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HomeMy WebLinkAbout1649 POINSETTIA LN; TP; CB990478; Permit02/03/1999 City of Carlsbad Electrical Permit Permit No:CB990478 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1649 POINSETTIA LN CBAD ELEC Parcel No: Reference #: Project Title: TEMP POWER POLE Applicant: POWER PLUS 846 N QUINCE ST ESCONDIDO CA 92025 760-839-9430 Total Fees: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP +t f•i! 0 ::0 i, H Three Phase 480 Per AMP:, Remodel/Alteration per AMIH y J Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Lot#: 0 FINAL APPROVAL Date: 7 -I L-'1 ~ Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 02/03/1999 OT 02/03/1999 02/03/1999 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 FOR OFFICE USE ONLY , PERMIT APPLICATION PLAN CHECK NO.Ci3Cj70-f?f3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Depos,..,~..._,,_ ______ _ Validated By ( ~/.---, Date :2 (-2 ,/Ct'~ Address (include Bldg/Suite I) Businua Name (at thia address) Legal Description Lot No. Subdivi1ion Name/Number Unit No. Phase No. Total I of units Aueuor's Paree!_!.. ,..e-,,,,, e ~ ~iating u .. PropoHd Use I Description of Worf SO. FT. lot Stories I ot Bedrooms. I of Bathrooms %;J:MNr.A~N'.ffl,tiffiliiiiuniiif"'-..iE~-4?~~~~~-&..>"Fi :'t"'~~~n~. · ';:':1;:;'W:~fa·~·-,,~:::C-t.~~~:~; Name Addrna City St■te/Zip Telephone I F■x I .-··-~?f~~,:~~~3?4-fl-YF ~="~/9ri·~p:J".~"lJ7ii, Name City State/Zip Telephone II iit:~;~,.,.0~•%~.;g~~'i!~~~ ... .., ; 1'' N■me AddrNI City S.t■te/Zip Telephone II ti':::c~oltrklctoa:~pANY.~~ .. , .✓• .... • · ~~~"f:•,:~~-~.·•:t~~''· (Sec. 7031 . 5 Buaines■ ■nd ProfN9ions Code: Any City or County which reQUira • permit to conatruct, alter, improve, demolish or repair ■ny structure, prior to its l11uInc1, 1110 requires the IpplicInt for Iuch permit to file • signed 1t1tement that he 11 licen■ed pur■u■nt to the proviIions of the Contractor's Licen■e L■w [Chapter 9, commending with Section 7000 of Divilion 3 of the BuIineu and Profes■ion■ Code! or that he la exempt therefrom, and the beais tor the alleged exemption. ny violation of Se ·onJ7031.5 by an ■ppUc■nt JoJ,•. mit subjects the appli~ to• civil p-,.ttyot not mD_!ll than five undre dollars 1•50g]J:,.1e.,;i ~,!.., ft)S . ( A/ t/lJII~ /:.9Ct:J7'J c flr./O C.~ 'I) :> ,,. 7,-v Nam■ State Licen■e II _a_-_J.._3_S-_~r_? __ License Cl■n _c...=;.._C_f ___ _ City State/Zip t!,l)hone II City Busineaa Lic■n■■ II /;J. C) t :J-. & ~ . De■ign■r Nam■ Addr■11 City St■te/Zip Telephone Stat■ LicenH II _________ _ -,:-:r.1:-wOA1tE11r~·co•PENSAT10rt~~~J:~Wt:\?f:1.,~YJ~~~~~~.~~~~J~~~~P-~[;i:~.:.1~x:"?~~::e-,+!~~t~~·.~r(r;.;:~=.~~:::~ .. ::?~~~~~N!.!.·~· Workers' Comp-■tion Declaration: I hereby affirm under penalty of perjury on■ of the following d■clar■tione: 0 I have and will maintain I certificate of con■■nt to Hlf•inaure for workers' compen1Ition 11 provided by Section 3700 of the Labor Code, for the performance of the work for which this permit 11 l11ued. Iii(" I have and will maintain workers' comp-■tion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker'■ compen1Ition insurance carrier and policy number ■re: S2: _ l2 / _ f'1 Insurance Company /-I-/ H-Policy No. Cd 0 d >-II/ 0 3 Expiration Date_./ __ .;;;, ___ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRm DOUARS [$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in th■ performance of the work for which this permit is is■uad, I shall not employ any person in any manner so as to become subject to th■ Workers' Comp■ns■tlon Laws of Califomi■. WARNING: F■aun COllll!t-"911:ln ---..■ la unlawful, and 81111 lubjec:t an employer to crlmln■I p■naltle■ and civil fine■ up to on■ hundred thou■■nd doll■n ( of comp■nsetlon, d■mao-u provid■cl for In s■c:tlon 3708 of the Labor code, lntIreIt and attorney's f■■I. SIGNATURE:_.£..:::::::::!:'2!.~2_ _ __J~;;_:::-'"t:"~:.-=-•-------------DATE ,;2 ,.. 3 .-7'7' 7~,-~~~bYINER~immD~CU:RA"l10i{i ~i;~ ·. -~~~~~:~~~~~~~~:-r~~~~;?~~~;,~S,.~;';i'~~~~~m.l:~~~:.;.~E1!:.~£I;F~t:~Wtw..: I hereby affirm th■t I am exempt from th■ Contractor'■ Lic■n■■ Llw for the following renon: 0 I, as owner of the property or my amplov-with wages H their sol■ compensation, will do the worlt and the ■tructure is not intanded or offered for sale (Sac. 7044, Busin■11 ■nd Prof■11ions Cod■: The Contractor's Uc-■ Law does not apply to an owner of property who builds or improves thereon, ■nd who does such work himself or through hiI own employees, provided that Iuch improvements ■r■ not intended or offered for 111■• If, however, the building or improvement ia sold within one ye■r of completion, the owner•build■r will have the burden of proving thlt ha did not build or Improve for the purpose of sale). 0 I, as owner of th■ property, am ■xciu■iv■ly contracting with lie-ad contr■ctor■ to construct the project· (Sec. 7044, Bu1in■11 ■nd Prof■■aions Code: The Contractor's Licen■e Law don not apply to In o-of property who builds or improvea thereon, and contr■cta for such projects with contrector(sl licen■ed pursuant to the Contr■ctor's License Llw). 0 I Im exempt under Section ______ Busin■u ■nd Profession■ Coda for this reason: 1. I personally plan to provide the m■jor labor and m1t■riIlI for con■truction of the propoa■d property improvement. 0 YES ONO 2. I (h1v'e / h■ve not I signed In application for ■ building permit for the proposed worlt. 3. I have contracted with the following p■r■on (firm) to provide the proposed constNction (include name / Iddrns / phone number / contractors licen■e number): 4. I plan to provide portions of the work, but I h■v■ hired the following person to coordinate, supervise and provide the major work (include name / eddreas / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of th• work, but I have contracted (hired) th■ following p■r■ons to provide the work indicated (include name / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE __________ _ COMPlm:rHIS'SEctiON'FORJliriN#SibENilAiaU@ilicf~;(l~J!~~Jt~~"&";i,~~~.1;;;;~:c_~:;f,',:'~}'.;~~;;,;;~~';;,"ir.~~: Is th• applicant or future building occupant required to Iubmit I buailMu plan, ■cutely hlurdou■ mat■ri■I• r■giltflltion form or risk management and prevention program under Section■ 25505, 25533 or 25534 of the Praley-Tanner Hu■rdouI SubatInce Account Actl-D ¥Eli O NO • Is the applicant or future building occupant required to obtain • permit from the air pollution control diltrict or air quality management district? O YES O NO Is the facility to be constructad within 1,000 fHt of the outer boundary of • school •it■7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE 1ssum UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. s~'CQNmiV<ffiorft!NiSJNG.,_ti~A*~~~~~~~lli.~~~~@?.:~~f~·•:~':~c:;.JDit-"'.:':~,.~;•~-::<F_:.·::,·· I hereby affirm that there is a construction landing agency for th■ performance of the work tor which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ;;;;:;;;;:;;;~rn;;::;;~:;;;:~;:;;;~;:;;,._;L:E;N;D;;,ER;_;'~S;A;D;,;O~R:E;SS~;;;;;;;;;;;;:;;;;:;;;;;;:;;::;;;;;:;;;:;;;;;;;;_;:;;;;;;;;;;:;::;;;;;;,:::;::;:::::-:::;--;;,:;:;:;;::;::-:=::;::::;:;;:::;::: '9~~~A'P.PL1CAtm'CSltlFIC"AtidPQ~j!~~~~m£zjl¥;iirtW~~~~~~~~.t:;;::r:.~J·~ ... z ~:.~ ... _~.:.-:.~:£·:·~· I certify that I have read the application and state that the above information i1 correct and that the information on the plans is accurate. I •grH to comply with all City ordinances ■nd State laws relating to building construction. I hereby authorize reprenntativn of the Citt of C1rlsb1d to enter upon the above mentioned property for in1pection 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 ■xc■v■tions over 5'0" deep and demolition or conatruction of structures over 3 stories in height. EXPIRATION: Every permit iHued by the Building Official under the provi9ion■ of thi1 Coda shall expire by limitation and become null and void if th11 building or work authorized by such permit is not commenced within 365 days fro the date of such permit or if the building or work authorized by such permit is suspended or abandoned It any time after thew mmenced fore~ of O days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _ _J'-=::::;;~~~?':::(~:...__-.!t._t/.~ .,,.,;If::~~==-------DATE _;; __ • .3_-_f>_'1 _____ _ PINK: Finance .. ·-. ·-.. ··-···· _,,,.. ,-. c,_, _ u.1 iaJ-c 5. OiteSIOltm.-.L ~I. QR7'0MER 114F~'f Me<ltt"9iQtlt•4'0"' mi:l.•O•:,•mu. f,ell\,1nr,pr~•ie,,e,:n:,-1~~fflr,f~. 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