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Home My WebLink About2830 CARRILLO WAY; ; CB011083; Permit03/20/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB011083 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2830 CARRILLO WY CBAD ELEC HACIENDAS TEMP POWER POLE Lot#: Applicant: TEMP UTILITY SERVICES 1167 LAW ST SAN MARCOS, CA 92069 619-471-5494 Owner: PACIFIC CREST Status: ISSUED Applied: 03/20/2001 Entered By: MDP Plan Approved: 03/20/2001 Issued: 03/20/2001 Inspect Area: 03/20/01 D002 Oj CGP Total Fees:$20.00 Total Payments To Date:$0.00 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 TOTAL PERMIT FEES $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 Inspector: 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 C1TY DF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. £>i' EST. VAL. _ Plan Ck. Deposit Validated By Date Address (include BIdg/Suite *J Legal Description Assessor's Parcel # ///5TW/ i~e.*n Description of Work ' /I Business Name (at this address) •*• / If Q W &tf Lot No. Subdivision Name/Number fl /We^/^%"1* Vlux.C ,-V. SO. FT. Ifor Stories -^ Unit No. Phase No. Proposed Use # of Bedrooms Total # of units * of Bathrooms CONTACT PERSON (H rftffarant from «ppOcwit) Name 3. APPLICANT D Contractor Address *><<> City Q Afl«ntift>f!Owr*''[ SO State/Zip Telephone ft Fax * Name ' 4, PROPERTY OWNER _ Address •*:?•"&>: '• t tat** 4 City j''fiz' 0* State/Zip Telephone * Name Addrass / City StatefZip Telephone # s. CONTRACTOR - COMPANY NAME 1 ;^ ^: ,; - '•;•-"y™''- ,:.;:,:";.;.••,:.,•;,:,.....'•'• -V"- •«,:.. •'-''' '••: • • • .- (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 of Ejection 7031.5 by any applicant for a permit subjects the appljjjant to a civil penalty of not more than five hundred dollars [S500IJ fr _$ Name State License # Address License Class City State/Zip City Business License # Telephone f Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION Workers' Compensation Declaration'. I hereby affirm under penalty of perjury one of the following declarations: 0 I nave 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. 53' 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 insurartce_cam'er and policy number are: Insurance Company t,3 >Q '^ ___./"* <S'/? </ Policy No. / >^ ^ I I V "0 O Expiration Date-^" > '& (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 aacure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar* ($}ttDJMO), In addtttonfto jA cost of compensation, damages as provided for In Section 3706 of the Labor coda, interest and attorney's faas. SIGNATURE r*Z&faJ>4 ^^Wsfr*^ DATE 3~ 7. OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from thVContractor's license Law for the following reason: Q 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 CAda: 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). Q 1, es owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for auch projects with contractor!*) licenced pursuant to the Contractor's License Law). [3 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. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the fallowing 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 t have hired the following person to coordinete, 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 COMPLETE THIS SECTION FOR NQN-ReSIDEN7tAL BUILDING PERMITSlONLY'..-. 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? D 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FtNAL 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS %". APPLTOANT CERTIFICATION - •'.. .>.'-. .:..>. Z'sFS.T.t'il ",::,--:^-'^',-.';^.".'","'" •..'^.' ?'£^ - ,,' v •":•.:••.' ^l'^"."^*-?'-'"'^''''".""" ' '.' •' . ' 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" deap 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 365 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 yroVk ta commenced fjn a crftiod of 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE L^*W^H ^^Wfo&S DATE TE: File YELLOW: Applicant PINK; Finance City of Carlsbad Bldg Inspection Request For: 04/04/2001 Permit# CB011083 Title: HACIENDAS Description: TEMP POWER POLE Inspector Assignment: Type: ELEC Sub Type: Job Address: 2830 CARRILLO WY Suite: Lot 0 Location: APPLICANT TEMP UTILITY SERVICES Owner: Remarks: Phone: 7608399431 Inspector: Total Time: CD Description 32 Const. Service/Agricultural Act Comments QP Requested By: MICHELE Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments FPClWC*EP P_T-323 P Ot/OI F-HO COMPENSATION IN P.O. BOX 007, SAN FRAN<aSCO,CA-94t01-Q807 WORKERS' COMPPjSATIQM MSUUMCE issue OAT& 0a-3i-oo - POUCV NUMBER- 1555 MO - 06 CERTIFICATE EXPIRES 03-31-O1 STWt LlC£«i£. BOARD•WORKERS'*', e-., SACRAMENTO, CA 95826 . *8239M ' IWCfPTlOH DATE: O3-31 00 SJWTA AHA s ro cvr^fy IAK nsur«we ra tft This Do,tev •» riot 3d*tjeei fo capceb«ioh .oy '«• .Fuirf ex<»pt Trail iQ^ntuT' tmnrrr "Trr.rT mould. i*ii» WOfkfits' .CofnfiMswaA nsur«icv.ptnicr <p a form apiwoved ov beow for rtw pooc* \Mtttmn ncibce to aw ia'ii& normal This ey of ^aw oy VM poJitms figH^T>ter>tff.B UTi<liHB ^t*b «**.•» »pd ifis«i not ameno.. extend be «t«r me eo«*r 494 Afforded tyaftrltrinn oi.jny comract or otfterTloet^nen QIC: <au*»nc* ^JBntoct by the pneSDeNcr OB>LOrER'S,UIAftIl.;TV-IWT tWCtUOlNG OCrOISE COSTS: »1,OOO,OOO.OO PER OCCURKCNC1. rt-nm i-FBTTrTr-»T» HpLDraS'MOTICt trflECTrVE 03/31/00 IS ATTACHED TO AMD r LEOAt NME POWER KUS I TEMPORARY .1281 £ SWSHWE- WAY' S. R. BRAT CtMtKlRATIOM AHD/OR S.ft. BRAT UTILITY SVC tNC SSSl 03/14/01 Confirmation of meter and service request Customer: Pacific Crest Comm Phone : 909 945 7800 Want date: Service Address: 2830 Carrillo Wy CB DPSS 13391 1-010 Contact: Michelle Scott Phone : 760 839 9431 We have investigated your request for temporary service and determined that the facilities you have identified as handhole w/o D134832 are mechanically available for your use in providing temporary power for your project. If temporary service is to be provided underground, please place your facilities no closer than 7 ft or no further than 20 ft from the Utility source described above (see generic sketch below). We can schedule the installation of vour service as soon as vou nrovide us with a firm date vou olflD to Install vour facilities. The meter will be set oeitdina receiot of both billinc aonlication and municipal Inspection. For any questions or further information concerning this form call San Diego Oas & Electric at : John Acuna 760 438 6290 fley era} £ii§torriBr Infor-fftiffon. Motor btiytit - 4*0" min -ti'3" max from ftni*h grade to centtrline of meter bate. Meter* are required to be readily acoetiiblc 24 H», /day Mcteit mutt be located in a ufe area ftee of any potential hazard* or dangerous conditioni. room ii ptopoMd, contact tho neareit SDOAE office. adjacent ro **Ch other and toe uJenrifiod with addrefi and unit number it Wrvw. Ovcrhef ^ tervicgf ; mutt maintain * minimum of: 12 ft @ point of connection. 18 ft @ center of street or 12 from curb whichever it teas, 16 ft over commercial driveways, 12 ft over residential driveways. Maintain all required O.O.95 clearance*. 4$ hrs prior to trenching. Main Switch 200 amp* lingleJF'hMe 3 Wire 4 meter clipi 120/240 Volts Utilities maximum contribution to fault current , J2K AIC ""P1 Typical Installation Tranttonnen Cuitomor owned facilhic* to receive electric service are «ubjo« to all applicable local and itara of Cattfomla inspection authority roquiramenti. Building •ddrMt and/or meror bate mutt be potttd prior to meter wt Infermation on thit tneot it void after 6 month* from date of fttue. If SDQ&E eneoufiim haaardoui or toxic material while performing oonurwcrion of your project, work will halt immedfeuly and It will b« your reipomibilhy to remove and/or clean alt hazardom or toxic material prior to SDOftE coniimiini coniouction. SDQ41 thai) haw no liability or obligation to clean, remove or remediate any bizardoui or toxic material discovered during the our* of construction, unteu it U through negligence of SDOAE Htmdholel.doc revised 10/06/00 £0 'd 8538 809 09A 'ON do Aiio Hd 93120 mi. tnn?-.qn-NHu FAX #(760) 602-8558 TELEPHONE #(760) 602-2718 CARLSBAD BUILDING DEPARTMENT Fax ,,. QCt DUrv«rt aitMMOwMM* a O !*<•••• H^yal* • OvramMiiw You c»n UM tlM iddrus of your t«mporary powar poU tared pedi B« *ura to sand In this covtr shMt *nd th« *ncto«ed map with th* th«t Is coming In to pull th« p«rmlt for thlc pole. 10 'd B9SB 309 'ON n -m AHA am