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Home My WebLink About2574 DISCOVERY RD; ; CB051493; Permit04-26-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB051493 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2574 DISCOVERY RD CBAD St TP ELEC 2131301500 Lot# BRESSI RANCH TEMP POWER POLE Status ISSUED Applied 04/26/2005 SB 04/26/2005 Entered By Plan Approved Issued Inspect Area 04/26/2005 Applicant TEMP POWER SYSTEMS 750 N CITRACADO PKWY ESCONDIDO CA 92025 760439-1999 Owner GREYSTONE HOMES INC 1525 FARADAY AVE #300 CARLSBAD CA 92008 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 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $0 00 Balance Due $2000 6863 04/26/05 0002 01 02 CGP 20.00 Inspector i V^,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 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 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/exactionsofwhich vou have previously been aiven 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 TP FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date C 1 , CY [ Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessoir'*Te1rfp Power Pole Existing Use Proposed Use Description of Work SQ FT #of Stories tt of Bedrooms tt of Bathrooms 2 CONTACT PERSON (if different from applicant) Name 3 A Address City State/Zip Telephone tt Fax tt 760-439-1999 Name 4 ;P Address City State/Zip Telephone tt 1525 Faraday Ave Carlsbad, CA 92008 760-918-7700 Address City State/Zip Telephone ttName 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 allegedthan five I Name State License tt *483433 Address License Class CIO City State/Zip City Business License tt Designer Name Address City State/Zip Telephone State License tt 6 WORKERS' COMPENSATION ' ; Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 [~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 ihis permit is issued My worker s>MjV*WBsattft.|osulance carrier and policy number are 158078^ 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) f~1 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 satSurkworked compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 C|00),f)iaMit|on to the cost of compensation damages as provided for in Section 3706 of the Labor code interest arjd attorney s fees SIGNATURE VAluAj DATE 7 > OWNER-BUILDER DECufl/ATlON~~~: -• X I hereby affirm that I am exempifrom the Contractor's License Law for the following reason n I as owner of the proper\^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) l~l 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 contractcr(s) licensed pursuant to the Contractor's License Law) [~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 Q YES f~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 and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES [j] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~l YEEi Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 30970) 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 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 is not comjnenced 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 commeficed\gr iP^riod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/06/2005 Permit* CB051493 Title BRESSI RANCH TEMP POWER POLE Description 2574 DISCOVERY RD TP Lot 0 Type ELEC Sub Type Job Address Suite Location OWNER GREYSTONE HOMES INC Owner GREYSTONE HOMES INC Remarks Inspector Assignment Phone 7606446107 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Act ^ Comment Requested By GARY Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 3AIHQ 3SOUS08J • 133HIS o1 DCiu UJa: \\ o 2z: COMPENSATION r N.S UR A NCE - , POLICWCLB2F COPY PO BOX 807, SAN FRANCISCtXCA 94142-0807 ^^^ " - i * ", F-LJNID CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 10-01-2004 " GROUP: POLICY NUMBER 1589783-2004 CERTIFICATE ID- 842 CERTIFICATE EXPIRES 10-01-20O5 1O-01-?004/10-01-2005 CONTRACTORS STATE LICENSE BOARDWORKERS COMPENSATION UNIT P 0 BOX 2&000 SACRAMENTO CA 95826 LICENSE NUMBER- »'483433INCEPTION DATE: 10-01-20O4•o o SP This is to certify that we have issued a valid Workers' Compensation insurance policy m 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 wilf 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 amend, extend or alter the coverage -afforded by the policies listed herein. Notwithstanding any requirement term, or condition df any contract or other document 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 all the terms exclusions and conditions of such policies* AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $i;oob,000 00 PER OCCURRENCE ENDORSEMENT 12065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 1O-O1-200* IS ATTACHED TO AND FORMS-A PART OF THIS POLICY ''. .,.„', EMPLOYER LEGAL NAME TEMP POWER SYSTEMS 625 FEE ANA ST ' PLACENTIA CA 92870 PpWER FABRICATING INC AND/OR TEMP POWER:SYSTEMS INC IREV 3-03)PR,NTEV09/17/20°4 P0410 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND