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HomeMy WebLinkAbout2704 GATEWAY RD; TP; CB110273; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-07-2011 Electrical Permit Permit No: CB110273 Building Inspection Request Line (760) 602-2725 Job Address: 2704 GATEWAY RD CBAD St: TP Permit Type: ELEC Status: ISSUED Parcel No: 2132630900 Lot#: 0 Applied: 02/07/2011 Entered By: JMA Reference*: Plan Approved: 02/07/2011 PC #: Issued: 02/07/2011 Project Title: 200 AMP TEMP POWER POLE Inspect Area: Applicant: Owner: RCH CONSTRUCTION, INC. L J R L L C 26170 ENTERPRISE WAY STE. 100 P OBOX743 LAKE FOREST 92630 RANCHO SANTA FE CA 92067 949-916-7663 Electric Issue Fee $10.00 Single Phase per AMP 200 $^0-°° Three Phase per AMP 0 0.00 Three Phase 480 Per AMP 0 Ip.OO Remodel/Alteration per AMP 0 $13,00 Remodel Fee $0.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0,00 TOTAL PERMIT FEES $60.00 Total Fees: $©0.00 >Total Payments To Date: $60.00 Balance Due: $0.00 FINAL APPROVAL Inspector: ™ f L*' Date: 2- /^ t ft~&Jj_ 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 right 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF f^ARI *sRAI~lV-./-\r\I_,JDr\Lx Building Permit Application 1635 Faraday Ave., Cartsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Est. Value Plan Ck. Deposit SWPP JOB ADDRESS EXISTING USE PROPOSED USE GARAGE (SF)PATIOS tSF)DECKS (SF)FIREPLACE Y€Sn #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES Q NOO CONTACT NAME (/f Different font Applicant)APPLICANT NAME. ADDRESS ADDRESS CITY STATE ZIP 5JATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL • eg) nj PROPERTY OWNER NAME^,^ L <O / I ^/]A C— CONTRACTOR BUS. NAME *-) ^ /K-C+f J^ADDRESS ADDRESS .FAX PHONE 7^ 6>3 EltfAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LI C. #CLASS£> CITY BUS. 1IC.# civil penalty of not more than five hundred dollars ($500)). , also requires theith Section 7OOO of Division 3 of thepplicant for a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: GMhave 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. On have and win 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 workers' compensation insurance carrier and policy - A 'T </*ylJt? t~ /TSSoy. PolicyNo. ~? &00GO g/&~7 /«»/ Expiration Date a/J/"number are: Insurance Co.. This section need not be completed if the permit is for one hundred dollars {.$100) or less. O 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 forjji Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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 properly 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). O 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 contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes D No 2.1 (have / have no!) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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 /-contractors' license number): 5.1 will provide some of the work, but I have contracted -(hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE OAGENT DATE m j.siisw 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-IaTiner Hazardous Substance Account Act? OYes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes a No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 <i)-Ciyil Code). Lender's Name Lender's Address I hereby aulhorize representative of Hie City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THECITY OF-CARLSBAD OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. 180 days from the date of such permit or if (tie building or worttaujbonzed bvsueh 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). .^APPLICANT'S SIGNATURE *\ /*'/> jfrs*^ DATE City of Carlsbad Bldg Inspection Request For: 02/18/2011 Permit* CB110273 Title: 200 AMP TEMP POWER POLE Description: Inspector Assignment: PY 2704 GATEWAY RD TP Lot: Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT RCH CONSTRUCTION, INC. Owner: L J R L L C Remarks: Phone: 6195615119 Inspector: Total Time:Requested By: JACKIE Entered By: CHRISTINE CD Description Act Comments 32 Const. Service/Agricultural :-;'li^»^:i, 1! 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