HomeMy WebLinkAbout2525 PIO PICO DR; TP; CB011752; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05/14/2001 Electrical Permit Permit No:CB011752
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2525 PIO PICO DR CBAD St: TP
ELEC
Parcel No: Lot#: 0
Reference #:
Project Title: 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
Owner:
Total Payments To Date:
0
0
0
0
Status:
Applied:
Entered By:
Plan Approved:
ISSUED
05/14/2001
RMA
05/14/2001
05/14/2001
$0.00
Issued:
Inspect Area:
9289 05/14/01 0002 01 02
Balance Due:
$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
$20.00
FINAL APPROVAL
Inspector: Date: ~;, I /J I 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 pennit was issued to protest imposition of these fees/exactions. lf 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 Ca~sbad 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 specffied 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 vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired.
• • FOR OFFICE USE ONLY
PLAN CHECK NO. {JcOf/7. f""2 PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL.----------
Plan Ck. Deposit----~~.---
Validat'?lB~ @
Date.../ (/4 It; I ' I (( I
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
B ,,_Existing Use r)L(:
Proposed Use A~' s Parcel # (i'. I e;}tA,fOWPl
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
:ll,;\ CONTACT PERS0N'{lf,diff8fent from·,l)pJli:entL ·
Name State/Zip Telephone I Fax I
Name Address ··es0I/wriNM(t}(. e /1112:;•t:s~ LJi,Q~ &. .,J
Name Address City S.tate/Zip Telephone I /
.Ii. CONTRACTOR• COMPANY NAME. ,·L,:~:i,i;.q~
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any str.ucture, prior tQ,,,itl
issuance. also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the ContrcJCtor's License Lew
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the tl:asis for the alleged
~~yt5ation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$6001).
w~J1fi)4..t !2'68 s.Sb(l}f-FcMlf 11,sr~ 9Ul1Y tiO-"f-'9~,*'
Name Address City State/Zip Telephone #
State licens<:1 # 'f'BJ'fJJ License Class <!../ Q City Business License II ;,;Dr,/~")__
Designer Name Address City State/Zip Telephone
State License # ~---------
&, WORKERS' COMPENSATION
Workers' Compensation Declaration: l hereby affirm under penalty of perjury one of the following declarations:
D 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 t~rk for which this permit is issued. y ! h~ve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit ii
issued. My worker's ~~urance ca:2:Sr and policy number are: ·~
Insurance Company ~ Ft/A/. Policy No. JS'~8J • D () Expiration Date/0 •DJ• QJ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
D
to become subject to
ION: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner 80 ••
e W k s' Compensation laws of California.
co naatlon coverage is unlawful, and shell subject en employer to criminal penalties end clvU fines up to one hundred
to h cost of compensation, damages•• provided for ln Section 3706 of the r code, lntereat and attorney's feu.
SIGNATUAE•::-::::-::::=~~-f!.~~~~c::s,...._a;;;;;;;;;aa--,°""'===;-,--,--,--,---,--,---~
~ ~
DATE_:;;:;;;L..j~t../c;)...{.~
I hereby affirm that I am exe ontractor's license Law for the following reason:
0 o 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 Profe io Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who do11
such work himself or through his o n mployees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement ii
sold within one year of completion, t wner-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 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 contractorls) 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 la~or and materials for construction of the proposed property improvement. D YES ONO
2. I (t1ave I 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 I address I phone number I 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 I address I phone
number I 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 I address I phone number I type
of work):.~-----------------------------------------------------------
PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR NON-RESJ0EN77AL BUILl>INQ PERMIT$ OH~Y(•
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? D 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 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 Citt' 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 re d for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION Every permit i sued the ilding 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 r · hin 180 days from the date of such permit or it the building or work authorized by such permit Is suspended or abandoned
at any tirnc after the work is p riod of 180 days (Section 106.4.4 Uniform Building Code).
DATE < •/t{:, ()}
WHITE: File YELLO'v'J'! Applicant PINK: Finance
'<
• ti City of Carlsbad Bldg Inspection Request
For: 05/30/2001
Permit# CB011752
Title: TEMP POWER POLE
Description:
Type: ELEC Sub Type:
Job Address: 2525 PIO PICO DR
Suite: TP Lot 0
Location:
APPLICANT TEMP POWER SYSTEMS
Owner:
Remarks:
Total Time:
CD Description
32 Const. Service/Agricultural
A~ Comments
39 Final Electrical
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: ~
Phone: 7607998703
Inspector:~
Requested By: GARY
Entered By: CHRISTINE