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Home My WebLink About2142 PALOMAR AIRPORT RD; TP; CB043987; Permit10-21-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB043987 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2142 PALOMAR AIRPORT RD CBAD St: TP ELEG 0000000000 Lot #: 0 PALOMAR AIRPORT-TEMP POWER POL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/21/2004 RMA 10/21/2004 10/21/2004 Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner: Electric Issue Fee ^ - n $10.00 Single Phase per AMP 0 . $6.00 Three Phase per AMP .0 . ' . $0.00 Three Phase 480 Per /kMP •- . n 0 n ' $0.00 Remodel/ZMteratlon per AMP' ,0 * $0.00 Remodel Fee . . . $0.00 Temporary Service Fee - / ' • $10.00 Test Meter Fee L n $0.00 . Other Electrical Fees - .-$0.00 ' Additional Fees ,- '■ $6.00 i ■ - ■ TOTAL PERMIT FEES..' ■ $20.00 Total Fees: $20.00 Total Payments To Date:$0.00 Balance Due;$20.00 3800 10/21/04 0002 01 02 CGP 20.00 inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project Irxtudes the Imposltiofi" of fees, derflcations, reservations, or other exactions hereafter collectivelyreferred to as "fees/exactions.' You have 90 days frorn the date this permit was issued to protest Imposition of these fees/exactions. If you protest them, you mustfollow the protest procedures set forth in Government Code Section 66020(a), and fie the protest and any other requtned information with the City Manager forprocessing in accordance with Carislad Munldpai Code Section 3.32.030. Failure to timety follow that procedure wl0 tar any sul)sequent legal action to attack, review, set aside, void, or annul their Impositioa You are heretry FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacitychanges, nor planning, zoning, grarSng or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviousiv been given a NOTICE similar to this, or as to which the statute of Hmltattons has DfevlQUSlY otherwise expired, PERMIT APPLICATION •' ' ' CITY Of CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated By rDate / t? IX ^ i ^-4- 07 Business Name (at this.^SYdr^ss)Address (include Bldg/Suite r\r; r-. «•; y* r-« -■ I /-.t M/-I * Cl lF,(Hi\/id,Legal Description Lot No ' Subdivisio.n Name/Number Unit No.Phase No.Total U of units Assessor's Parcel #Existing Use Proposed Use Description of Work a / J SQ. FT. 2. CONTACT PERSON (if different from applicant) Stories ff of Bedrooms of Bathrooms Name y 3. APPLICANT □ Contractor JJlAc Address City Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax # Name Address City State/Zip Telephone 3 Address City State/Zip TelephoneName 5. CONTRACTOR- COiVlPANY NAME ■, (Sec. 7031.5 Business and Professions Code: An, 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 pe'mit 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 [' vision 3 of the Business and Professions Code]-or that he is exempt therefrom, and the basis for the alleged exempTttn. Any violation of Section 7031.5 by any apppcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollarsJ$^00]j. Narl State License #5^ W6 Address License Class /-T'g City State/Zip Telephone #City Business License # _y>^_dZK~ Designer Name Address City State/Zip Telephone State License # :6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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.el 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 jed. My worker's compen^tion insurance camaran^olicy number are: , y / Insurance Company Policy No.^ Expiration Date j(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ^ 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker^^'^mpensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundredthousand dollars ($100,Q£r0), in additfon^ the cost of compensation, damages as provided for In Section 3706 of the Labor c^de, i^eresLand attorney's fees.SIGNATURE /J/^f \/l/x DATE _;7, PWNER-BUILD^^ECLARATION ( I I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ 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 Professions 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}. □ 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). □ 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. □ YES DnO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I 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 1 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 NO COMPLETE THIS SECTION FOR yVOA/-/?F5/Z?£/Vr//4^ BUILDING PERMITS ONLY Is the applicant or future building occupant requi--2d 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? CH 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? □ YES □ Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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(i) Civil Code). LENDER'S NAME 9. LENDER'S ADDRESS APPLICANT CERTIFICATION 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 CitV 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 WAV 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 not commenced vdthin 180 ((i5|strom the date of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is commenc^i^for a period days (Section 106.4.4 Uniform Building Code).^ DATE dd^. WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE City of Carlsbad BIdg Inspection Request For 11/09/2004 Permit# CB043987 Inspector Assignment: Title: PALOMAR AIRPORT-TEMP POWER POL Description: Type: ELEC Sub Type: Job Address: 2142 PALOMAR AIRPORT RD Suite: TP Lot 0 Location: APPLICANT POWER PLUS Owner: Remarks: Phone: 7608399430 Inspector: Total Time: CD Description 32 Const Service/Agricultural Requested By: MICHELE Entered By: CHRISTNE Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments McClellan Palomar Airport Carlsbad, California V N r ion Z1JU A.B2016 Mc.MicoQMm.ran 1?^ m MAD&LUi-AVUTtON M ■CMiKACH / HAMOEH 1 LOT (Monri —nrr inignMg immmrwmm EE SOUTH AC4ISSSROAD 04/16/04 J