HomeMy WebLinkAbout1868 POINSETTIA LN; TP; CB061070; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-20-2006 Electrical Permit Permit No: CB061070
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
Project Title:
1868 POINSETTIA LN CBAD St: TP
ELEC
0000000000 Lot#:
POINSETTIA ELEMENTARY SCHOOL
TEMP POWER POLE
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:
FIN
Inspector:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04120/2006
MDP
04/20/2006
04/20/2006
$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, reseivations, 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.
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
h limilrhi r h
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1, PR0.ECT INFOIIIIATION
@ft> 3 #.& ./ l C B ,
AddreN (include Bldg/Suite#)
Lot No.
0. /. J / Business Name (at this address) r'Qln~errt a f;Janent~
Su~vision Name/Number : /J ' C-tJmmerc1gg_
Exiating Use
#of Stones
2. CONTACT PERSON (II d-fram applicant)
H 1che-11e ;;5coll
FOR OFFICE USE ONLY
PLAN CHECK NO. t(,..,~ I O ') 0
EST. VAL. __________ _
Plan Ck. Depos~---------
Validated By-----------
Date _____________ _
lwe,
PhueNo. Total# of units -Uae
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephane # Fax#
3. APPLICANT □ Contractor ~ Agent fDf Contractor
)FMNt EC:.R ( o/£
0 Owne< 0 Agent for Owner
C•L? -'It:" 5--:;J t, '18
Name -~• T_,..,.# "f.;lS""JQ
,;;7 3M Iha h1fll)s-/oal of(../(}/ Temecda., C/5'/-:J}h -0770
c;iy
Crty . State/Zip Telephone# '
5. CONTRACTOR ~ COMPANY NAME
(Sec. 7031.5 ~ and P:uf ·0111 Code: Any City or County whd\ requires a penril: to construct. alter, improve, demolish or repair any struaura, prior to its issuance,
ateo requi,_ the applicant tor auch pemit to Ne ■ ligned Slal8ment 1h11: he is licensed pursun to the proviliOnl cl the Col1racto(a Ucanae UM [Cherfiter 9, commending with
Secti0n 7000 d DhliliOn 3 ol the Buaineu Ind Prore..iona Codlll or that he ia 8lll8fflP lhenltrom, and the baaa for U. allegm axamption. Any viollllion of Section 7031.5 by
any f1PP1iicart for a permit auqects the applicant to a civil penalty cl not more than five hundred dollars [$5001). d , Pou,ec P/u5-s.r3 Bwy Carv:> ':/:3/e N G1/1nc..e... ::St s⇒coo ido Ce q,;iaJS 7kD·'631-q'f3D
Name Addnloar C;ty State/Zip Telephone#
State License# '5.2359 /p License Class C... l, 11 ( /0,. D3 j City Business License# / .;;/ 0 (c2 ..5 5-
Designer Name Address
State Licenee# 5.;;l 3 ,'.5"'/ !e City StateJZip Telephone#
L WOltKIIII .. COIi ■IIA'DQN
worura· CompenNllon Oedarallon: I hlnby affirm under pentilty al per1ury one o1 the ldlowing declarations
□ I tt..... and will maintain a certificate ol consent to aeff-insure for workers' compenaat1on as provided by SedlOl'l 3700 al the LabOr Code, for the performance of the 'N00I.
for which WI pwmlt iii uued.
)( I ...,. and wll me6nilin worker'• camp• • NI, • raqutl9d by Section 3700 of lhe labor Code. for the pettonnance al the wortt for whtch this permit is issued My
worker'•~ lllcn1naannca-.,and~numblf... o-, ,......,.Compon, L-e;k:ft>h~ ;.J<,/?j1er-$ PolrcyNo µJt!Jl7a1'1Z) e,.,.r.,onDato ,:i-3/-0b
(THiil 8EC110N NEID NOT IE COMOIFTHE PERMIT 18 FDR ONE HUNDRED DOU.ARI 1$100] DR LESS! ·
□ CER11FICATE OF EXElal'IIOlt J certify thal in the perfonnance ol Iha work for wt.ch tNs permtt ia iaaued, I shall not employ eny pera0fl in any manner so as to
becomea&mjedlOlhlWorkela'COl1..,_Mtio,1Lawaolc.lifomia.
7.
wtul, snd shall subject an employ,ar to crimln•I .,.nalti .. •nd ctvll flnn up to one hundred thouaand
for In Section 3708 of the LabOr Code, lnta~~n;;ttomey'•11:;_ o) {J 1)y
from the Contractor's License Law for the lolloWing reason:
I, • owner property or my ernp1oyeea with Wage1 aa their sole compenaation, will d the work and the structure is not intended or offered for sale (Sec. 7044,
Bulineu and Prafelaionl Code: The Contractor'• Ween• Law doN not apply to an owner of property who buildt or impro..,.. thereon, and whO does such work himtelf or
ttvough tis OMI effiPkJ,eN, pRNided tta llldl ~ are not intended or off8fed b sale. If, however, the building ot improwmenl is sold within one )'9111'" of
completiDn, the cwner.tlulldrw will have the b&uden cl proving thlll he did not build or irnf)folle for the purpoae of sale}
□ I, • owner d the property, am excluelvety oontract1Jl51 with licensed contract01'8 to construct the project (Sec. 7044, Buelnesa and Proteas1ons Code: The Contractor's
UcenN Law doN not apply to an owner of property who builds or improves thereon, and c.ontract• fO< auctt proj«D with contractOl'(a) licensed pursuant to the Contractor's
l.iconNLN).
D I am exempt under Section _______ Business and Professons Code for this reasoo·
1. I penonaMy pan to pnMde the major labor and materials for construdion of the proposed property improvement O YES D NO
2. I ,_ not) ligned an appllcalion for a building permn for the propooed work.
3. I hive 00lirldld wilh the following penon (firm) to pn:Mde the proposed construclion (inch.de name I address J phone number/ cootracto,s licenae number):
4. I plan to provide portione cl the work, but I have hired the following person to coordinate, supervise and pr0\llde the m8JO( work (include name I address I pnone number I
lontractoralicenaenumber): --------------------------------------
1. I will prtMde mme of the work, but I have contracted (hired) the folklwing persons to provide the work indicaed (include name I address/ phOn8 number I typed work):
PROPERTY OWNER SIGNATURE _________________________ DATE __________ _
WHITE: File YELLOW: Applicanl PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2of2
COMPLETE THI$ SECTION FOR NON-RESIDENT/Al. BUILDING PERMITS ONL V
II the applicanl: w futu1'9 building occupant required to aubmit a bl.laineu plan, acutely hazardous materials registration fOl' or nak management and prevention program under
~25506,25533or25534ofthePrelley--TannerHazanioldSubatanoeAcoouriAct'1 0 YES D NO i
■ the applicari ot future buik:ling occupn. requited to obtain a permit from the air pollution control district or air quality management: district? 0 YES O NO
la the fa:::ilityto be conatruc:led wrthin 1,000feat of the outer boundary of a school lite? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUfREIIENTS OF TH£ OFFtCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I. CONS1llUCTION LENDING AGENCY
I hereby llfflnn that there is a COl\ltlUCtiOn Minding agency for the pet'formance of the work for which this permit is issued (Sec. 3097(1) Civil Code)
LENDER'S NAME__________________ LENDER'S ADDRESS __________________ _
9. APPUCAHT CERT1FICA110N
I certify thal I have read the application Wld state that the abo\18 information is correct and tha the information on the p&ans 1s accurate. I agree to e:omply Wflh all City
oninancea and State i-. ffliating to building conatrudiOn. I hereby authorize ~ves cl the City of C-1sbad to enter upon the above mentioned property for inspection
pu,poee1. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU UASIUTIES, JUDGEMENTS, COSTS AND
EXPENSES WHICH MAY IN All'( WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemil ii ,eqwrad for uca..aiol1& ,15'0-deep and demolition o, consaruction of structures OYfJlf 3 stories in height.
EXPIRATION: E\lel'Y pennll: iall.Mld by the buiking Officilll under the provisions of lm Code shall expire by limitlltioo and be0ome null and void if the builang or wotk authorized
by ludl permit ii not commenced within 180 d8yl from the date of auch permit Of if the building or work authorized by such pennrt is suspended or abandoned at any time after
the work is commenced for a period of.180 days (Seclion 106.4.4 Uniform Buildi ).
WHITE: File YELLOW: Applicant PINK: Finance
m. City of Carlsbad Bldg Inspection Request
.
.
Permit# CB061070
For: 04/21/2006
Title: POINSETTIA ELEMENTARY SCHOOL
Description: TEMP POWER POLE
Type: ELEC Sub Type:
Job Address: 1868 POINSETTIA LN
Suite: TP
Location:
APPLICANT POWER PLUS
Owner:
Remarks:
Total Time:
Lot 0
Inspector Assignment:
Phone: 7608399430
Inspector:
Requested By: MICHELE
Entered By: CHRISTINE
CD Description
32 Const. Service/Agricultural A~~om-me-nt __ _...fi'----'-h1-'-J-f--6-----
~Y2--J1 ~'14~~--
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
-