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Home My WebLink About2338 LAPIS RD; TP; CB043618; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-28-2004 Electrical Permit Permit No: CB043618 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2338 LAPIS RD CBAD ELEC Lot#: LA COSTA GREENS-TEMP POWER POL 0 Applicant: Owner: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 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 Total Fees: $20.00 Total Payments To Date: Inspector: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/17/2004 RMA 09/17/2004 09/17/2004 PS $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 $20.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C/) alf. Jb ( <Y CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By r r t4::=:, Date Cf'/ t 7 (al(' Address (include Bldg/Suite I )~ L--33 8 ~ /J,/) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel I Existing Use /:!t:f;t:J Proposed Use I of Bedrooms II of Bathrooms ,., -... Name Address City State/Zip Telephone II Fax, ontractor,••· ~~g•nt tor,.'c1>ntr1~oi;i.;:,O •P.wner.:; .• O ~gent. tor OY.:ner l • Name Address City State/Zip Telephone I l.~. ·-·,1 •• , Telephone II (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, comme ding with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged Any v· I Ion of Section 7031.5 by any ap !leant for a permit subjects the a licant to a civil penalty of not more than five hundred doll s ($5001). '7~ fr:. 0 License Class _ _,/?,'--.._k1_'1f ____ _ City State/Zip Telephone II City Business License I/~ g,2 er:: Designer Name Address City State/Zip Telephone State License II _________ _ (t!A, • WQ.R.l(ERS! !,OMl:'_El'fSATION ·· .-_ •. ~ • , . d ~.... u,~ .. , _ . ·-, 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 salt-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. rJ!' 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 rsued. My worker's compensation Insurance carrier and policy number are: ~; _A / Insurance Company /41' /?tJ S/'J2}iJI: Polley No. 'fl ( 76 ~ Expiration Date ~ 0 C (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$10~) OR LESS) D 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 es to become subject to the Work~rs' Co ensat!cn Laws c! California. WARNING: Fallur• to Hcure w c:ompenHtlon coverage la unlawful, end ahall aubjec:t en employer to criminal penaltlea and civil flnea up to ona hundrad thouaend dollar• ($100 ), In a tlo, tq,the coat of compenaation, demagea H provided for In Section 3706 of the La~o'fJ:;)1?,ereat and attorney'• feea. SIGNATURE. __ -/L-.,,,C.,'4--~=-..:pt/':...__'-f ________________ --:-DATE 7'/0f-4P' ~ Q)'/Nlffl!il:11 •=ecf/6Mtio.N ' " '· ' .. -~~~'M:'i'/.,.•o•' r!:>,, '••-'1·'.t.1-··-·>-•..-..::., .... ,..: .. ,.,,,;· ,-,,·_ ... _~• 'l.;..,,;-· I hereb;·affirm that I am ~x;mpt fr~m the C~ntractor's License Law for the following reaso~:" · _, · .. • · " ~ ~ · · D 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, Buslnesa and Professions Code: The Contractor's License Law does not apply to an owner of property v.:ho builds or improves thereon, and who does such work hlmsell 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). D I, as owner of the property, am axcluslvely contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law does not epply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licenaed pursuant to the Contrector's License Law). D I em exempt under Section ______ Busineas and Professions Code for this reason: 1. I personally plan to provide the major labor and materiels for construction of the proposed property Improvement. D YES ONO 2. I (have / have not) signed an application for I building permit for the proposed work. 3. I have contrected 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 _________ _ [C0MPL.UfflHIS S1:CTI0l'{_FOIJWON-Rl;S/D£N71Al'B!,IJIJ)lffG;~RMltS QNll~lit.!i~;.\ ,:.i.. • .:a'lti:'m·~ • ..:..,tJ...!:'..,~,-.tL: ·-· . .,,,,z t;i; ,. -~·-i 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 25605, 26533 or 25534 of tha Presley-Tanner Hazardous Substance Account Act7 D 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? D YES D NO Is the facility to be constructed within 1,000 foet of the outer boundary of a school slte7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IIE ISSUEi.i UNLESS THE APFLiCA;.r HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ~Q.NHf!UC'UON b.ENDING~GENC_Y..:P-'::.J~:..::..::.:::._~.! it' '::1";.,:: .,..~·" ,:...:_ __ ~-· _ _ ___ . _ • _ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS ________________________ _ ~-· ·APPIJCANT'CE8Ttfl~TlOt(, '.,~-~"'"'"" ~"ili" ,_;_dt>. ·,-1,. • .,,.~. • ,..._; .. ~ ,· ;...,,..~, • • " -•ti:-~.• , ·· _,,_, .... ·--.. ·"· I certify that I have read the application and state that the above Information Is correct end 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Olli under the provisions of this Code shell expire by limitation end become null end void if the building or wori< authorized by such permit Is not comma ced within 1 ey from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned et any time after the wori< is commen r e perl of ~days (Section 106.4.4 Uniform Building Code). DATE ~ ~ ~// APPLICANT'S SIGNATURE ---6~.e..-,----::;,,_."'-=-CA"'-'----------------~/L_ WHITE: File YELLOW: Applicant PINK: Finance ~ • City of Carlsbad Bldg Inspection Request For: 09/27/2004 Permit# CB043618 Title: THE OAKS-TEMP POWER POLE Description:~~Cl,(2 ~..> Type: ELEC Sub Type: Job Address: 2338 LAPIS RD Suite: Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: Lot 0 CD _D_e_s_c-ri-pt-io_n ________ &l_ Comment 32 Const. Service/Agricultural -9-- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Requested By: MICHELE Entered By: CHRISTINE