HomeMy WebLinkAbout2785 CREST DR; ; CB012247; Permit06/29/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB012247
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2785 CREST DR CBAD St TP
ELEC
1561524100 Lot#
TEMP POWER POLE
Status ISSUED
Applied 06/29/2001
MDP
06/29/2001
06/29/2001
Entered By
Plan Approved
Issued
Inspect Area
Applicant
POWER PLUS
436 N QUINCE ST
ESCONDIDO CA 92025
760 839-9430
Owner
HOPPE PATRICK W&MARIA E
3466 06/29/01 0002 01
2785 CREST DR CGP
CARLSBAD CA 92008
02
20.00
Total Fees $2000 Total Payments To Date $000 Balance Due $20 00
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
$1000
$000
$000
$000
$000
$000
$1000
$000
$000
$000
$2000
Inspector 7-//-
FINAL APPROVAL
Date 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 capactiy
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
T INFORMATION
TP C.
Address (include Bldg/Suite #)
>
Qg.
FOR OFFICE USE ONLY
PLAN CHECK NO <S>\
EST VAL
Plan Ck Deposit
Validated By
Date
Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #Existing Use Proposed Use
Description of Work
t:2f 'vil
SO. FT #of Stones
,.<^>,
# of Bedrooms # of Bathrooms
mic_wAW Scot-V
Address City State/Zip Telephone •Fax #
Name
4"i PROPERTYjbWNEft
Address City State/Zip Telephone i>Name
'S., .-CONTRACTOR:.!
(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 alleged
exemption__Any violation qfjjection 7031 5 by any applicant^or a permit subjects the apphcant to a civil penalty of not more than five hundred dollars I^£OD
AJ'
Name
State License #
Address
License Class ( £sl
City State/Zip Telephone #
City Business License # / 2O
Designer Name
State License tt
Address City State/Zip Telephone
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 as provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued
rj 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's compensation insurance-carrier and policy number are
Insurance Company "^}-^ty\€ -f-W\d Policy No / I?5& / )O ~QQ Expiration Date 5 " 3 / "
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q 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,OOOJ, in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE ^^SP^^O DATE ^,
^^OWNER-BUILDER;DECLARATION* ^ S-T-. "tl ^ ' ,3 1^- la'j;"^^^ :V 'v^, ; : ,..' ,".;•?" ;;; '.'"^ ..
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason
PI 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 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 contractors) 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 QNO
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
NO
'FQ^ ..
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? O YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES fJI 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
18. L^CpNSTROCTIOI\r LENDING AGENCY ' ;;-..'i^ " " /. x :,.^-':L.-i:"-'",-; i.'.j:...!.. - '. !'" : A ^ ' •'.: , ,C^-.-^-. -" ' •• - " '• : - ?
I hereby affirm that there 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 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 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 commenced 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 commenced for a«3eriod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE Q\
YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 07/11/2001
Permit# CB012247
Title TEMP POWER POLE
Description
Inspector Assignment
2785 CREST DR
TP Lot
Type ELEC Sub Type
Job Address
Suite
Location
APPLICANT POWER PLUS
Owner HOPPE PATRICK W&MARIA E
Remarks
Phone
Inspector /}/?
UP-
Total Time
CD Description Act Comments
32 Const Service/Agricultural AP 4/0
Requested By MICHELLE
Entered By ROBIN
Associated PCRs
Inspection History
Date Description Act Insp Comments
05/28/2001 IB 25 7D75287663 PERMIT SERVICES INC
.•»J!' .•) 2001 HcD (HiDC AH GUY Of CARLSBM) FAX NO. 760 602 8558
PAGE 38
0B/2B/2031 16 25 •70752876E3 PERMIT SEW ICES IMC PAGE 33
SHWswttfleaf«
06/26/01
Confirmation of meter and. service request
i-.r MSK DEVELOPMENT Phone 76093127&S Want dale
Audress 2783 CREST DR TP CB
! 18927 010
MICHELLE SCOTT Phone, 7608399431
, miretigttad your raqii«f fhr fampnrnrj. corvioa and dc4ormil»*d that tho fooiLboa you have
..n as P28204 arc mechanically available for your use In providing temporary pOMver for your
' the temporary service is to be provided overhead, please place your feeilines no closer than > 0
. '"unhcr than 100 ft from die pole listed above. Place tercpoiary pole within 25 ft of a dnveable
or use 25-cIasfi 5 clirabable pole with depth gauge attached. Ail facilities should be placed on (he
> served Tfec service \^y be ^edtitcd for energizing as soon as YOU provide tas with a firm
be set atBdloe receipt of Jtoth btttingplanfodlitiea. The meter
and muaicipal taga^cttop, For any questions or further information concerning this form
Joha Acaaa 760 480 7623
l C ui
-fi'l" irwM^iw^ flnjdh ^(«d4 L* o«n*«Hm« of irtolvr
.1 > a'« '^uiKd id be readit} aceniibie 24 H^t. Hay Mtteni mtl be
i -ad JR» free of my potential laoMi <ir dingtfout condiuou
1 ^eLeyjaiMeyel wtftoj ^ucc in front of meler W)wr« m«Mf, r ija, caitoci ine nuicst btKj&t onits
,iu.i ami gen/tea d/teon^jji muW be laeatad H Of MVIMAtiely
1,1 ach tubef snd be idcndfled with address aid si"t i-iumstr it
I- id sniirrr iTWTs'l within
jtiyis«t. must maintain a mmmwm of,
ii ft S point of *OftiK»t««i. 18 ft r^ nsntw »f atraet or 12 freni
curb whichever 14 I'ea. Id it ever ecnimsicial dnvoifyj, Iz ft over
rwidsatisl dnvrwtyj Maintain all required Q,0,?5 ctemttces.
Onderaronnd ifgrylcn; phoha Dig Aim l-Mf!-477^ni at
48 bra prlot- to trenching.
Mtun Swttch 100 uroptsinfllaPhsw 3 Vrtre 4ret«r clips 1 2(V24ff Vohi
UliUstt Tnacununiconmbuliort to ftult etursnt 43K AfC ainpt
i J:v:J iiCiltlitS 10 nttsivt stactrt; arvjce are jubj«l u ail uppileabTe ICCBI and *uuc of Gibfumia iliSiKsliol aulSomv rnjuircmsnis
I r* .isr oast iw» *!i potted prxar la ntf!Cr lei InrWTMIto «n (hit ahi« is void a'lf b aionlht fVoiTI Jato ill »suc
• ^vii.ui* iKiiiidauf or loxto msinlil vvtii'e pa-'orm.rijjcoi'aiructwc, cCyout ptojun. warkwtll noJt TOTneJiuwV wvd U will bt ysur i»jx>raitility
0 >,- -t.m ill hiuniittj! or tw!g ircMria) p^ier is I DO&K »m<nuing conctrucnon SDU&I5 9l<«II kava no biblUty or abliEauei-i to aliKn, remove
. srty i\4JQIdOu> or toxic duvrial Jucovtrtd tfunng tlic course uf raiiinitUMi Uokss u is tiUQUgh n
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