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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