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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 (66 HRCATE IB »*yP1NLYAHO HOUJilt THIS CCTTTf CATt DOGft MOT AMMO. L. ALTERTHE COVPUSe tffOBPJD BY THE POLtCIt WSUHCM AFFORDING COVERAGE ATBI4DORBELOW. 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