HomeMy WebLinkAbout1984 LEVANTE ST; TP; CB071901; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-17-2007 Electrical Permit Permit No: CB071901
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#:
MOVE EXISTING 200 AMP POWER
POLE@ FIRE STATION
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
Total Fees: $60.00 Total Payments To Date:
Inspector:
FINALf_!
Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/17/2007
LSM
07/17/2007
07/17/2007
$10.00
$50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$60.00
$60.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOTICE tha roval of your project includes the "Imposition" of fees, dedications, reseivations, 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
processir19 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 lo 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
I whi h h I n iv n N Tl imit r hi ·r Ii i i n I
FOR OFFICE USE ONLY
PLAN CHECK NO. ______ _
PERMIT APPLICATION EST. VAL. __________ _
Plan Ck. Deposit _________ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Validated By __________ _
Date _____________ _
1. PROJECT INFORMATION
1984 Levante St TP
Address (include BldgfSuite #)
legal Descnption Lot No
Business Name (at this address)
Carlsbad Fire Station
SUbdillision Name/Number Unit No Phase No
Assessor's Parcel # Ex1st1ng Use Proposed Use
Temporary Power Pole 200 Amp (replacinQ existinQ pole(cb062986) which is the the way of the trench)
Descnpbon of Work SO FT # ot Stones # ot Bedrooms
2. CONTACT PERSON (if different from applicant)
Total# of units
# ot Bathrooms
Michelle Scott 436 N Quince St. Escondido CA 92025 760-839-9430 760-839-9436
Name Address C,ty State/Zip Telephone #
3. APPLICANT D contractor □ Agent for Contractor
.Jennifer Cale P o Bax Z l l 564
Name Address
<4. PROPERTY OWNER
Baker Electric 1298 Pacific Oak Pl
Name Address
5. CONTRACTOR· COMPANY NAME
□ ONner
Santee
C,ty
□ Agent for ONner
C a 920 72 6 1 9-4 05-2 6 48
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 permrt to construct. alter improve. demolish or repair any structure. prior to ,ts issuance.
also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending with
Section 7000 of Olv1SK>n 3 of the Business and Protessaons Code] or that he 1s exempt therefrom. and the baSts for the alleged exemption. Any VIOlatlon of Section 7031.5 by
any applicant for a permrt subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
Powe r Plus ! 436 N. Quince Street E scondido C A 92025 760-8 39-94 30
Name Address City State/Zip Telephone#
State License# 523596 License aass C61, C 10, 031 City Business License# ~1=2=06~2~5~5 _____ _
Designer Name Address City Stale/Zip Telephone#
State l icense# _______ _
6. WORKl1R'$ COMPiN$AllON
Workers· Compensat,on Declarat,on I hefeby affirm under penalty of periury one of the followmg declarat1011s
□ I have and will maintain e 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 perm it IS issued
[2] I have and will maintain worker's compensation. as required by Section 3700 of the labor Code. for the performance of the work for which this permit 1s issued. My
worker's compensation insurance carrier and policy number are
Insurance Company Old Republic General lnsuarance Cori: Polley No.A 1CW37450700 Exptrabon Date._0_3_-3_1_-_o_s _____ _
(llilS SECTION NEED NOT BE COMPLETED IF TME PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
□ CERllFICA TE OF EXEMPTION: I oert,fy that m the per1bnnance of the wooc for wfllCII ttus penmt ,s issued. I snaff not employ any person in any manner so as to
become subject to the Workers' Compensabon Laws of Galifomia
WARNING: Failure ID secure .,orl<ers' compensation
dollars($100,000), In addition {o the cost of co pen
SIGNATURE
7.
ul, and shall subject an employer ID criminal penaltles and civil fines up to one hundred thousand
tt:,1n Section 3706 of the Labor Code, lnt•~~~;ttomey's feesf 16 -t) 7
or's license Lawlor the follow,ng reason
yees with wages as their sole compensation, will d the work and the structure 1s not intended or offered for sale (Sec 7044.
Business rofl!SSIOns v<>:Je...J.De.,s.10111:ract
through his awn employees, provided that such impra;ements are not intended or offered for sale If, however. the budding or improvement is sold wrthin one year of
complebon. the owner-builder will have the burden cl pr<Mng that he did not build or 1mpra;e for the purpose of sale).
□ I, as awner of the property, am exclusively oontrad1ng with hoensed 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 1mpra;es thereon. and contracts for such proiects wrth oorrtractor(s) licensed pursuant to the Contractor's
license law)
□ I am exempt under Sect1011 ________ Business and Professions Code for th,s reason
1 I pen;onally plan to pr<Mde the maJO[ labor and matenals for oonstructJon of the propo68d property 1mpra;ement D YES □ NO
2 I (have/have not) signed an application for a building permit for the proposed work
3 I have contracted wrth the foUowmg pelSOl1 (firm) to prOYlde the proposed construction (include name/ address/ phone number I contractors hcense number)
4. I plan to provide portions of the work, but I have hired the following per11on to coordinate. supeiv,se and provide the maJQr work (1nctude name / address/ phone number I
/ontractors license number) -------------------------------------------
5. I will provide some of the work, but I have con1rected (hired) tire following pe(SOIIS to provide the IMXk /nd,cated (mclude name I address I phone number I type of work)
PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _
WHITE: Fife 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-RESIDENT/AL BUILDING PERMITS ONLY
ts the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration tor or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous SUbstanoe Account Act:? D YES D NO
Is the applicant or future building occupant required to obtain a penmrt from the air pollut1011 oorrtrol dlSlnct or air Quality management dIstnct? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school srte? D YES D NO
IF ANY OF TlfE ANSWERS ARE YES, A FINAL CERTlRCAlc 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 1s a construcbon tend mg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code)
LENDER'S NAME __________________ _ LENDER'SADORESS ___________________ _
9. APPLICANT CERTIFICATION
I cert~y that I have read the application and state that the above information 1s correct and that the mformaMn on the plans 1s accurate I agree to comply wrth all C~y
ordinances and State laws relating to building oonstruct1on 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 penmrt 1s n!QIJlred <or excavations of5'0"oeep and demolmon orconslrucoon ofstrucrures .,...,-3stones m height
EXPIRATION: Every penmrt IS$Ued by the building Officlal under the prov1oons of this Gode shall exptre by limrtabon and become null and void 1f the building or work authonzed
by such penmlt 1s not commenced within 180 days from the date of penmrt or~ the building or work authonzed by such penmrt ts suspended or abandoned at any time after
the work is commenced for a penod of 180 d (Sect>on 106 4 4 Urvf~Di>oelliRbng Code)
WHITE: File YELLOJ\I: APOlicant PINK: Finance
f).
City of Carlsbad Bldg Inspection Request
. . For~ 0-,. 5 -07
Permit# CB071901
Title: MOVE EXISTING 200 AMP POWER
Description: POLE@ FIRE STATION
Type: ELEC Sub Type:
Job Address: '1984 LEVANTE ST
Suite: TP
Location:
APPLICANT POWER PLUS
Owner:
Lot: 0
Remarks: this may have been done on Monday
Total Time:
CD Description Act Comments
32 Const. Service/Agricultural Pe-
Inspector Assignment: TP ---
Phone: 7608399430
Inspector: --~-
Requested By: CHRISTINE
Entered By: CHRISTINE
--------------------------
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments