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Home My WebLink About2783 PALMETTO DR; TP; CB061303; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 05-11-2006 Electrical Permit Permit No: CB061303 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2783 PALMETTO DR CBAD St: TP ELEC Status: Parcel No: 2131802400 Lot#: 0 Applied: Reference #: Project Title: TEMP POWER FOR CONSTRUCTION Applicant: POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714 223-3600 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 TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: GREYSTONE HOMES INC 1525 FARADAY AVE #300 CARLSBAD CA 92008 ISSUED 05/11/2006 LSM 05/11/2006 05/11/2006 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: FINA~~ Date: "-. Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition• of fees, dedications, reseivalions, or other exactions hereafter collectively referred to as 'feesfexactions." 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 feesfexaclions 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 . n f Tl E . ii r h' wh' h limi i FOR OFFICE USE ONLY P~-RMIT APPLICATION PLAN CHECK NO. &.f:, O(o l ~03 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ----=---=-.---- Validated By ____ ~-f'-_.;;;::'-=------ Date. _____ 6"...::,_70@.J.._;,\_"-+-'D=fa,0=----- Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor'll:'Jlfcel I p p } 1emp ower o e Proposed Use Description of Work SO. FT. #of Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax, ~i-fP~t11ty~tJitgtft'~~~~fu~ll\TN-nGJ)Ff~~h~td;;,eA~~2usl·i Name Address City State/Zip Telephone II ~~~-0~mi'1l"~lfil1lfflftllll'fs'is1Jalfft~~~•':f~~;tst·~•~'o0'1C1fi'l1slfld!~t!~~1·~ty~'1:Jt'IIP3/g·~~~rt~g~77ij()1 ''1m' · Name Address City S.tate/Zlp Telephone I ilf :· ijl'iiJ'.M~Q~COMR~~G'~fKtl'f!~~~t;.':,,1,\"::Ct.Jil~-rii'~1-1. ~•'~t;, t•>-'i' ••·. ;'_t•:·\'i~~~-~~1~r~~~'i½.,,1~iti1~~t1~-~lt1i,%> ,Nif-1.ilt;+.of;~~t~t(/iiai;.1';,It (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 It■ Issuance, also requires the applicant tor such permit to file a signed statement that he is licensed pursuant to the provision■ of the Contractor'• License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he la exempt therefrom, and the b■■ls tor the alleged exemptlo~p~f' affitteYl:llig'llr~~Y(J~'S .'f't'er1'itffli'St,thipfl'1~~i'{!>_Aa'92S,O,ore than flva')l'f4'•£~,",j{JOO, Name State License I _*___..6...,9 ... 6--..7_}..,3...__ __ Address License Class _____ C"""-.,,1'-Q.,._ __ City State/Zip City Business License II Designer Name Address City State/Zip Telephone State License II _________ _ te~-:i!:'c: ~tr~"itr~-~:~J,i.i'~if&~;'lli.tz,i~W."1~.Y~~,,i:t~'i'i'~~~.ii:ii.i:.lf.'i.,'l':i(!~rii\~,,1:"...t'..~1,~m';i;tt,i,'.:t}t:>· :''•';Ir ,', ,, ,._, ~ 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 H provided by Section 3700 of the Labor Code, for the performance of the work tor which this permit la issued. 0 I have ■nd will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker'Ye'11P_!ns■tion i"l"rancefi~"t and policy number are: 1 C. W50205300 } 0/01/06 Insurance Company ~ V rrgmta .) ure~ J O. Polley No •. ____________ 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 11 issued, I shall not employ any person in any manner so as to become subject t Worke ' Compensation Laws of California. 1' compensation coverage Is unl■wtul, end ■hal ■ubject an employer to criminal penaltlea and clvll tines up to one hundred thousand dollar■ I IMll•\n1.,.t•tlon to the coat of compen■atlon, damage■ a■ provided for In Section 3708 of the Labor code, lnt-t end attorney'■ fees. r;;~NA ;:~Aiuj .. . . · ~-... · -• • :~~~~~~~~~~~1;~W\~\iY,,i~•-~~-~~~;t:f~~ft~J?~~1~i~1t;,): .. ~r,,;,;J,\1~-,,.-i, -·. 6 I hereby affirm that I am e pt from the Contractor's License Law for the following reason: 0 y or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered tor sale (Sec. 7044, Business and Pr salons Code: The Contractor's License Lew 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 ottered tor 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 tor the purpose of salel. 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 en owner of property who builds or improves thereon, and contracts tor such projects with contrector(s) licensed pursuant to the Contractor'■ License Lawl. 0 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. 0 YES ONO 2. I (have / have notl 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 numberl:. ______________________________________________ _ 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 _________ _ [CO~itlllSe.cDol\lYfQl\fN.OOC'-B.fl,/_(1~~1,if!;ll.~l;UN~IJ!J:Mtil!ifO.NL'"C-t'»Jl6~;."l'tk:~litffl:i\Ji~i-1'1¾;~{~J,i:;-it;,;.;;~~~'.!}j<1.,i1>'/.tl"1l;,l;.'l,t><A~'-\ :,$i0 .. 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? 0 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. ttli~!;9.NiaR\i:CTJQHJ~o~~~-gJij~Jrti,:;,1:r,Jf;:.\;!~~,.'~J\\;~t,lli/~rJt'~t~:r\(~'-:, '..:\6'~.;;. (~~! ,{;-\:;. lifo 1.i'J£<;!1r! ~\,:: ,;),!,); <. \ ;~\t, :¾~:\:; ,.A .... _.' ---t,; 5':' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(;1 Civil Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ lt~~~liortt~~-"it:i..1/M:l~'-1'iil'.'· .;,,,,i1~~i.,i..;,'i~~i~t.~ .. ~J.i4iii~~~~\'(;•iJt~•$1l.\i~l~{~1-A:i'Wi;iU,;i'';~ ~":~~li;.Hi;/,· ,'/; .~:1t-it,:it.';--~ I certify that I have read the application and state that the above information is correct and that the information on the plans la accurate.' I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 iss 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 omm d In 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 Iha work is co p riod of 180 days (Seclion 106.4.4 Uniform Building Code). DATEc;.,' (ct)/, , YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/23/2006 Permit# CB061303 Title: TEMP POWER FOR CONSTRUCTION Description: Type: ELEC Sub Type: Job Address: 2783 PALMETTO DR Suite: TP Lot 0 Location: OWNER GREYSTONE HOMES INC Owner: GREYSTONE HOMES INC Remarks: Total Time: CD Description 39 Final Electrical #Comment ----------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7606446107 Inspector: ~ Requested By: GARY Entered By: CW EW)L