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Home My WebLink About2188 DICKINSON DR; ; CB040242; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB040242 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2188 DICKINSON DR CBAD St TP ELEC 2081821100 Lot# HERON BAY-TEMP POER POLE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/22/2004 RMA 01/22/2004 01/22/2004 Applicant TEMP POWER SYSTEMS 750 N CITRACADO PKWY ESCONDIDO CA 92025 760439-1999 Owner SHEA HOMES LIMITED PARTNERSHIP C/0 PAUL BARNES 10721 TREENAST#200 SAN DIEGO CA 92131 3e04 01/22/0*OOOC 01 CGF- 02 20-uO 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 $000 $000 $000 $000 31000 SO 00 $000 $000 S2000 Total Fees $2000 Total Payments To Date $000 Balance Due $2000 Inspector FINAL APPROVAL Date 3 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), ana 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 OJECT INFORMATION „*2188DicksonDr FOR OFFICE USE ONLY PLAN CHECK NO . EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No '"otal H of units Assessor s Parcel #*Temp Power Pole inption or Wort Existing Use Proposed Use Descriptioi SO FT tfof Stories # of Bedrooms # of Bathrooms CONTACT PERSON (if different from applicant) Name Address City 3 : APPLICANT Q Contractor Q Agent for Contractor Q Owner, F) Agent for Owner *Gary Seymour 2458 S Santa Fe Ave Vista, CA 92084 State/Zip Telephone #Fax tt 760-439-1999 Name Address City State/Zip Telephone # PROPERTY OWNER *Shea Homes 10721 Treena St San Diego. CA 92130 858-549-3156 Address City State/Zip TelephoneName 5 CONTRACTOR - COMPANY NAME • ,..' , ..., .. .-.. - 'j. ' ' '. '. (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 exemption Any violation of Section 7031 5 by ap aopUcaa; fof^a permit subjects the apeltoant to a^vii penallKflos more than 'on ^Any violation of Section 7031 5 by apv aopUcap; fof-a permit subjects the apeltoant to a/^vii penally jKflos*Temp Power Systems 2,456 S Santa Fe Ave, Tista, CA 92084 Name State License 8 *A8'}4- Designer Name State License It Address "}1 License Class J J Address CIO City State/Zip City Business License # City State/Zip Telephone tt 120 1 \j5j_j ; Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations || | 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 [~l 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 insurance carrier and policy number are Insurance Company *StfltC F\lTI(j Policy No 1 589783- t^O^ Expiration Date 1 0/0 1/0" (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 /ecute worfffass compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SIOOlOOoVWi radilon to the cost of compensation damages as provided for in Section 3706 of the l^abor code_ interest apd attorney s fees SIGNATURE ^BnTV _.... __..._ _ DATE 7 OWNER-BUILDER DECLWBATION I hereby affirm that I am exeiAAfrom the Contractor's License Law for the following reason | | | 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) |~1 | 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) 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 f~l YES C]NO 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 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) DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIftL BUILDING PERMITS ONLY 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? l~1 YES [__) NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YE:S I"! NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? f~1 YES O 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 30970) Civil Code) LENDER S NAME LENDER S ADDRESS 9 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 co.nply with all City ordinances and State laws relating to building construction I hereby authorize representatives of tha 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 not commenw^d withio^O 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 comme/ced lo\a pWiod « 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE City of Carlsbad Bldg Inspection Request For 03/23/2004 Permit* CB040242 Title HERON BAY-TEMP POER POLE Description Inspector Assignment RB 2188 DICKINSON DR TP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT TEMP POWER SYSTEMS Owner SHEA HOMES LIMITED PARTNERSHIP Remarks Phone 7606446107 Inspector Total Time CD Description Act Comment &£.32 Const Service/Agricultural Requested By GARY Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 02/03/2004 32 Const Service/Agricultural CO RB SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For 02/03/2004 Permit* CB040242 Title HERON BAY-TEMP POER POLE Description Inspector Assignment 2188 DICKINSON DR TP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT TEMP POWER SYSTEMS Owner SHEA HOMES LIMITED PARTNERSHIP Remarks Phone 7606446107 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Act Comment Requested By GARY Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO (760) 602-2700 1635 FARADAY AVENUE FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE1? I I YES FOR FURTHER INFORMATION^CONTAQI BUILDING INSPECTOR L PHONE CODE ENFORCEMENT OFFICER ® 71 DFR COPY COMPENSATION INSURANCE PO BOX 807 SAN FRANCISCO, C A 94142-0807 ISSUE DATE CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 10-01-2003 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 SP GROUP -^ POLICY NUMBER 1589783-2003 CERTIFICATE ID 583 CERTIFICATE EXPIRES 10-01 -20o* 10-01-2003/10-01-20O4 LICENSE NUMBER #433433 INCEPTION DACE 10-01-2003 Do s- Si- This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon JG days' advance wri'ten notics to ths ernployar We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such policies AUTHORIZED REPRESENTATIVE PRESIDENT LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00 PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER LEGAL NAME TEMP POWER SYSTEMS 625 FEE ANA ST PLACENTIA CA 92870 POWER FABRICATING INC AND/OR TEMP POWER SYSTEMS INC (REV 3-03)PRINTED °B-"-2003 P0410