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Home My WebLink About2003 CASSIA RD; TP; CB054231; Permit12-13-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB054231 Building Inspection Request Line (760) 602-2725 Job Address: Perm it Type: Parcel No: Reference #: Project Title: 2003 CASSIA RD CBAD St: TP ELEC 0000000000 Lot#: CASSIA APTS- TEMP POWER POLE Status: ISSUED Applied: 12/13/2005 Entered By: LSM Plan Approved: 12/13/2005 Issued: 12/13/2005 Inspect Area: Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDOCA 92025 760439-1999 Owner: 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 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees:$20.00 Total Payments To Date:$20.00 Balance Due:$0.00 Inspector FINAL APPROVAL Date:Clearance:Ql* 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 VQU have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 MMECTWmRMfcTION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date / A Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel # f*Temp Power Pole Existing Use Proposed Use Description of Work 2. CONTACT PERSON (It oHfecwt from appHcent) SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name Name Name Address Address City City State/Zip State/Zip Telephone it Fax* 760-439-1999 Telephone # 5Q55Avehida Encirias # JOO fcartsbad, CA 92008 760-431-2999 Address City State/Zip Telephone # {Sec. 7031 .5 Business and Professions Code: Any City or County which requires a 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 exempt therefrom, and the basis for the alleged ^ morfl than Name Address State License # *4^^4^3 License Class City State/Zip Telephone It 1,10 City Business License # 12vi()5'2 Designer Name Address State License # City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and 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. Q 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 permit is issued. My worker's-compensation inaurancecarriaf and policy number are: i/-rn/rr^rvrorvn lA/rti if\£ insurance Company ^V&gmia^UretyCo. Poiicv No. 1CW50205300 Expiration Date 10/01/06 (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, I shall not employ any person in any manner so as 10 become subject to the Workers' Compensation Laws of California. WARNING: Failure to^acun wopcfrs' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (6109,000V SIGNATURE in to the coat of compensation, damages aa provided for In Section 3706 of the Labor code, interest and attorney's fees. DATE /7^ / I hereby affirm that I am exejrtpt from the Contractor's License Law for the following reason: O 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 sale (Sec. 7044, Business and Prolusions Code: The Contractor'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 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). Q I, as owner of the property, am exclusively 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 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 major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. 1 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 / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE 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 25505, 25533 or 25534 of the Presley- Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS AR£ 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ___ _ ___ _ _ _____ LENDER'S ADDRESS I certify that I have 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, 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 excavations over 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 rwrcammencaa within 180 days from the date o( such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is (fomrrpnceilftrb period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ^^\k/.-4V^r~' ' - - — DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/27/2006 Permit# CB054231 Title: CASSIA APTS- TEMP POWER POLE Description: Inspector Assignment: PD Type:ELEC Sub Type: Job Address: 2003 CASSIA RD Suite: TP Lot 0 Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: DID NOT GET DONE ON 2-22 ? Phone: 7606446107 Inspector: Total Time: CD Description 39 Final Electrical Comment Requested By: GARY Entered By: JANEAN Com m ents/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments SAfhn . .. CliMitt: 57887 POWERFAB ACORD, CERTIFICATE OF LIABILITY INSURANCE PAOMJCtft OWP/US1 of Southern California 'Jc* Ott1929»*949)7904339Suz<m .9 A Technology Drive Irving CA 92618 mSUftfC Power Fabricating, Inc. & Temp Pow«r Systems, Inc. 625 S. Fee AIM Street Placenta, CA 92070 DATCWWowrm)oaovos THIS CCRTlRCAre tS ISSUbO AS A MATTER OF INFORMATIONONLY AM CONflERS HO RtOHTS UPON THE CERT1PICATE HOLDeR-TMSCEHTWCATCOOeS NOT AMEND, EXTENGLflfl . / ALTER THE COVERA6E AFFORDED BY THE POUCIES BELOW. j_.,/ IMSUnCflfl APFORMNQ COVERAGE INSURER A: Liberty Surplus Inauranc* Company nouAERB! Vfrtfrria Survty Company mauwRG Hartford Flr» Insurance Co. meuwftft INSURER C: 10 tiff notio* for nonpfly NA*C# COVERAGES AT^Y RGQUIREMem, TERM OR CONOlTlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSufiANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEftMS. EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. OCMMALUAM/TY , I JL OCR CCm. AOOREMTE UMIT APPlrtS HH*1 ^ STIux: jUffOMOttLEUMIUTY X ALL OWNED AUTOS SCHEDULED AUTOS ABAGEUABttJTY ANYAytQ EXCCMAJIMMEUA LMWUTV _j IftElENnON S UHTB OCLB02001 52033 1CA501 06200 10/01/05 10/01/05 10/01/06 10/01/06 UEDEXPWVOMpMOn} GENERAL AQQneaATE PK» JOTS - oounof AOC COMBINED SWCLE LIHTT BODILY INJURY Aim} ONLY - EA ACCOEKT AGO EACH OOCUmENCE AOOnEQATt (1,000,000 * 11.000.000 s2.OOQ.ODQ *1, 000,000 WOHKEtt COlMtNtaTKM «NO OIPL0VEWUAHUTY 1CW50205300 10/01/05 10/01/06 iLLEACMACCnEKT 1 1,000,000 EL mSEABE -$1, OOO.OOO E-LPBEASg-EQuCVUhUT »1.000,000 °™CT Comm. Prop. Leased/Renled 72UUMTR0128 10/01/05 1C/G1/Q6 $100,000 Max Umit «2,5000ed. OttCwnON OF OPERATIONS / bOCAtiaNS / vf WfiLU / exeuiftMNt A&DU iV BMDMMWtfr/ SHOAL PROVWOm •Except 10 day notice of cancellation for non-ptyment of premium. Re: LJoenee 9 483433 and Ucenee #S9G713 CERTIFICATE HOLDER CANCEtUtTlON Contractors State License Board P.O. Box 26000 SacranMnto,, GA 95826 SHOUUJ AMY Of THE ABOVE DEKNKD POUdEB BE CANCELLED BEPOM THE &ttMO»H OATETHEREOf.THEBSUINaWSUHEflWIUIMlWlBOaiHAIL *9Q OAVKWIVTTEM HOT1CC TO THE CERTIACATK HOuUA NAMU TO THE LEFT,; ACORD 25 (8001*8)-#M316595 0 ACOflD CORPORATION 19SO 'ON/IS'M l.S/8g:H 5002 *• 100(301)woaj