdusively contracting with licensed contractOIS to construct the project (Sac. 704-4, Business and Professions Code: The Contractor's
License Law doat! nol apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractOl(s) licensed pursuant 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. D YES D NO
2. I (havelha\19 not) signed an application for a building permit for the proposed work.
3. I haw contracted with the following person (firm) to provide the proposed construction (indude name I address/ phone number/ contract01S 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 (indude name I address I phone number/
/ontractoralicensenumber): -----------------------------------------6. I will provide some of the v.ork, but I have contracted (hired) the following persons to provide the work indicated (indude name / address/ phone number/ type of wor1<):
PROPERTY OWNER SIGNATURE __________________________ DATE __________ _
WHITE: FIie YELLOW: Applicant PINK: Finance
....
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials registration for or risk management end prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 3097(1) Civil Code).
LENDER'S NAME___________________ LENDER'S ADDRESS ___________________ _
9. APPLICANT CERTIFICATION
I certify that I haw 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 property for inspection
purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 of 5•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 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 commenced for a period of 180 ys (Section 106.4.4 Unifo Build" ~/ -
APPLICANT'S SIGNATURE ----=-..µ,,t.~.::..1.....=--i.....=~~~~:::...:::U::..._ lu.__=---==-------DATE / tJ -/7-d(p
WHITE: File YELLOW: Applicant PINK: Finance
~ w City of Carlsbad Bldg Inspection Request
For: 1 0/30/2006
Permit# CB062986
Title: 200 AMP TEMP. POWER FOR CONSTR
Description:
Type: ELEC Sub Type:
Job Address: 1984 LEVANTE ST
Suite: TP
Location:
APPLICANT POWER PLUS
Owner:
Remarks:
Total Time:
Lot 0
Inspector Assignment:
Phone: 7608399430
Inspector: -----
Requested By: MICHELLE
Entered By: JANEAN
CD Description A;j .6_o_m_m_e_n_t _________________ _
32 Const. Service/Agricultural ..tt:.£ _
39 Final Electrical ±
~~ -~~~
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments