HomeMy WebLinkAbout2201 CANNON RD; TP; CB042539; Permit06-24-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB042539
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2201 CANNON RD CBAD St: TP
ELEC
Lot#:
CANNON LIFT STATION-TEMP POWER
Status: ISSUED
Applied: 06/24/2004
Entered By: RMA
Plan Approved: 06/24/2004
Issued: 06/24/2004
Inspect Area:
Applicant:
POWER PLUS
436 N QUINCE ST
ESCONDIDO CA 92025
760 839-9430
Owner:
5171 06/24/04 0002 01 02
CGp 20
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:$0.00 Balance Due:$20.00
FINAL APPROVAL
DATE CLEARANCE
SIGNATURE
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK
EST. VAL. .
/l->( 2.SJ °l
f
Plan Ck. Deposit
Validated B
Date
UftAddress (include Bldg/Suite *)Business Name (aVthis address)
Legal Description /^- j* M
Assessor's Parcel #
Description of Work^ - -
Lot No. Subdivision Name/Number
Existing Use
/J SQ. FT. ffof Stories
Unit No. Phase No. Total # of units
Proposed Use
9 of Bedrooms # of Bathrooms
r i 's , t ,»
Name 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
exemptftn. Any violamn of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
Narrfe '
State License 9 V^^ C 7
Address
'•* License Class f*s&
City State/Zip
City Business License # / Z
Telephone #^?nr
Designer Name
State License #
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
QC ' tuve artd w"l maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are: __
' Policy No. ^Cx£# f|"TInsurance Company Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNINQ: Failure to Mcura worker*' compensation coverage Is unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred
thousand dollars ($UO.OOO), hjradltion to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney'* fees.
SIGNATURE ^fe L» U. _ " _ DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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).
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 contractors! 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. 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):
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
progrem under Sections 26505, 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 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.
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 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 stones 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 withiof'lst) 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 commencedTor a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICA T'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
.
ft f > ty/!^
City of Carlsbad Bldg Inspection Request
For: 06/25/2004
Permit* CB042539
Title: CANNON LIFT STATION-TEMP POWER
Description:
Inspector Assignment:
Type: ELEC Sub Type:
Job Address: 2201 CANNON RD
Suite: TP Lot (
Location:
APPLICANT POWER PLUS
Owner:
Remarks: T.P.
Phone: 7608399430
Inspector:
Total Time:
CD Description Act Comment
32 Const. Service/Agricultural
Requested By: MICHELLE
Entered By: ROBIN
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
f * o ire
C
G.
^i »"\t r-' -S ^ rt.
fl/V
p - -7
"^ 0
<* 7.0* y
Confirmation of meter and service request
06/15/04
Customer: TC CONSTRUCTION Phone i__«9_448 4560
Service Address: 2201 CANNON RP TP CARLSBAD
Contact: MICHELLE SCO 7*Phone ; 760 839 9430
We have investigated yrjr request for temporary service anl determined that the facilities you have
identified as DI52867 *K mechanically available for your us.: in providing temporary power for your
project. If tsirpojttr) 'srvice is tc be provided underground, pie ise place your facilities no closer than 7 ft
or no further than 20 ft from the Utility source described ab/ve (see generic sketch below ,} We can
sohedKe your service installation as soon as you provide u* with a firm date you plan to install yc'or
faciV aes. The meter will be set pending receipt of billing application and municipal inspection.
any questions concerning frit form or further infon/Mion call San Diego Gas & Electric at
•uceSisson 760931 7301
Information.
'iQa'mn ~$'3" «aai from fi7,wb yaAt tc cosier M if meter
ID. MeMn ».-'j rf^uited to be r»dily acfaH^le 1* Hn. 'dty V An. rausi ot
in & ».r« i«i tmi el' iifly pa *nas] boordi or dsjijer js cs dlQons,
'•"*' ""VJB T"" " *""** flf """ -^ *hn meter
poMd, ttMtuot be nouni SDG&JJ office
and uyiee diteaipeeOi must be '' ,-ted n 01 inunci «wl;'
ta tncii r"vtr ead be ii^'-f 7- '•ttb MtdnaE and weft numl i- it
For dead front Transformers, trench 10
Facility ic the shadfld oxw
y%rCiwA
Level in
Frontofmrr
MM«.-4
Pe»d front j
Transformers :
n n
L;|
J
» mmimum ;>t*
'.2 ft i|) point of coiarctioo. IS ft @ cenicr of iircct gr i2 from
cub whichever is to), 16 ft over -oauaa-cial drlvwaye. i2 ft over
nwidential drh«*wayB. MiLlnmL". ait risquirtd G.O.95 clctmwci.
Underground Mrvie»: ^oae Dij Alwi l-8(XM22-4:33 « le»t
to verify rJw iocnttcn of48 hrs pno;
uaUlits iu the
MUD Switnh 1 00 amps
SiqaJt Pbuc 3 V.'ue 4 aietsr ct ip* j 20/^4(1 Vohs
UtOitiM mutnnm coctfibutiou to fruit current _Jl2JCjunps
Ticincnb. building
. _ . . . "Ort will bklt <m»iMlwii> ami n wil be you: responsibility
; :cnrjrtio:;, i. *Gft£ gijftli huve an iinWiin or cirl: jatait» clenc, remove
»uurit ot wnttmcooo,
7075287663
FRQfrPOKR PLUS 714-W-TWl P. C02/IW F-SS1
CERTIFICATE OF
566246
switli Oak Park ftoad
CX 91724
636-966-3664 fox; 626-966-3093
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