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Home My WebLink About2385 OUTLOOK CT; TP; CB020800; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-18-2002 Electrical Permit Permit No: cso2oaoo Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2385 OUTLOOK CT CBAD St: TP ELEC Status: ISSUED 03/18/2002 CB 03/18/2002 03/18/2002 Parcel No: Lot#: 0 Reference #: Project Title: SPYGLASS/ TEMP POWER POLE Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 Total Fees: $20.00 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 Inspector: ·C , 1 Owner: Total Payments To Date: 0 0 0 0 Date: $0.00 Applied: Entered By: Plan Approved: Issued: Inspect Area: :3105 1)3/1.13/02 )002 )1. Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 CGP $20.00 NOTICE: Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, rese,vations, 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. )2 PERMIT APPLICATION CITY OF CARLSBAD BU ILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, , PRO,l,l=CT INf.QRl'v'IATI0N *2385 IP OutJook Ct FOR OFFICE USE ONLY PLAN CHECK NOl ,.-·»o~ EST. VAL. __________ _ Plan Ck. Deposit-----,,-;,:--------- Validated By_C~.z::(/b ______ _ Date "3 -{ a:::o f = 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 *Te~ Power Pole Description or SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. ..CQ.tH ACT PEflSQN (if different frofll ·applicant) Name Address City State/Zip Telephone# Fax# 3. •APPLICANT . 0 Contractor-0 Agent fof Contr~ctor, O ·Ow.ner . GJ P,gent'.{<!C.P.~!1~' ... ~... '. ~~-: 0760~439-1999 *Gary Seymour 2458 S Santa Fe Ave Vista, CA 92084 Name Address City State/Zip Telephone # 4•. ~BQ~~RIY 9 .. WN.E6. ,,., _ ,uc,lf' .:.i~'. ¥;/ ... ~Mii. "'::\;,; ~:., . .J. : ... ~J~:.i .,, .. f.'. ""·''·_iK:~.>~J/~Ufu.:•:i;&!_lbJi_~~'.,. ~-~ii,'.., 1~:tLL,-~:11 -~:ii'( a t~.i..:~;~\-.~ .. ,;.:b.r:1· il::i ·. Name *Concordia Homes 713QdJ~;yenida Encinas, (;arlsb~~~ 92009 State/Zip 1~9e~~B~; 1576 6. -CONT{lAGTOij C0l'dPANY NM'lE . ,,. .,;;.,, (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, end the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the app_licant to a civil penaltQof not more than five _pundrJ<J.~lla!s,.1.$95.Q.0J), *Temp Power Systems 2458 S Santa Fe Ave. V1st~ CA. 92 84 7o0-4j~-~ ~ Name Address City State/Zip Telephone # State License # ~*"'4,._8U,-',l3!-,4't-'3+'-,J.3~--License Class ----tC-'--t}-tQt-t----City Business License # 1201652 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKl;f\S' C.,OMPENSATJON 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 ComparlifState Fund Policy No.15 8978 3-0 J Expiration Date) 0/01 /02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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. WARNING: Fail sec , orkers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred SIGNATURE O , I addition to the cost of compensation, damages as provided for in Section 3~:6T:•J.l1:t :o;;:r,•rest and attorney's fees . . :J M!;:1.;,_ ~.: .'.w~::~ .. .::;~:;-·:1. •· "'''"'"'"•''·"· -~~ir:i~~J.:~~i\" :~:::~ .J{ifi~ti~:~ti~Jt~~r~~-~(;,.'~1~1,\~. 0 I, as owner of t roperty 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 an<l 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), 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 / 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 _______________________ _ 1CO~Pt:ETE .TH!S SECJl!;lt,r' FQfl 'NQN-Rf$/DEl'mAL Bl/lLD!rHN1f:ijMIT~ .QN1i.Y~~;;4'",;. ;.,,~:; : .. ;~;-~,;e:1;1,,;,;_;~ • ..s,;;;·_~~..:..~\E.'iL,•;~;~~.j£':1 ... ~;);:i..;.;f.'1l~,1:,:. I,, f-~~ ; ,;;1;~ .. , 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 Act7 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 site7 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 ANO THE AIR POLLUTION CONTROL DISTRICT, 'II.'°' rCOµ~TRUCTION 'ENDING AGENCY .• ::;0,; .,.,,,, •• ,.,.,.,.,"'' ., ,u·.:• 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 ______________ _ •9, .. AP,PLICANT ceRTIFlCATIO!'il , 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 compiy with all City ordinances and State laws relating to building co·nstruction. I hereby authorize representatives of the Cit\' 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 permil issu the building Official under lhe provisions of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is not c mm ced w· in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the work is com iod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance ~--~ City of Carlsbad Bldg Inspection Request For: 04/01/2002 • Permit# CB020800 Title: SPYGLASS/ TEMP POWER POLE Description: Type:ELEC Sub Type: Job Address: 2385 OUTLOOK CT Suite: TP Lot Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: Total Time: 0 Phone: 7607998703 Inspector: ---- Requested By: GARY Entered By: CHRISTINE CD Description 32 Const. Service/Agricultural ~ Comment~ )/Vl .((_ 39 Final Electrical ( Associated Pr.:Rs Inspection History Date Description Act lnsp Comments