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).
/ /
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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