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HomeMy WebLinkAbout2790 TAMARACK AVE; MP; CB994036; PermitCity of Carlsbad 11/01/1999 Electrical Permit Permit No:CB994036 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Zl1d -3?"11JTAMARACK AV CBAD ELEC CALAVERA HILLS VILL Q Mf Lot#: 0 100 AMP ELEC METER PEDISTAL Applicant: MCMILLIN PROJECT SERVICES 2727 HOOVER AVE NATIONAL CITY CA 91950 619-477-4170 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/27/1999 JM 11/01/1999 11/01/1999 5718 1V01/99 0001 01 C-PR!1T Total Fees: $35.00 · ,'tGtaCl'ayments To Date: ' $0.00 • · .'.l!lfltlpce Due: $35.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP· · • Remodel/Alteration per AMP· Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees p ' TOTAL PERMIT FEES . lnspecto . 0 0 • 0 100 . . . . ' :+ ,)., ' FINAL APPROVAL Date·{f-:?:z-,1$' $10.00 '$0.00 • '$0.00 $0.00 $25.00 $0.00 $0.00 $0.00 .. $0.00 • $35.00 Clearance: 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 35-00 ~ PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. qq ~o3(e CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_.,.J _., _______ _ Date !PL V?-[ 5!J 1. ~--;a-~ '.-fh/Q '~· :·;, "';, Address hnclude Bldg/Suite I ) Business Name tat th11 ■doress) Calavera Hills -Village Q Legal O.scnptton Lot No. Subd1vt■Ion Name/Number Unit No. Pn■se No. T 01■1 • of units A■s■ssor'a Parcel I EJectriaJ Meter PedistaJ E,usting Use Ducnptton of Work SQ. FT. \ co Am tl -f Stones 2. CONTACT PERSON Of clff■-1t from applicant) Name Address '3. APPLICANT O Comractor O Agent for Comnctor · 0 Owner City DAoiwtttor<>wrw State/ZJp Telephone• Fu# Cy:press Valley, LLC 2727 Hoover Ave, National City, CA 91950 619-477-4117 Name Addrua City St■te/ZJp Telephone I -4 . l"ROPERTY OWNER Cypress Valley. LLC 2727 Hoover Ave . National City, CA 91950 619-477-4117 Nim■ Addrua City State/Zip Telephone I &. ·CONTRACTOR • COMPANY NAME (Sec. 7031.5 BusineH end Profe■sions Code: Any City or Counw which r■ouir■1 1 permit to construct, ■her, improve, demoli■h or repair 1ny structure, prior to its iuuance, also reQUtres the 1pplicant for auch permit to file a signed st1t■m■nt that he is bc-ed pursuant to the provi■1ons of the Contrector's License Law (Chapter 9, commending with Section 7000 of Division 3 o! the Business end Profua1ons Code) or that he 1s exempt therefrom, 1nd the bests for the tlleged exemption. Any viol1t1on of Section 7031.5 by any 1pplicant for• permit aub,ects the epplicam to I civil penehy of not more than ftve hundred dollars ($50011. C,141 Corley KcMillin Construction Services , Inc. 2727 Hoover Ave. National City, CA 91950 -'/77-q/l; Name Addrua City State/ZJp Telephone I State Lic:enH I 685748 License Cius A /R CitV Business Uc-■ I 1206274 Outgn■r Name Address City State/ZJp Telephone State Lic■nN I _________ _ 6. WORKERS' COMPENSATION Workers' CompenNtion Decler1t1on: I hereby affirm under penahy of perjury one of the following declarat,ons: 0 I have and will maintain • cenific■te of consem to a■lf•insure for workers' com~tton H provided by Section 3700 of the Labor Code. for the performance f work for which this permit is issued. have end will m11ntain workers' compensation, as required .by Section 3700 of the Labor Code, for the performance of the work for which this permit is . My worker's compens1t1on insurance cam■r and policy number ere: Insurance Company Explorer Insurance Pohcy No. 1641085-01 Expiration Date 6/01/00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS )$1001 OR LESS> 0 CERTIFICATE OF EXEMPTION: I cenify that In the performance of the work tor which this permit i1 1■1ued, I shall not employ any person 1n any manner ao as to become eubject to the Workers' Compensation Laws of California. WARNING=fz. to -. wor11era·~· cow■r119■ la unlawful, and ehell eub;■ct _, employer to c:rtm.wl ....... and c:ivll fine• up to -hundred tholaMd ~°vt~ ~ ~. clamagea u provided for In &ection 3706 of the!": code, ~)-f"d ■tt-v·• f-. SIGNATURE_~ DATE !JJ,--c}Q~ 7. OWNER.auLDER DECLARATION I hereby affirm that I em exempt from the Contractor's Uc-• Lew for the following rHaon: 0 I, u owner of the propeny or my employees with wages as their sole compens1tion, will do the work end the ■tNctur■ is not intended or offered tor a■le (Sec. 7044, Bu■uMSs 1nd ProfH■1ons Code: The Corttrac:tor's License Lew don not epply to en owner of property who build■ or unprov■s thereon, and who does such work himHlf or through h11 own emplovees, provided that auch 1mprovement1 ••• not mtended or offered for eele. If, however, the building or improvement 11 ■old within one year of complet1on, the owner-builder will have the burden of proving that he dtd not build or improve for the purpoae of eelel. 0 I, •• owner of the propeny, am exclU■lv■ly contracting with licensed contractors to construct the pro,ec:t IS■c. 7044, Business and Proles■tons Code: The Contrector's Lie.we Lew does not apply to an owner ol propeny who builds or improves thereon, end contracts for auc:h pro,.cts with comrectortsl hc■naed pursuam to the Corttrector's L1c-• Lew). 0 I em exempt under Section ______ Bua,nea 1nd Professions Code for thia reuon: 1 . I peraonelly plan to provide the major labor and materials for construction of the proposed propeny improvement. 0 YES ONO 2. I (have/ have not) signed an 1pplication for• building permit for the propond -k. 3. I have contracted with the following person (firm) to provide the proposed constNctton hnclude name / address / phone number / contractors hc■ns■ number): 4. I plan to provide pon1ons of the work, but I hive hired the following person to coordinate, slJl)■rVise and provide the major work hnclude name / address / phone number/ contractors hc:■nae number): ______________________________________________ _ 5. I will provide aom■ of the work, but I have comrected (hired I the following persons to provide the work indicated hnclude name / address / phone number / type of workl: ______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPL.En THIS IECTlON FOR NON./IESIDENTIAL' BUILDING P£JIMITS ONLY -.. 11 the applicant or future buildtng occuP■nt required to 1ubmit • businea plan, acutely hazardous materials registration form or risk management end prevention program under Sections 26505, 25533 or 25534 of the Pre■ley-Tenner HaurdOUs Sutistanc■ Account Act? 0 YES D NO Is the applicant or future building occupant required to obtain • permit from the 1ir poUutton control district or air quality management dlstrtct? O VES D NO Is the faeility to be constructed within 1,000 fNt of the outer boundary of a achool aite 7 0 YES O NO IF ANY OF TH£ ANSWERS ARE YES, A ANAL C£R'TIFICATE 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 DISTIUCT. I, ,~CONSTRUCTION LENDING AGENCY --r-"'•· ~-.,-~· "'',•.=--.... ii" I lw9by affirm 1hat U-. is • conatNction lending agency for the P■rfonn■nc:e of the work fOf which this permit is iuued IS.c. 3097(il Civil Code). LEHDEll'S NAME_____________ LENDER'S ADDRESS. ______________________ _ ii: ·,,N'l'IICMTC&il'ICA'TION ~· :-o . .• -.·.:.:..::.:.:.-:-:..:_:_:-_ -~ I certify that I have rHd the apphcatton and state that th• above inform■tIon 1s correct end that the information on the plans is accurate. 1 egrN to comply with 111 City ordinances and State laws relettng to building ~on. I hereby authorize repreaent■tivN of the Citt of Carlab■d to ■mer uc,on the 1bove mentioned Pl'OP■ftV for •~• purpo■n. I ALSO AGREE TO SAYE, INDEMNIFY AND IU!EP HARMLHS TH£ CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUNNINTS, COSTS AND IEXPENSU WMICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OIHA: An OSHA permit is ~ for excavations over s•o· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit 1u ued by the Building Official under the prov1sIons of this Code shall expire by hm1tat1on and become null and void 1t tne ou,ld,ng 0 , work authorized by such permit ot commenced w1th1n 365 oavs from tne aate of such permit or ii the building or wor< eutnonzea by sucn permit is susoendeo or abandoned at any time alter erk 1s co~o•.• pen d of O aays I Section 106.4.4 Uniform Building Code! APPLICANT'S SIGNATURE 4,.~~"-'JliQ._......:f~ /--= (_,:......;~~=-..:~f-M::...____________ DATE /0 --:u; ,qt'/ WHITE: File YELLOW: Applicant PINK: Finance m • . City of Carlsbad Inspection Request ' For: 11 /18/99 . Permit# CB994036 Title: CALAVERA HILLS VILL Q Description: 100 AMP ELEC METER PEDISTAL Type:ELEC Sub Type: Job Address: Suite: Location: 2790 TAMARACK AV Lot 0 APPLICANT MCMILLIN PROJECT SERVICES Owner: Remarks: Total Time: CD Description 32 Const. Service/Agricultural .'JIG> Comments Inspector Assignment: DM --- Phone: 7608399430 lnspector:'QUI:\ Requested By: MICHELE Entered By: CHRISTINE ---+----- Associated PCRs Inspection History Date Description 11/8/99 32 Const Service/Agricultural 11/5/99 34 Rough Electric Act lnsp Comments CO DM NO LOADSIDE WIRING CO DM ·-·· . ,. OCT 21 '99 15:17 T0-917604380894 VILLAGE · "a• MODELS 1:1\1.11 VERA IIIUJ; FROH·HCHILLIN C()fPANIES . ..... ------__ . ..-------- T-955 P.02/03 F-205 ___ _,_--- .,,,..-~·-·--=--.c~ .,.,_,- LU ,· 01-4• STVlt /,.,.,...- 0,-... SlVll 2-♦ 2- _., .. ...- --- TYPIC ~-;~ ··-:;<:fl~-,-