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HomeMy WebLinkAbout1876 POINSETTIA LN; TP; CB061542; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-31-2006 Electrical Permit Permit No: CB061542 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: Project Title: 1876 POINSETTIA LN CBAD St: TP ELEC 0000000000 Lot #: TEMP POWER FOR CONSTRUCTION 0 Applicant: Owner: 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 Total Fees: $20.00 Total Payments To Date: Inspector: 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 $20.00 Balance Due: 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 pennit 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 Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action lo 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 i I hi r . i n h . ,. ~ . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. ~CTINFORMATION Address (include Bldg/Suite#) 1876 TP Poinsettia Lane Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use Description of WOii< SQ. FT. # of Stories Temporary Power Pole Amp c} 00 2. CONTACT PERSON (If dttferent from appllcant) Name Address City State/Zip FOR OFFICE USE ONLY PLAN CHECK NO.~ 0&:, I '.:)J Id EST. VAL. _________ _ Plan Ck. Deposit_~~~----...---- Validated By ---~..,..__.:,,,::.i_.:__ ___ _ Date ___ ___:::5~~~...u...l µ.I o_.£..&fa.L.-_ t Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Telephone# Fax# 3. APPLICANT O Contractor 0 Owner Iii Agar,tforOwner 619-405-2648 Jennifer Cole PQBox711564 Name Address Santee Ca 92072 City State/Zip Telephone# 4. PltOPERTY OWNER K. Hovnanian 2495 Campus Drive Irvine, CA CA 92612 858-847-9660 Name Address City State/Zip Telephone# II. CONTRACTOR• COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construd, alter, improve, demolish or repair any strudure, 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 Contrador'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 Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Power Plus! 436 N. Quince Street Escondido CA 92025 760-839-9430 Name Address City State/Zip Telephone# State License# 523596 License Class C61, C10, 031 City Business License# -'1=2-=-06-=-2;:;5:;.;5;;._ ______ _ Designer Name Address City State/Zip Telephone# State License# _______ _ I. WORKER'S COIIPENSA 110N W011<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 performance of the work for which this permit is issued. □ I have and will maintain 1NOrker's compensation, as required by Section 3700 of the labor Code, for the performance of the 'M>rk for which this permit is issued. My w011<er's compensation insurance carrier and policy number are: Insurance Company American Home Assurance Policy No. WC7171634 Expiration Date_0_3_-3_1_-0_7 ______ _ (TlilS SECTION NEED NOT BE COMPLETED IF TliE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 secure workers' compenutl erage Is unlawfUI, and shall subject an employer to criminal penaltlH and clYII flnH up to one hundred thouund dollars($100,000), In additl ofrope111PtiC}h, ,d~th'l'II" are provided for In Section 3706 of the Labor Code, Interest and attomev f•~ /,. SIGNATURE. __ -1-,pd-a.lc'.U.A~"-L-~,...U.~-""'--------------DATE ...::,-~l-01.../:::!.. 7. I hereby affirm that I am exempt from the ontractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such 'M>rk 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 oompletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ I, as owner of the property, am exdusively contracting with licensed contractors to construd the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contract()((s) licensed pursuant to the Contractor's License Law). □ I am exempt under Sedion ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construdion of the proposed property improvement. □ YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (indude name I address/ phone number/ 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 (indude name I address / phone number/ /ontractors license number): ------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name / address / phone number/ type of work): PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW : Applicant PINK: Finance ' '-• 1 City of Carlsbad Bldg Inspection Request For: 06/21/2006 Permit# CB061542 Tille: TEMP POWER FOR CONSTRUCTION Description: Type: ELEC Sub Type: Job Address: 1876 POINSETTIA LN Suite: TP Location: APPLICANT POWER PLUS Owner: Lot 0 Remarks: already inspected ? Released? Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: 7608399430 ,~poa~4- Requested By: MICHELE Entered By: CW 32 Const. Service/Agricultural /ll!_ _____________ _ ------------ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 06/08/2006 32 Const. Service/Agricultural CO TP NEED ON STRM. WIRING