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Home My WebLink About2222 FARADAY AVE; TP; CB052965; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 · I'\ C10AJ!7 \J d-D \ 08-16-2005 , · Electrical Permit Permit No: CB052965 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2222 FARADAY AV CBAD St: TP ELEC Status: Parcel No: 2121204000 Lot#: 0 Applied: Entered By: Plan Approved: Issued: TEMP POWE POLE-FOR CONSTRUCTIO Inspect Area: SYSTEMS 0 TRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 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 Owner: FARADAY SPECTRUM LL C C/0 KENNETH R SATTERLEE 4350 EXECUTIVE DR #301 SAN DIEGO CA 92121 ISSUED 08/16/2005 RMA 08/16/2005 08/16/2005 $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 Inspector: FINAL APPROVAL_- Date: £:' ;,._ lf--0 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), 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 vou have orevious11, been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION FOR OFFICE USE Ol Y PLAN CHECK NO. ~05 Jqb-J CITY OF.CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION *2222 Faraday Ave IP 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 # Existing Use Proposed Use *Temp Power Pole Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address City State/Zip Telephone # Fax# 3. APPLICANT Q Contractor D Agent for Contractor O Owner O Agent for Owner *Gary Seymour 2458 S. Santa Fe Ave. Vista, CA 92084 760-439-1999 Name Address City State/Zip Telephone # 4. PROPERTY OWNER *TSA Contracting Inc 4350 Executive Dr Ste 301 San Diegot 92121 §58-~4-3650 Te ephone Name Address City State/Zip Telephone # State License # --"* ..... 4.,g~3...,4~J~J--License Class -------4C1--~l~O~--City Business License # 1201652 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: 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. O 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 *State Fund Policy No .. _..._] 5""'8LL9.L.7-'-'8 .... 3..,_-""'2.._.Q=Q ...... 3,___ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Date._),LQJ..U..'/QU-J.] .,_/Q..._.S'-- 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 th rkers' Compensation Laws of California. WARNING: Failure t rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 ion to the cost of compensation. damages as provided for in Section 3706 of the labor code, interes!,.Pnd attorney's fees. SIGNATURE DATE 08 ,( V' r 0.j 7. OWNER-BUILDER t from the Contractor's License Law for the following reason: 0 y 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 Pro sions 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). 0 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). 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. 0 YES ONO 2. I (have I 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 I address I phone number I 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 I address I phone numbM/contra~mslicensenumber):. ________________________________________________ _ 5. I will provide some of the work, but i have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 issue e building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorize t by such permit is not c men d wi i O days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tin after the work is com enced a p od of 180 days (Section 106.4.4 Uniform Building Code). DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/23/2005 Permit# CB052965 Title: TEMP POWE POLE-FOR CONSTRUCTIO Description: Type: ELEC Sub Type: Job Address: 2222 FARADAY AV Suite: TP Lot 0 Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: RESET FROM MONDAY Total Time: CD Description Act Comment Inspector Assignment: ...f:::....i} Phone: 7605972904 Inspector: ___ £~{5 Requested By: GARY Entered By: CHRISTINE 39 Final Electrical _flf~~~~~~~~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 08/22/2005 39 Final Electrical NS CW RESET FROM MONDAY