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Home My WebLink About2425 LAPIS RD; TP; CB052681; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-20-2005 Electrical Permit Permit No: CB052681 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 2425 LAPIS RD CBAD St: TP ELEC 2132320100 CASTLEMAR @ THE GREENS TEMP POWER POLE TEMP POWER SYSTEMS 750 N. CITRACADO 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 Status: Lot#: 0 Applied: ISSUED 07/20/2005 SB 07/20/2005 07/20/2005 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: WARMINGTON LC G ASSOCIATES LP C/O AMELIE GILBERT 3090 PULLMAN ST #A COSTA MESA CA 92626 $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 3002 07/20/05 0002 01 CGP Inspector: Clearance: NOTICE: Please take NOTICE Iha approval of your project includes the '1mposition" 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 tor processing in accordance with Gar1sbad 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 prqecl NOR DOES IT APPLY to any f I hi h vi I n n N Tl E . ii r h' r i h h f Ii i i n I 02 20.00 PERMIT APPLICATION FOR OFFICE USE OflLY ( Bl PLAN CHECK NO. /.L12_a c}s CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ 1. PROJExT INF,9RMA TIQN *L42=> Lapis Rd. TP Address !include Bldg/Suite #) Business Name lat 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. APP\jl(¾NT O Contractor ..0 A~nhfor ;;;ontractor O Owner _ D Agent for Owner vary ~eymour 245~ :,. :santa Fe Ave. Vista, CA. 92084 760-439-1999 Name Address City State/Zip Telephone# 4 . PROPERTY OWNER *Warmington Homes 3090 Pullman St. Ste A Costa Mesa. CA 92626 714-557-5511 Name Address City State/Zip Telephone# 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 exemptio'lt<f1eiiirf P'o~e¥iCSy~\b~s a24~~as •10~ an~ rtA ~e:~ista, a ex.enB~J21)8'4more th an five ,6o~~j~ti ~§19 Name Address City State/Zip Telephone # State License # _*..;....a,i4'°'8~3~4-..,,;3,...,3~-License Class ____ _.c...,,.-1lf"Ow---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. 0 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. 1589783-2003 Expiration Date__,,}'-'Qu../.,.Q'""},.,_/~Q-5_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 Work s ompensation Laws of California. WARNING: Failure sec a ork s' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ~~~~s;;~:;llars ($1 0,00 add' ion to the cost of compensation, damages as provided for in Section 3::sT;f ~,r.»~1e,rd attorney's fees. 7. 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 ssions 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 ~n 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 ______________________ _ 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 F11JAL 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. 3097(i) 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 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 permit issu e building Official under the provisions of this Code shall expire by limitation and become null and void ii the building or work authorizerl by such permit is not d 180 days from the date of such permit or 1f the building or work authorized by such permit is suspend~r abandoned at any tin after the work is com d of 180 days (Section 106.4.4 Uniform Building Code). DATE l)J ,'7,,{J .,.(j~ APPLICA 'S SIGNATURE -~-~f_::~f.._....., __ ..,..====---::c_:::::-~------ WHITE: File YELLOW: Applicant . PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB052681 For: 07/~005 -1 Title: CASTLEMAR @ THE GREENS Description: TEMP POWER POLE Type: ELEC Sub Type: Job Address: 2425 LAPIS RD Suite: TP Lot 0 Location: APPLICANT TEMP POWER SYSTEMS Owner: WARMINGTON LC G ASSOCIATES LP Remarks: Total Time: CD Description Act Comment 39 Final Electrical Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Phone: 7605972904 Inspector: ---- Requested By: GARY Entered By: CHRISTINE