HomeMy WebLinkAbout2715 ASCOT AVE; ; CB053566; Permit1 .-
1 0-1 3-2003
4
Job Address: Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Electrical Permit Permit No: CB053566
271 5 ASCOT AV CBAD St: TP ELEC Status: ISSUED 2131812300 Lot #: 0 Applied: 10/13/2005 .
Entered By: SB
Plan Approved: 1011 3/2005
Issued: 1011 312005
BRESSI RANCH TEMP POWER POLE Inspect Area:
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
RemodeVAlteration per AMP
Remodel Fee
Temporary Service Fee Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1 0.00
$0.00
$0.00 $0.00
$20.00
~~ ~~ ~~ ~
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00
referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I
FOR OFFICE USE ONLY
PLAN CHECK NO. 6
EST. VAL.
Pian Ck. Deposit
Validated By ,4g ~-
Date
Address (include BldglSuite #I Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor' P rcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories X of Bedrooms X of Bathrooms
Sfernp Power Pole
Name Address City Statelzip Telephone # Fax X
999 . Name Address City StatelZip Telephone X
Name Address Clty StateKip Telephone X
m$mPam
usiness and Professions
issuance, also requires the applicant for suc
[Chepter 9, commending with Section 7000 exemptioq,
Name Address City Statelzip Telephone #
State License # *41\3433 - License Class C 1 0 City Business License # 1 3.0 1 652
Designer Name Address City Statelzip Telephone
and Professions Codel or that he is exempt therefrom, and the basis for the al TeMpPbwftw8i&M 249eY. fsmi*1x*,a*8tK CXPe92088 Inore than fiv 3m~aw~vw.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
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
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 Dermit is
1 0/0 1 /05 1589783-2003 Expiration Date Policy No.
carrier and policy number are: issued. My worker'
Insurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLIARS 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
ensation Laws of California.
kern' compematbn coverage is unhwM. and .hall watt an employer to crimhal penalties and dvil fines up to one hundred
to the coat of wmpan.ation. damagu u provided for in Section 3706 of the Labor code. intarartand attomev's foes.
I hereby affirm that 1
0 roperty or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Set. 7044, Business B a 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).
0 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).
0
1.
2.
3.
exempt from the Contractor's License Law for the following reason:
1, as owner of t
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed en application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
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
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
or future
program under Sections 25505, 25533 or 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?
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site?
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 SERVICE
0 YES 0 NO
0 YES 0 NO
ere 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
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 Cit) 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 i
authorized by such permit is n
at any time after the work is c
cia1 under the provisions of this Code shall expire by limitation and become null and void if the building or work
days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE #
City of Carlsbad Bldg Inspection Request
For: 10/26/2005
Permit# CB053566
Title: BRESSI RANCH TEMP POWER POLE
Description:
Type: ELEC Sub Type:
Job Address: 2715 ASCOT AV
Suite: TP Lot 0
Location:
OWNER GREYSTONE HOMES INC
Owner: GREYSTONE HOMES INC
Inspector Assignment:
Phone: 76064461 07
Inspector: L
Remarks:
Total Time: Requested By: GARY
CD Description
39 Final Electrical
Entered By: CHRISTINE
Associated PCRs/CVs
Date
Inspection Histow
Description Act lnsp Comments
0 .1. Jo’
F
.. .. .. - .. . . .. . . . .
Power Fabricating, hc. &
Tomp PonHr Systems, Inc.
625 S. Fee Ana Stnnt
*uowNIsLIAUTOS
SCHEWlsP AUTOS
pt 10 day natb of cancellation for nongaymmt of
mmium. Fte ticenso #4e3433 and License mB6719
Board
P.O. ea 2eooo