HomeMy WebLinkAbout2843 GAZELLE CT; TP; CB101383; Permit' ' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-23-2010 Electrical Permit Permit No: CB101383
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2843 GAZELLE CT CBAD St: TP
ELEC
Parcel No: 0000000000 Lot #: 0
Reference #:
PC#:
Project Title:
Applicant:
POWER PLUS
ISIS-INSTALL 200 AMP TEMP
POLE
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
Owner:
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
Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due:
Inspector: --;ri✓ FINAL APPROVAL
Date: ~/, /1 ° I i Clearance: 2 • :l · \ b
$0.00
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.
'~ ·«~~
~ C ITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax: 760-602-8558
Plan Check No.
Est. Value
Plan Ck. Deposit CARLSBAD www .ca rlsbadca ,gov 7/~ tO
?,f le TP SUITE#/SPACE#/UNIT#
PHAS # # BATHROOMS TENANT BUSIN NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
<j:v\..J{-CL ( q "l-00a.
GARAGE (SF)
ADDRESS
PHONE
ry" ()
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
PATIOS (SF) DECKS(SF)
APPLICANT NAME
ADDRESS
CIB
o le
FIREPLACE
YES •#_ NO•
AIR CONDITIONING
YES • NO•
PHONE
?tt, o I.Jr 11/Jo
EMAIL
CONTRACTOR BUS. NAME fJ/w. .[
ADDRESS
EMAIL
STATE UC.#9 J 'JO CC-)V
FIRE SPRINKLERS
YES O NO D
(Sec. 7031.5 Business and Professions COde: Any City or County whieh requires a permit to construct. alter, improve, demolish or repair anl 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 (Cha'f.ter 9. commending with Section 7000 of Division 3 of the Business and Professions COde) or !hat he Is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 703 .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 the following declarations:
D I have end will maintain a certificate of consent to aelf-insure for WO/ker.;' cornpensaHon as provided by Section 3700 of lhe Labor Code. for the performance of lhe WOik for which lhis permil is Issued.
'm) have and will maintain worlter 'c pensat\on as required by SectlOll 3 00 of the Labor Code, for lhe performance of the WO/k!:5 which lhis permit Is issued. My workers' compensation Insurance carrier and policy r .number are: Insurance 'V\b IPolicyNo.plJ. & tl'.': <"7 L/ .J /01>'3 Expirat10n Date 3 -.f) • /)
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify lhal 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 10 the Workers' Compensation Laws of
Cafifornia. WARNING: Failure to secure worlters' compensation coverage Is unlawful, and shall 1ubjoct an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da gas as pro · ed f r Sect 3706 the Labor code, Interest and attorney's laes .
.JI:! CONTRACTOR SIGNATURE
I hereby a/6rm that I am exempt from Contractor's Ucense Law for the following reason:
D I, as owner of lhe 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 Contractots
License Lew does nol apply to an owner of property \\IJo buMds or Improves thereon, and whc does such work himself or lhrough his own employees, provided that such improvements are not intended or offered for
sale. If, however, !he building or improvement is sold wilhin one year of completion, the owner-builder will have lhe burden of proving that he did not build or Improve for the purpcse of sale).
D I, as owner ol the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of
property who builds or improves thereon, and contracls lor such projects with contraclor(s) licensed pinuanl lo the Contractors License Law).
D 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. D Yes • No
2. I (have/ have nol) signed an application for a building permil for the proposed work.
3.1 have conlracted with the following person (firm) lo provide the proposed construction (Include name address/ phone I contractors' license number):
4. I plan to provide portions of the worn. but I have hired lhe following person lo coordinate, superiise and provide the major worlt (include name/ address/ phone I contraclOrS' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name/ address/ phone / type of work):
.JI:! PROPERTY OWNER SIGNATURE •AGENT DATE
,COM:PJ.ET,E "THIS SECT,f,O ,N •FOR NO'N •l?'ESIDENTIA1. BUii.DiNG PERMIT:S ON'LY -
Is Iha applicanl or future building occupant required to submit a buslnes~tety hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acl? • Yes o • ...J!2.
Is the applicant or future building occupant required to obtain a permit lhe air pollution conlrol district or air~u ity management district? • Yes 7 r,O
Is lhe facility to be constructed within 1,000 feel of lhe outer bounda,y of a school site? D Yes o
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UN ESS THE APPLICANT HAS MET OR rs 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 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 auhlrize representative ol lhe City of Carlsbad kl enlerupon lhe above menlilned property for i1spedbn purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABn.fTIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA permit is requied kif excavations over 5'0' d nd demolition or lrudion of structures over 3 slcries il heighl
EXPIRATION: Eve,y pennil issued by the Building . I the plll'lisiJn f IS Code shall expire by linilalion and become nuH and void ff lhe buidilg or wOf1( authorized by such permit fl not amnenced v.im
180 days from lhe date of such permit or if 1h r,g or authorized · fl suspended or abardoned al any line a!Er lhe v.ori< is COIMl80C8d for a perod of 180 days (Secoon 106.4 .4 Uniform BuikJing Code).
,J!S APPLICANrs SIGNATURE DATE 7 t..'Z.. /()
m .
. City of Carlsbad Bldg Inspection Request
' For: 08/02/2010 '
Permit# CB101383
Title: !SIS-INSTALL 200 AMP TEMP
Description: POLE
Type:ELEC Sub Type:
Job Address: 2843 GAZELLE CT
Suite: TP
Location:
APPLICANT POWER PLUS
Owner:
Remarks:
Total Time:
CD Description
Lot: 0
Act Comments
Inspector Assignment:
Phone: 9517122058
'"''"'"" __/)____
Requested By: RICKY
Entered By: JANEAN
32 Const. Service/Agricultural A/J ----------
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments