HomeMy WebLinkAbout2442 SACADA CIR; ; CB003172; Permit08/29/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No'CB003172
Building Inspection Request Line (760) 602-2725
Job Address 2442 SACADA CR CBAD St TP
Permit Type ELEC
Parcel No Lot# 0
Reference #
Project Title STEPHENS RES-TEMP POWER POLE
Applicant . - - " Owner
K F STEPHENS
STE24 -- , /. ^ f
1500W11THST ' ' /
ESCONDIDO CA 92029 v >
760 7400885 / ' . - ',
/"* "" •**• "
Total Fees $20 00 Total Payments To Date/ r " , / ' -• .
? , " r/ '' ',, , (•
1 i
1 ,
Electric Issue Fee \ • --.., v" "•*— ".. -'
Single Phase per AMP " ; ; ^\ 0 " "--*''
Three Phase per AMP ' , <l 0 / - \
Three Phase 480 Per AMP- ** j \ • 0 ,., "™;
Remodel/Alteration per AMP' ' ,'r;q - x , ~ '
Remodel Fee • ,'!/'', <^.t i i ^ « j ,Temporary Service Fee , J ' . . ; . ',
Test Meter Fee • ' , - ^ / '
Other Electrical Fees « , " - , \\ •' J •} -
Status ISSUED
Applied 08/29/2000
Entered By RMA
Plan Approved 08/29/2000
Issued 08/29/2000
Inspect Area
--
*
^7421 OB/29/00 OOOi 01 02
C-PRMT 20-00
'i ' f t / ,• ' ' / /J *
V ' ' * \
v ** * 1 h , „ *
$0 00 • Balance Due * $20 00
'-' •'*,
* "^ ' ~s
J- " '*/' \ $1000
/ ^, '$000
xx s ' .$0 00
/ / * • $b ooy i
$0 00 ;
/V ,"% ^ > / $000'.; >t: 7 / $1000
(>/ / $000
j / $000
TOTAL PERMIT FEES $20 00
Inspector Clearance
NOTICE Please take NOTICE thai approval of your project includes the "Imposition" of fees dedications, reservations, or other exactions hereafter collectively
referred to as lees/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 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 ha^previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
ECJ INTORMATJON
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bidg/Suite #)
Ua.
Business Name (at this address)
Lft CQSTfi SocffbA
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor Existing Use Proposed Use
Description of Woi
(if dif
SQ FT #of Stories ft of Bedrooms of Bathrooms
Name
3 ."' ''APPLICANT, !\S Contractor
JK^-T
Address
Co'ntractor
me.
City State/Zip Telephone Fax #
Address City
Address City State/Zip Telephone #
R~ VrnHITBflPTflR -TniUIPAMY NAMF (iti !'*Hsi ~"f E V <;-" t j >} #fll;rri;s«S; ^sjl Mi.p~hii8S 1=« ! i " w«fl! if '»" I ' ij I s C'SUMS 3^ "*£ *! "P~! * "„'ITs *" ! !f!*!*' .-"iQ s • \*wni t^M^l Vn,- i*uivif*Ml» r IWMIMIC *, , ^^ tf ! • , <*•' ""' ^ 'J^ s >r I,-"11.11° 1.H ^s ,^ .i^,, £i Jj^, ( ^ '^' 3BV~ IT fc*J t ^s f n EH, " su k' L ;* j^L. .; 3 ^L&^iJf
(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
ation 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 [S500])
Name
/ *"»jState License # yJCmT
Designer Name
State License If
Address C"S*v Of I~SJj»M.j Licensn Class 4^J
Address
City State/Zip
City Business License it
City State/Zip
Telephone ft
Telephone
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Lj 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 QSr^ S*"7^i Of*1!^ f"S
XI 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 ^—»^T. _ . —- ^""- .— » »j \^_Insurance Company >Policy No
*-
*Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [S1QO] OR LESS) O0 — \**1-S,OO \
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 as
to become subject to the Workers' Compensation Laws of California
WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
DATE
or code, int
/ ^.fe /QiS>
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
n 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)
Q 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 protects with contractor(s) licensed
pursuant to the Contractor s License Law)
C] I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the ma)or labor and materials for construction of the proposed property improvement L7I YES QNO
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
COMPLETE JHIS^SECTION F.O
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? D YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj] YES CD NO
Is the facility to be constructed within 1 ,000 faet of the outer boundary of a school site? Q YES Q 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 rfCONSTRUCTIONtENDING'AGENCYil^ *',», '„? M% l! AJJ^oif rl^A^r f'.1''>" "H !^.^"( '-*« '. *( <U „ <*i M'! , '- i" ~, , v ".^P ,
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 P;-' ^APPLICANT! CERTIFICATION ' ( „$. *.£, v,;V J Z ^ C&J1* '• *CCfJ '^ li* « * ' f !LK&° *& "7 ',', J& ?" o&L' -' "Ata?' f stf r ' ' ' *'•_ ' it"1 r^",' "Nt, ! <-' •!! • T. Si. J
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 ts no^ commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
_ DATE ^S I Yl^ \APPLICANT S SIGNATURE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 9/27/2000
Permit# CB003172
Title STEPHENS RES-TEMP POWER POLE
Description
Type ELEC Sub Type
Job Address 2442 SACADA CR
Suite TP Lot 0
Location
APPLICANT KF STEPHENS
Owner
Remarks REQUESTED AN ELECTRIC INSPECTION
Inspector Assignment
Phone 7605196508
Inspector
Total Time
CD Description
34 Rough Electric
Act r\ Comments
Requested By RICHARD
Entered By CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments