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Home My WebLink About1872 POINSETTIA LN; TP; CB061543; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-31~2006 Electrical Permit Permit No: CB061543 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1872 POINSETTIA LN CBAD St: TP ELEC Parcel No: 0000000000 Lot #: 0 Reference #: Project Title: TEMP POLE FOR CONSTRUCTION Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 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 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/31/2006 LSM 05/31/2006 05/31/2006 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $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 wilt 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 service fees in connection with this project. NOR DOES IT APPLY to any f • I I h' h h PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION Address (indude ~e #) 1872 TP Poinsettia Lane Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use Desaiption of Worl< SQ. FT. Temporary Power Pole Amp ~00 #of Stories 2. CONTACT PERSON (If dtfferent from applicant) FOR OFFICE USE ONLY PLAN CHECK NO. 4:&et, 19k3 EST. VAL. _________ _ Plan Ck. Deposit--,,--.----.------ Validated By ---=-~..__-=....._-r--::---::---- Date __ _____;f>::.....m;\j(-1-~-----1..+Q=-~"-=-- Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Nane Addlas City Stale/Zlp Telephone# Fax# 3. APPLICANT Jennifer Cole Name □ Conn:u>r a Agei,t for Contractor Po Box 711564 4. PROPERTY OWNER K. Hovnanian 2495 Campus Drive Nane Address 5. CONTRACTOR -COMPANY NAME a Owns Santee City Irvine, CA City Iii Agei,t for Owns Ca 92012 StatelZip CA 92612 State{Zjp 619-405-2648 Telephone# 858-847-9660 Telephone# (Sec. 7031.5 Business and Prcfesaions Code: Any City or County which requires a permit to conslNd, alter, imprm,e, demolish or repair any structun,, prior to its Issuance, also requires the applicwlt for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contracto(a l..icen8e i.-[Chapter 9, commending with Section 7000 of Oivllion 3 of the Buainess and Profeaalona Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 8ftY applicant for a permit subjects the appli<:ant to a civil penalty of not more than five hundred doll8f8 [$5001). Power Plus! 436 N. Quince Street Escondido CA 92025 760-839-9430 Name Address City Stat&'Zip Telephone# State License# 523596 License Class C61, C10, D31 City Business License# -'1-=2-"-06::.:2::.:5;.;;5 ______ _ Designer Name Address City State/Zip Telephone# State Lioense # ______ _ I. WORKER'S COIIPENSAllON Wooters' CornperlSllllon Dedaration: I henlby affirm under penalty rA perjury one of the following dedanllions: □ I have and will maintain a oertificate rA consent to self-insure for worlteis' compensalion as provided by Section 3700 of the Labor Code, for the perfoonanc:e of the worlt for which this permit is i9$U8d. a I have and will maintain WOll<et's compentalion. as required by Section 3700 ot the labor Code, for the performrn:e ot the work for which this pemit is issued. My worlter's compensation insurance carrier and policy number are: Insurance Company American Home Assurance Policy No. WC7171634 Expiration Date._0_3_-3_1_-_0_7 _____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOU.ARS [$100) OR LESS) □ CERllFICA TE OF EXEMPTION: I cel1ify that In the performance of the worlt for which this pennit is issued, I shall not employ any penson in any menner 80 as to become subject to the Woltlers' Compensation L..-s of Califomia. empt from the Cont ors License Law for the following reason: I. as owner property or my emplo)'9lls with wages as their ll0le compensation, wiU d the work and the structw-e la not intended or offered for sale (Sec. 704-4. BusinMS and Proleslious Code: The Conlradol's ~ Law does not apply to an -of property who builds or improves thereon, and who does SUCh work timself or through his own ~ provided that such Im~ -not Intended or offered for aele. If, hcMever, the buiklng or improvement is sold within one )1981" ot completion, the owner-builder will have the burden rA l)IOlling that he <id not build or improve for the purpose rA aele). 0 I, as owner of the property, am exdusively C0fllnk:ling with licenaed oontractors 10 construct the plOjecl (Sec. 704-4, Business and Proteuiona Code: The Contractor's License i.-does not apply to an owner rA property who btilds or impr011e5 thereon, aid conlraCts for such projects with coooaclor(a) licensed pursua,t to the Contracto(a l.icense Law). □ I am exempt under Section _______ Business and Professions Code for this reason: 1. I pefSOr181ty plan to provide the major labor and materials for construction of the propoaed property improvement. □ YES □ NO 2. I (have.'IIIMI not} signed an application for a building permit for the proposed worlt. 3. I hawt contracted With the following penson (firm) to provide the proposed construction (lndude name/ address/ phone number/ contractors license number): 4, I plan to provide portions of the work, but I have hired the foll0'1Mng person to coordinate, supervise and provide the major worlt (include name / address I phone number/ lontractors license number): --------------------------------------- 5. I will provide some of the WOik, but I have contraded (hired) the following pe,sons to provide the worlt indicated (include name/ address I phone number/ type of work): PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance