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HomeMy WebLinkAbout1862 POINSETTIA LN; MP; CB041961; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 05-24-2004 Electrical Permit Permit No: CB041961 Building Inspection Request Line (760) 602-2725 Job Address: 1862 POINSETTIA LN CBAD Mf Permit Type: Parcel No: Reference #: Project Title: ELEC LA COSTA GREENS H-1 100 AMP METER PED Lot#: 0 Applicant: Owner: SCHILLING CORPORATION 8634 HACIENDA RD SANTEE, CA 92071 619-448-5392 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 Total Fees: $35.00 100 0 0 0 Total Payments To Date: $0.00 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/21/2004 SB 05/24/2004 05/24/2004 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Balance Due: $35.00 '}Y.! .. FINAL APPROVAL. 0,ra 0 a~r \t~'- SIGNATURE ____ _ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 fo<. 1\ 11. ( '1-I) ...,...-,.....:RO,.,~T NFO~~UON FOR OFFICE USE ONLY PLAN CHECK NO. O y /? 'I EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ Address (include Bldg/Suite #) Business Name (at this address) I 'o (, 1 PtllrJ'SETl '" LAI" E Legal Description Lot No. Phase No. Total # of units Assessor's Parcel # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any 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 (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 vi~tion of Section 7031.5 b an applican or a.permit subjects the a pli ant to a civil enalty of not more than flvJl hundr~ dollars ]$5001), ·--c, · · ... Jd O' 1 -on ~I <.h/Cf.J '7 ·-0a:,o · y State/Zip Telephone # City Business License # tz? D '3{;J::) Designer Name State License # Address City I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone O 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. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation Insurance carrier and policy number are: Insurance Company ____________________ _ Policy No. ___________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS] O 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' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. SIGNATURE DATE 7., oWt;iER-JIUILDEB:DECW.~ JQN I heieby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement Is sol9'Within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). liJ' I, as owner of the property, am exclusively contracting with licensed contractors to construct 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 contractor(s) licensed pursuant to the Contractor's License Law). 0 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. 0 YES O NO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contract 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number / type of work):. ________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT . ..,,,__c=o . .,,.llfl.!l¢.!@£1.J;t,1Q!N9._AG NCV: ~--I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ,9~ A~.l!!.IC.\m!;;;;;;;;ER;;;;T;;;lfl;;;l,9:;;A;:_;J;:;IO;:;:;;=::=::==:::-=::=:;;::::.......::,=~=.::;::,;;;::,:;;=;;;;;;;;;;;;;-;;;=::.~:,:t.i,t:;;:;;;:;::;;;;;::;=;;;;;;;=:;;;;;;;;;;;;;;::;=;;;;-;;;;-;;-;;:- 1 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 authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence eriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _.,._f_,-/'-l1I--_04__:_ _____ _ WHITE: File YELLOW: Applicant PINK: Finance Transformer ID A B C D E F G H . I . J K z Villages of La Costa Greens -Phase 1 CT 99-03 100 AMP Electric Meter Pedestal Meter Pedestal Notes ID Address -Alicante Road (South) D156873 A-1 6994 Alicante Road For POC #3 (HOA) A-2 6987 Alicante Road For POC #1 (City of Carlsbad) A-3 6983 Alicante Road For POC #2 (HOA) -Alicante Road (South) D157469 B-1 697 4 Alicante Road For POC #4 & #5 (HOA) B-2 6969 Alicante Road For POC #6 (HOA) B-3 6961 Alicante Road For POC #30 (HOA) -Alicante Road (South) D156870 C-1 6948 Alicante Road For POC #7, #8, #9 (HOA) C-2 6947 Alicante Road For POC #D5 (HOA) -Amber Lane NEED Work Order# D-1 NEED ADDRESS For POC #12 & #13 (HOA) -Alicante Road (South) D156868 E-1 6920 Alicante Road For POC #14, #15, #16 (HOA) E-2 6923 Alicante Road For P.R. Station (City of Carlsbad) -Alicante Road (South) D156866 F-1 6902 Alicante Road For POC #18 (HOA) F-2 6901 Alicante Road For POC #17 (HOA) -Poinsettia Lane D160355 G-1 1808 Poinsettia Lane For POC #23 (HOA) G-2 1 804 Poinsettia Lane For POC #25 (City of Carlsbad) G-3 1807 Poinsettia Lane For POC #22 & #24 (HOA) -Poinsettia Lane D160250 H-1 1862 Poinsettia Lane For POC #26 H-2 NEED ADDRESS For Traffic Signal (City of Carlsbad) -Poinsettia Lane D160681 1-1 1880 Poinsettia Lane For POC #29 (HOA) 1-2 187 4 Poinsettia Lane For POC #28 (City of Carlsbad) 1-3 1885 Poinsettia Lane For POC #27 (HOA) 1-4 NEED ADDRESS For Traffic Signal (City of Carlsbad) -Alicante Road (North) D160873 J-1 6860 Alicante Road For POC #19 & 20 (HOA) -Alicante Road (North) D162605 K-1 6832 Alicante Road For POC #21 (HOA) -Zodiac Street NEED Work Order# (Pulte) Z-1 NEED ADDRESS For P.R. Station (Citv of Carlsbad\ S.D.G.&E. W.0.#