The URL can be used to link to this page

Home My WebLink About2569 DOGWOOD RD; ; CB051494; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-26-2005 Electrical Permit Permit No CB051494 Building Inspection Request Line (760) 602-2725 Job Address 2569 DOGWOOD RD CBAD St TP Permit Type ELEC Status ISSUED Parcel No 2131701500 Lot* 0 Applied 04/26/2005 Entered By SB Reference # Plan Approved 04/26/2005 Issued 04/26/2005 Project Title BRESSI RANCH TEMP POWER POLE Inspect Area Applicant Owner TEMP POWER SYSTEMS GREYSTONE HOMES INC 750 N CITRACADO PKWY 1525 FARADAY AVE #300 ESCONDIDO CA 92025 CARLSBAD CA 92008 760439-1999 Electric Issue Fee $10 00 Single Phase per AMP 0 $0 00 Three Phase per AMP 0 $0 00 Three Phase 480 Per AMP 0 $0 00 Remodel/Alteration per AMP 0 $0 00 Remodel Fee $0 00 Temporary Service Fee $10 00 Test Meter Fee $0 00 Other Electrical Fees $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $20 00 Total Fees $20 00 Total Payments To Date $0 00 Balance Due $20 00 6863 04/26/05 0002 01 02 CGP 20-00 FINAL APPROVAL Inspector \"* —• - Date V^*£"-O"""O3 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 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 theinmposition You are hereby FURTHER NOTIFIED that your nght 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 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 92008 1 PRO Rd TP FOR OFFICE USE PLAN CHECK NO EST VAL Plan Ck Deposrt^, Validated Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Tot.il # of units Assessor *pFerrfp Power Pole Existing Use Proposed Use Description of Work CONTACT PERSON (if different from applicant) SQ FT #of Stories of Bedrooms ff of Bathrooms Name 3 ~ API Address City State/Zip Telephone #Fax ff 760-439-1999 Name Address City State/Zip Telephone 9 PROITO»JGreystone 1525 Faraday Ave Carlsbad, CA 92008 760-918-7700 Address City State/Zip Telephone #Name 5 CONTRACT OR 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 structuie 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 Codel or that he is exempt therefrom and the basis for the allegedre than Name State License ff *483433 Address License Class CIO City State/Zip City Business License tt liffKSi Designer Name State License # Address City State/Zip Telephone r. codg_ interest and atto •LA09 fiCS Workers Compensation Declaration i hereby affirm under penalty of perjury one of the following declarations |~1 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 th< performance of the work for which this permit is issued |~1 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 ssfc^proBsattK-JOSulance carrier and policy number are j ^QQ'70'J 900'? 10/01/04 Insurance Company _ Policy No _ Expiration Date ___ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~l 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 seiiGriNworkersT (compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 OJDO) irTWddinra to the cost of compensation damages as provided for in Section 3706 of the Labor. codg_ interest and attorney s fees SIGNATURE 1 _ _ °ATE ^ OWNER BUILDER o I hereby affirm that I am exempt Yrom the Contractoi b LiMm Luiiiu4grthe following reason f~| I as owner of the propert\j3r 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) f~| | 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) l~l 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 l~l YES l~lNO 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 ind prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q] 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? fj YES l~1 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? [~l YES l~| 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(0 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 CitV 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 ALI 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 is not confffnenked wmiirVISO days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tin> after the work is comm«nced|oV alleriop of 180 days (Section 106 4 4 Uniform Building Code) APPLICA . S SIGNATURE \ nM-V^"—'— DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/17/2005 Permit* CB051494 Title BRESSI RANCH TEMP POWER POLE Description 2569 DOGWOOD RD TP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT TEMP POWER SYSTEMS Owner GREYSTONE HOMES INC Remarks Inspector Assignment Phone 7606446107 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Requested By GARY Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments INGLETON AVENUE GARDEN ROAD GARDEN HOUSE ROAD City or CARLSBAD BUILDING DEPT POLlCYhCLCER COPY COMfENS ATI ON IKSUFiANCE FUND PO BOX 807 SAN FRANCISCO CA 94142-0807 CERTIFICATE OF WORKERS COMPENSATION INSURANCE ISSUE DATE. 10-01-2004 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 SP GROUP POLICY NUMBER 1589783-2004 CERTIFICATE ID- 842 CERTIFICATE EXPIRES 1O-01-20O5 10-O1-S004/10-01-200S LICENSE NUMBER ,,'483433INCEPTION BATE 70-01-2004 00 SP SP This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer We wilt also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. ^This certificate of insurance is not an insurance policy and does not arnend extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition df any contract or other documeiY With respect to which this certificate of Insurance may be issued or may pertain the insurance afforded by the policies described herein is subject to ad the terms exclusions and conditions of such policies AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1 OOO OOO OO PER OCCURRENCE ENDORSEMENT j?2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2O04 IS ATTACHED TO AND FORMS-A PART Of THIS POLICY EMPLOYER LEGAL NAME TEMP POWER SYSTEMS 625 FEE ANA ST PLACENTIA CA 92870 POWER FABRICATING INC AND/OR TEMP POWER SYSTEMS INC IREV 3 03)PRINTED T°9/17/2004 P0410 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND