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Home My WebLink About2841 GAZELLE CT; TP; CB101382; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-23-2010 Electrical Permit Permit No: CB 101382 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2841 GAZELLE CT CBAD St: TP ELEC 0000000000 Lot #: !SIS-INSTALL 200 AMP TEMP POLE 0 Applicant: Owner: POWER PLUS 436 N QUINCE ST 92025 760 839-9430 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 0 200 Total Fees: $60.00 Total Payments To Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/23/2010 LSM 07/23/2010 07/23/2010 $10.00 $0.00 $0.00 $0.00 $50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $60.00 Balance Due: Inspector: ~ FINAL APP OVAL Date: fJ /O Clearance: '4·)'. \ 0 $0.00 NOTICE: P!ease take NOTICE th2t approval of your project includes the "lmpositionn of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.n Yo:1 have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must foUow 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 Carl,;,bad Municipal Code Section 3.32.030. Failure lo 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 capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOA DOES IT APPLY to any f xacti n I which u I n iven N Tl E imil r to thi r o whi h he tat I limi tio h reviou I herwis x ired. ,I ~ • . ' ~ ·«~~ ~ CITY OF CARLSBAD JOB ADDRESS /_,, YI Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. es JO -138"?-- Est. Value Plan Ck. Deposit Date 7 ~ ,0 APN CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~IA f-2, 0 EXISTING USE GARAGE (SF) PATIOS (SF) DECKS(SF) CONTACT NAME (If Different Fom App/leant) Sw APPLICANT NAME ADDRESS" ] b CITYC°' cs PROPERTY OWNER NAME · CONTRACTOR BUS. NAME ADDRESS z_ PJ0i.. Ct ADDRESS J \., ZIP CITY6 2 .. 0b y' C PHONE gr EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 0 --( . FIREPLACE YES •#_ NOD AIR CONDITIONING YES D NOD J' f.-. FIRE SPRINKLERS YES O NOD ZIP o/1,, o z,.r V f: 1-t:J VJ>b. P /1,tf ~"'(" Si , 4STATEU ZIP9 <..-v ?,.. r . FAX R3 ?-q f.J'7. 7 loo 30 (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of lhe 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 pertonmance of lhe work for which lhis penmll is issued. ~ f have and will maintain workers' co{lens~ion, as required 6 Section 3700 of the Labor Code, for the pertonmance of lhe work for which lhis penmit is issued. My workers' compensation insurance earlier and policy numberare:lnsuranceCo.(H ,l ( »b\-e, (V\:(vA f Jtw1CltbPolicyNo. r\:1. 6-W:J7\/(:I003, ExpirationDate J-.?f -// Ct This section need nol be compleled if the penmil is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perfonmance ol 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' Compensalion Laws ol 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 (&100,000), In addition to the cost of compensation, damages as p~idad lo i Sectio 706 of th L bor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hemby affirm that I am exempt from Contractor's Ucense Law for Iha following reason: D I, as owner of lhe property or my employees wilh wages as !heir sole compensation, will do the work and lhe slructure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property vmo builds or improves thereon, and who does such work himself or lhrough his own employees, provided lhal such lmprovemenls are not intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have lhe burden of proving thal he did not build or Improve for the purpose of sale). O I, as owner of lhe property, am exciusively contracting with licensed conlractors lo construe! the projecl (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves lhereon, and contracts for such projecls with contractor(s) licensed pursuanl to the Contractofs License Law). D I am exempl under Section _____ ,Business and Professions Code for lhis reason: 1. I personally plan to provide lhe major labor and materials for construction of lhe proposed property improvement. • Yes D No 2. I (have/ have not) signed an application for a building permil for the p,oposed work. 3. I have contracted with lhe following person (firm) lo provide the proposed construction (include name address / phone/ 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 I phone I conlraclors' license number): 5. I will provide some of lhe work, bul I have contracted (hired) lhe following persons to provide the work indicated (include name I address/ phone I lype of work): .J!5 PROPERTY OWNER SIGNATURE •AGENT DATE ' ,. ~ ... " ' • ri" j-1 .. c OM l"J. ETJE TH IS ·s E CT ION J'F 01? NON-'R E-5,1'.'D·E .N m l AL BU I .L.D l 'N G P E 'R M .• Tc$ O 'N LW ~ ¥ ~ • Is the applicant or future building occupant required to submit a busines:!a , 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 o ~ ts the applicant or future building occupant required to obtain a permit I he air pollution control district or ~i~q ality management district? • Yes o Is the facility to be construcled within 1,000 feet of the outer boundary of a school site? • Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnation Is conrect and that the lnfonnalion on the plans is accurate, I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize represenlalive of lhe Cily of Carlsbad lo enter upon the above menooned property for inspecfuo 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 pennij is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 s1ories n height. EXPIRATION: Every pennit issued by the Buik:ling Officia the provi;ion this Code shall expire by linilaoon and become null and void ff the buidng or wori( authorized by such pennit is not conmenced \Whin 180 days from the date of such pennit or if the bui<f authorized moo is suspended or abandoned at any time after the WOOi is commenced for a period of 180 days (Section 106.4.4 Wnifonn Buik:ling Code). _,6 APPLICANT'S SIGNATURE DATE 7 -z: z. /0 City of Carlsbad Bldg Inspection Request For: 08/02/2010 Permit# CB101382 Title: ISIS-INSTALL 200 AMP TEMP Description: POLE Type:ELEC Sub Type: Job Address: 2841 GAZELLE CT Suite: TP Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: CD Description Lot: 0 Act Comments Inspector Assignment: ,,,,., ·z Inspector: Requested By: RICKY Entered By: JANEAN 32 Const. Service/Agricultural At_ ________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments