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Home My WebLink About227 CHINQUAPIN AVE; ; CB003874; Permit10/26/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB003874 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 227 CHINQUAPIN AV CBAD ELEC Lot# CARLSBAD BEACH ESTATES TEMPORARY POWER POLE Status Applied Entered By Plan Approved Issued Inspect Area Applicant TEMP UTILITY SERVICES 1167LAWST SAN MARCOS CA 92069 619-471-5494 Owner ISSUED 10/20/2000 RMA 10/20/2000 10/20/2000 20^9 10 20 OC JCJIl Jl 02-"20-00 Total Fees $2000 Total Payments To Date $000 Balance Due $2000 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 TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $2000 Inspectoi FINAL APPROVAL Date 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 mu >t 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 capactiy 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 1 PROJECT INFORMATION227'-f FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date ( L/ L/ Address (include Bldg/Suite tt)Business t this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units tAssessor s Parcel tt Ex|Use Proposed Use Description of Work ' 2 CONTACT PERSON (if different from applicant) SQ FT #of Stories tt of Bedrooms # of Bathrooms Name 3 APPLICA Address D Contractor . SfAgent for Contractor Q Owner City State/Zip Telephone #Fax tt Agent for Name 4 P Address City State/Zip Telephone # Address City State/Zip Telephone ttName 5 CONTRACTOR COMPANY NAME (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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) r&, Name State License tt if? C Address License Class City State/Zip City Business License tt Telephone # Address City State/Zip TelephoneDesigner Name State License tt _ 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 'PJ 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 rrrfurance^car rier and policy number are ,, ^5.^__^____- ^ '?/ ~~ ' ~ "* -5 / "Insurance Company - *-&-<S Policy No / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) CD 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 Failureto secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarsXSIlJO^OOO) in addition to tbe?co4Cbf compensation damages as provided for in Section 3706 of the Labor code interested attorney s fees SIGNATURE (__^Jcs*^--^f <^ -vLs?'*^-^ DATE 10 "3~0~v^ 7 OWNER BLMLDER'DECLARATION ^y I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) PI 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 contractar(s) licensed pursuant to the Contractor s License Law) CD 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 l~l YES flNO 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 In ense 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 / aiddress / 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 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? Q YES d 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 YE S CD NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' CD YES CD 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 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 commenced within 180 days frorp-*e date of such permit or if the building or work authorized by such permit is suspended Dr abandoned at any time after the work is conjrfrjejice^for a period of IgB daj/s^Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHTTITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/V/2000 Inspector AssignmentPermit# CB003874 Title CARLSBAD BEACH ESTATES Description TEMPORARY POWER POLE Sub Type 227 CHINQUAPIN AV Lot 0 Type ELEC Job Address Suite Location APPLICANT TEMP UTILITY SERVICES Owner Remarksr Total Time NF CD Description 32 Const Service/Agricultural Phone 7608399431 Inspector Requested By MICHELE Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 11/29/2000 32 Const Service/Agricultural CO NF SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For 11/29/2000 Permit* CB003874 Title CARLSBAD BEACH ESTATES Description TEMPORARY POWER POLE Sub Type 227 CHINQUAPIN AV Lot 0 Type ELEC Job Address Suite Location APPLICANT TEMP UTILITY SERVICES Owner Remarks Inspector Assignment Phone 7608399431 Inspecto r /UP Total Time CD Description Act Comments 32 Const Service/Agricultural ^—0 Requested By MICHELE Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO (760) 602-2700 1635 FARADAY AVENUE TIME to- FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? FQi!d?URTHER INFORMATION CONTACT YES PHONE CODE ENFORCEMENT OFFICER From Accurate Pom* Co To Fax#1-B58-488-f080 Data 10/20/100 Time 08 33 46 SEP-28-2000 THU 11:38 AN CITY OF CARLSBAD FAX NO, 780 602 8558 Pago 4 of4 P 03 - -s. CY City of CARLSBAD BUILDING DEP1 From Accurate Permit Co To Fax#1-858-486-4060 ">i i v it. -"M Date 10/20/100 Time 08 3217 Pago 2 of4 * i ,6l,4507«,5»5 EI.EJCJRIC METER & SERVICE LOCATION TB I/Q// f^^jj WANTED DATE-CtJ CgfevERHEAP DUNDERGROUNOSPECS ATTACHED HJT MEET REQV QfaMM L sra-y MORATORIUM ePFECT TYPE. POWER SOURCE CONTACT 1 \r H r, ti-DATfS CRITICAL PENCHNQ STREET REaJWAClNQ MONTH _ YEAR TCPREOVO 8T6XC 4 PERMITS RECTO DCUST SERVICE ATTACHMENT POINT AND/OR METER SOOE APPLICATION REQ^PQL. CA GEKEfUU 4 O'niln 8'3'm*jf located ina*afe«r«*fi«eof eny pot ant Icily hazardous ore Provide3ft x3H meter toom l» prepoaed, contact the Planner at ttw i POLE » LADDER ARMS REO'DQ 8XI8DN&D STOP TRENCH Df UlVt' FROMPOL6 RISER QUAD.r32*701* t SOGAE offlfi M«t«K baeee and mettr «anr)c* dlsconnacl* must to I6oatad «t at tmm«dl*My adjBcsnt 10 «»«" other and be Identified with •ddrew ««1 ufttt number It sense. MINIMUM QWUNP CLEARANCE OF- Ft at point of anaohmentcrfaervfca wires Ft ov«f (Wvawayorpartdnflarea F* at outer <tmi| or veMcular trattte PftOCeOURE FOR INSTAUATION 1 P»ya» monies due D APPLICABLE 0 NOT APPLICABLE with inspector ana initiate liwwnbig prooaaa. 3 PHONE ttO ALERT 1-<0<Ma»J»H3ATLBAaTTWOOAY8P«ORTOTRe»»CK- ING R»R LOCATION OF imotnunouND unuries. 4 £xc«»«« trench Install conduit «ntf MXn. INFORMATION (Detach t*tor« oompfeHnfl this •eebonj e •ntmnoa equipment «t meter location CALL ABOVE PHONE » FOR WSPEcrnon. DO not oovar conduit Mlthout Inspector's written ta&mal to baokflll 5. C*lirwpeciorwtiwtfiencftlsbMKfllWaiidi»rnpactedforlriSBec«on If service entranca equipment 19 Installed altar backfill CALL ABOVE PHONE f FOR INSPECTION OF THE SQUIPM8MT 9 Metfrf will be set after inspector ha* approved InstaHstton, mciudlrig senrtoe oquipnent and t*M/HA at oily/county/atWe* Inspeotlon clearance JTTS6MCH Dreuco OOATV CA8M5 POLE CONDUIT BY POUSTOMCB QSP8AE SIZE. CABLE POUE SEND av UOJST . RADIUS ecu M see. "(C-J8TOMSP Qaro PAOS». COHOUIT8Y C? CUSTOMER OaOOiS 8KE METiRCUPB . WTgHiNCu Ucrs ^ f Irgsr 0v PASS MA(JiuTiea HSQ o MMf. SWITCH l/Tli iT<E9 MAXIMUM CONTRIBUTION TO FAULT CURRENT /I TELEPHONE OAte ' M34E «r our *rs nwitftH^ i' 'oxw m«iarral «MI> Mttomtlne unitniatlon of your u M<.r BtM «c xjil I a work HmxiiaUfy Jfx} It Kill be yOut ratpennlbllllr to remove «^*e>r cltar ,.ff si; ns^afdoua or lane lAaWrut prkji t« SDSJifi conBnutns conatnictfon ("OOlf ahalihmiiiilwtltyorjOtlgttioniihanraMartactvviwp r«mow«r MnMtahi >ry hue Jeui of tcxio m«l»»a>» Jiscovw»J rfurtng tho caiua of construction «AIM« it M foeniBw to meely* iMotriral atma> am su»)«cl (o «lf applicable 19 CM »w <>t*te Dflor ID ntetv MI (n»orm»tion on tW» «h«t I; voW »n«r 6 moiths (torn dat» K«u this notice wtin Budding permit WHrre ORKJINAL - cM>tom«r WHITE copy OMmt on*wion» r«u/)w-nwHi«r From AM*rWeP«mttCa To Fax#1 -858 -486-4060 Data 10/20/100 TJnw 083321 SEP-28-2000 fHU i 1 : 38 AM CITY OF CARLSBAD FAX NO. 760 602 6558 P. 01 FAX #(?60) 602-8558 TELEPHONE #(Wffl) e02~2?i8 CARLSBAD BUILDING DEPARTMENT Fax 7 Qferltevfmr D Bt O You can UM the addnaaa of metered pedi&tal >//for Be sure to send In this cover sheet and the enclosed map with the person thai is coming in to pull the permit for this pole. T-323 P 01/01 PO BOX 007 SAN FRANCISCO CA 94101-0807 WORKERS' COMPENSATION INSURANCE iSSUg QATfr 03-31-00 1533 J1O - OS EXPIRES oa-3i-oi 'WORKERS'*" JOB, 4623596 WCRTZON OATE 03-3t-00 ANA SACRAMENTO, CA 95826 This ^ -o cer-i*, its* w,g p-aafi :$^ueo 3 -«!ia WarKers CompensaKcxi nsur«re« poucy in a form approved o/ tn«- CA f orn a nsurance Cartw ssiaft^c «j th* employer rwimaa be ow for th« potici perioa ndicarea Tt«s po,"ey S not s-Jlyecl to cancellation oy me Fund except Upon 30 days advance wr«tten notice JO the VV» yail. atto ^V"0 y*iM Tft "lyg~ 3tT''fiFrr' «Ot4CB srioulU imj po*-cr-be c*»e*(i«d pf oc ta rtl normal po, ci6* dbes not xneno. extend or alter tne courage afforded >i wwa. JM caqduion at .any contract or other Tfacument thfS, -".qf rt*'catf cf insurance may Off rssuad of mav-pert^itt tqe. umiirancfl jffSnted. by the ft s »i<fe sc »o * *h~ »9c«»s. aateti^isns at^f1 cjttilit uta of ofrrrsnrane* is nyv aA- nn t-rgnce o/ ins polities UsT&<f fiereoi PRESOENT LIWT t«KXOp«« OFFENSE COSTS SI^OOO OOQ OO PER OCCURRENCE EMtttUEO CERTirtCATE MptOeRS" NOTICE EFFECTIVE O3/31/OO IS ATTAWEO TO AND LEGAt *MME 128? £ PLUS! TEMPORARY WA¥ S R BRAY CORPORATIOM ANI>/OR S Si SRAV OTILtTV SVC TMC. SMOOTH PRINTED. O2-17-00 F0410