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HomeMy WebLinkAbout2799 CACATUA ST; TP; CB991730; Permit05/24/1999 City of Carlsbad Electrical Permit Permit No:CB991730 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 05/05/1999 Reference #: Plan Approved: 05/05/1999 Issued: 05/05/1999 Project Title: TEMP POWER POLE Inspect Area: 2799 CACATUA ST CBAD Entered By: JM Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY ESCONDIDO CA 92025 760 439-1 999 Owner: Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 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 TOTAL PERMIT FEES $1 0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1 0.00 $0.00 $0.00 $20.00 FINAL APPROVAL Inspector: 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 "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. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions 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 feeslexactions of which you have previously been given a NOTICE similar to this, or as to which fie statute of limitations has previously otherwise expired. 05/05/1999 City of Carlsbad Right of Way Permit Permit No: RW990172 Permit Type: ROW Subtype: MINOR Status: ISSUED Job Address: Parcel No: Lot #: 0 Applied: 05/05/1999 Start Date: Est Complete Date: Issued: 05/05/1999 insurance Expire: 10/01/1999 Traffic Control Plan: Y Entered By: JJ Liability Insurance: Y GOP: Reference#: Location : 210.00 9310 05/05/99 0001 01 02 C-PW Project Title: RIGHT OF WAY Description: Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 SET TEMP POWER POLES AND SPAN STREET 760 439-1 999 Permit Fee Additional Permit Fee Other TOTAL PERMIT FEES This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion of the work or if the work does not meet City Standards. The applicant may be billed for the cost of any corrective work that the City must perform. Permit Release kL3 Date Released rya 9 YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK. UNDERGROUND SERVICE ALERT NO. IF ANY EXCAVATION OR BORING IS DONE. . THIS PERMIT IS INVALID WITHOUT THIS NUMBER CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 L PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE PLAN CHECK NO. Legal Descnption Lot No. Subdivision NamdNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use DescnptiLn of Wort ' SQ. FT. #of Stories X of Bedrooms 7?*A AC4/e/r # of Bathrooms 3. APPLICANT Contractor 23 Agent for Contra for<)wr#r Name Address cay StateRip Telephone X 6. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permrt to construct, alter, improve, demolish or repair any structure, pnor 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 ot the Business and Professtons Codal or that he IS exempt therefrom. and the basis for the alleged ti0 of Section 70 1 5 by any applicant for a permit subjects the applicant @ a civil pena y of not more than five hundred dollars 1$5001) /w* g/5fi.-r.> ?fo /r( C.-6/&/ &d 6.t Y&W- 7&7r,?-/Fv Name Address city fitatelzip Telephone # State License # q23 43 7 bcense class C-I 0 City Business License 1 Designer Name Address city StateRip Telephone State License # 6. WORKERS' COMPENSATION Workers' Cornpensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: o Yi t e work for which this permit is issued. c] 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 permit IS Insurance Company PASCL&/,7% Go . Policy No. /o ~~r?~2~~? Expiration Date /o i + n insurance carrier and policy number are: (THIS SECTION NEED NOT BE COMPLETED IF THE dRMIT IS FOR ONE HUNDRED DOLLARS 181001 OR LESS) 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: F secure workers' c lawful. and shall subject an employer to criminal penales and civil fines up to one hundred damages as provided fork, Section 3706 of the Labo cod , interest and a¶tmey'a tws. thousand doll SIGNATURE 7. OWE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees wnh wages as their sole compensation, will do the work and the structure IS not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractor's bcense 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 axclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: Tha Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s1 Iica~ed pursuant to the Contractor's License Law). 0 1. 2. 3. DATE /<j$lq 9 I am exempt under Section I personally plan to provide the major labor and matenals for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an 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 COMPLETE THIS SECTION FOR NON-R€S/DBW7Af BUlWNQ 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? 0 YES 0 NO 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 / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number / tvpcl .. . .... .. .. . - . . .. . . .. . . . .. - -___ IS tne applicant or tuture DUilaing occupant reguirea to obtain a permit trom tne air pollution control aistrict or air quainy management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 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 AGENC 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). u YES LJ NO 0 YES LENDER'S NAME LENDER'S ADDRESS 9. APPUCANT CERTIflCATlON 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 a11 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Ciw of Carlsbad to anter 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 work authorized by s or abandoned at any APPLICANT'S SIGNATURE DATE shall expire by limitation and become null and void if the building or rmit or if the building or work authorized by such permit is suspended .4.4 Uniform Building Code). / / ~ ~- City of Carlsbad Inspection Request For: 5/14/99 Permit# CB991730 Inspector Assignment: Title: TEMP POWER POLE Description: Twe: ELEC Sub Type: Suite: Location: Lot 0 Phone: 7604391 999 Inspector: R 6 4PPLICANT : TEMP POWER SYSTEMS Owner: LEEPER K RONALD Remarks: Total Time: Requested By: NA Entered By: CHRISTINE CD Description 32 Const. ServicelAgricultural 2 t comments Inspection History Date Description Act lnsp Comments