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HomeMy WebLinkAbout2536 NAVARRA DR; TP; CB010357; PermitElectric Issue Fee I Single Phase per AMP Three Phase per AMPfl Three Phase 480 Per AMP 'RemodeI/AIteratiot per AMP Remodel Fee —Remodel Service Fee Test Meter Fee \ 'Other Electrical Fees TOTAL PERMIT FEES INCORPORATED 1952 41 ' City of Carlsbad 1635 Faraday. Av Carlsbad, CA 92008 '01/29/2001 Electrical Permit Permit No:CB01 0357 Building Inspection Request Line (760) 602-2725 Job Address: 2536 NAVARRA DR CBAD 11' Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 01/29/2001 Entered By: RMA Reference #: Plan Approved: 01/29/2001 Issued: 01/29/2001 Project Title: LA COSTA VIEJO-TEMP POWER Inspect Area: Owner: ©c ; Total Payments '-Td Date $6'00 " / 72 01/29/01 0002 01 O N COP 2000 BaIanëe Duet $1000 0.00 ri •ç$o.00) 4 $0:0O I $o:oo $0.00 $10.00 $0.00 $0.00 .,._ $20.00 Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 Total Fees: $20.00 I" FINAL APPROVAL Inspector: Date: 2/t0/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition' of fees, dedications, ieservations, 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. 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 has previously otherwise expired. PERMIT APPLICATION "• CITY OF CARLSBAD BUILDING DEPARTMENT •. 1635 Faraday Ave., Carlsbad, CA 92068 ECjT 0 Tlql%IMNAII W. MI J)i(i 'IE ' * FOR OFFICE USE ONLY PLAN CHECK N6.C/'O397 EST. ,VAL. Plan Ck. Deposit VaIidatd9yJ SI' Date- Address (include Bldg/Suite # . . Business Name lot this address) '-4 Ci7 - ±V'Ej.4 . Legal Description Lot No. Subdivision Name/Number ' Unit No. , . Phase No. Total # of units Assessor's Parcel II Existing Use . . Proposed Use . Description of WoM SQ. FT. #of Stories # of Bedrooms # of Bathrooms .' VE7L2 VL .,... ..L.... L2,k. :qNTCT Name . . Address . City State/Zip Telephone # '- Fax # M—ffP3 APPUCANT 0 Contract 0 Ownr 'D Agent for Owner - - *or on F . - e4-z Name . Address . City State/Zip Telephone # PROPERTY OWN 75 11-1.0 ROME ER-. • '. .: -. ' .- .• '. - - - .' .. ,. - ' -V:- dit.d dá14fi*f2e ""' Name Address • City. . State/Zip Telephone # r5_COiCTACÔNYiAME '' - - I'. - (Sec. 703 1. 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 exemption.n iolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). - .. -rem i'akenvopq , ,jL-j — . . a Name '- Address ;rb • , - City , State/Zip Telephone # - State License # - License Class . •' -City Business License ii Designer Name Address • City , 'State/Zip Telephone State License # 6. RKERSCOMPENSATION _____________________ . WO . - IN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: • 0 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. . . 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 sudd. My worker's compensation insurance carrier and policy number are: . . . Insurance Company .2T,i'E . jjJfl . ' Policr No.J'gg 3 . Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 subjectN 10t.6 rkers' Compensation Laws of California. , WARNING: Failu w r compensatIon coverage is unlawful, and shall aubject an employer to crimInal penalties and civil fines up to one hundred thousand dollars (In iti n to the cost of compensation, damages as provided for In Section 3706 of theLeor code, Interest and attorney's fees. - - SIGNATURE . ' DATE F7..OWNER-BUILDERD 'RA QN: • ' ,:'. :..'-- I heieby affirm that I am e Pt fr m the Contractor's License Law for the following reason: • . . - - 0' I, as owner of the pr y or my employees with wades as their sole compensation, will do the work and the structure is not intended or offered for sale' (Sec. 7044, Business and Pr sions 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 hi 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 ex'clusively, contracting with licensed contractors to construct the project (Sac. 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 contraätor(s) licensed ". pursuant to the Contractor's License Law). • . . . • . ' ., - , . . - o - I am exempt under 'Section - - Business and Professions Code for'this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO 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 I phone number I contractors license number): 4.' I plan to provide portions of'the work, but I have hired the follówingperson 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 ofwork): ' ' •- .. - ' PROPERTY OWNER SIGNATURE '--' DATE 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 o'r 25534 of the Presley-Tanner Hazardous Substance Account Act? - 0 YES . 0 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 0 'NO Is the facility to be constructed within 1,000 feet f the outer boundary of a school site? 0 YES 0 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.' J4 -TE$_ LJL Ti'r L I hereby affirm that there is a contruction lending agency for the performance of the ,work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME S •,'* LENDER'S ADDRESS -' _"''-. __••_' -P-S 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 Citc of Carlsbad to anter 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 pe it iss obhe lding 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 s not c ithin 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 s corn period of 180 days (Section 10t4.4 Uniform Building Code). - APPLICANT'S SIGNATUR _ - _ ,•- DATE .0 .,_• WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For: 02/09/2001 Permit# CB010357 Inspector Assignment: Title: LA COSTA VIEJO-TEMP POWER Description: Type: ELEC, Sub Type: Phone: 6197332725 Job Address: 2536 NAVARRA DR Suite: Lot 0 Location: Inspector: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: Total Time: Requested By: GARY Entered By: ROBIN CD Description Act Comments 32 Const. Service/Agricultural 39 Final Electrical L 7',i lel Associated PCRs Inspection History Date Description Act Insp Comments