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Home My WebLink About2819 SUNNY CREEK RD; TP; CB004881; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/~6/201)0 Electrical Permit Permit No:CB004881 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2819SUNNYCREEKRDCBAD ELEC Parcel No: Loi#: 0 Reference #: Project Title: Applicant: TERRACES@ SUNNY CREEK TEMP. POWER POLE TEMP UTILITY SERVICES 1167 LAW ST SAN MARCOS, CA 92069 619-471-5494 Owner: Total Fees: $20.00 Total Payments To Date: 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 TOTAL PERMIT FEES Inspector. Date: 0 0 0 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/26/2000 MDP 12/26/2000 12/26/2000 $0.00 Balance Due: $20.00 Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 NOTICE: Please take that approval of your project includes the "I osition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction . 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. PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. (b O L,l ~~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _____________ _ 1. PROJ;l'" l~,,TION $,/I'/ I? [ r" ~ c, k Address (include Bldg/Suite #) Y RJ Business Name (at this address) Legat Description Lot No. Subdivision Name/Number [(,l"f',tc...,_,@ S2,,,.,y Cru.k Unit No. Phase No. Total # of units Assessor's Parcel # f, '( ns Ii,, Proposed Use Description of Work SO. FT. #of Stories # of Bed110oms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contra°/or ISi' Agent for Contractor t:lmv•· G •11111 fot3ok 0 Owner 7(3:J. D Agent for Owner 9J.I& 7 {11-J.JJ-90/( ,2<th D1~f/ Name / Address City State/Zip Telephone# 4. PROPERTY 9'WNEJI (ya, ,..,.,w .. /IS-8' /qi'}J (}r" r', sf°"' f/,l.d fr:!' Name City State/Zip Telephone# &. CONTRACTOR -COMPANY NAME (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 violation of~pction 7031.5 ~Y any appli ant fO,S,.t permit subjecSJ., the appliC:§_nt to a ci1fil p1nalty of noJ.ll!ore th~ five ~dred dol!lrA l$9P.O!_l. Otu<-r rtw 13{ <Ytl/n<,., .:,,-f.seqnd,cto Y,/0.2} ·/{d·'/"'JT-T'/31 Name Address City State/Zip Telephone# State License # \j,J~'j ( license Class -~C=r~_f ____ _ City Business license # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. Kf 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 compens~n insipnce drier and policy number are: TJ7/. .. () Cl 3 --'3 / -Of Insurance Company S-fa 7L-rt/h Policy No. / -S, 0 Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$1001 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. thousand dollar• 000), in add I t e cost of compensation, damages u provided for In Section 3706 of the Labor codl), interest and attomey's fees. WARNING: Failure to secure wor~ken' co enaatlon coverage 11 unlawful, end shaH subject an employer to crimlnal penaltle1 and civil fines up to one hundred SIGNATURE--<:::_;~"lJ:_~:..__::_.;t.,,,_~~~!::'.._ ______________ DATE /~ • J_(, -(JO 7. J hereby affirm that I am exempt from e Contractor's license Law for the following reason: 0 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 sold 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). 0 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 tor such projects with contractor(s) licensed pursuant to the Contractor's License law). 0 J am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 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 (include name/ 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 (include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I wilt 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): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION I 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 1s not commenced w1th1n 180 day§ from the date of such permit or 1f the butlding or work authonzed by such permit 1s su,pended or abandoned at any time after the work ts com c tor a peri~ days (Section 106 4 4 Uniform Bu1ld1ng Code) ,P-_). (-o-(/ APPLICANT'S SIGNATURE ,,,,.,_ ✓ d A DATE _; ___________ _ YELLOW: Applicant PINK: Finance -------· City of Carlsbad Bldg Inspection Request For: 01/10/2001 Permit# CB004881 Title: TERRACES @ SUNNY CREEK Description: TEMP. POWER POLE Type:ELEC Sub Type: Job Address: 2819 SUNNY CREEK RD Suite: Lot Location: APPLICANT TEMP UTILITY SERVICES Owner: Remarks: Total Time: CD Description 0 Act Comments 32 Const. Service/Agricultural 8£._ {:_ }lh(L Associated PCRs Inspection History Date Description Act lnsp Comments Phone: 7608399431 Inspector: ----- Requested By: MICHELLE Entered By: ROBIN