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Home My WebLink About2513 TOWN GARDEN RD; TP; CB081934; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-15-2008 Electrical Permit Permit No: CB081934 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2513 TOWN GARDEN RD CBAD St TP ELEC Parcel No: 0000000000 Lot#: 0 Reference #: PC#: Project Title: BRESSI MEDICAL: 200AMP TEMP PW Applicant: POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714 223-3600 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 200 0 0 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: lns~tArea: ISSUED 10/15/2008 JMA 10/15/2008 10/15/2008 $10.00 $50.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $70.00 Total Fees: $70.00 Total Payments To Date: $70.00 Balance Due: ~.::>__ Inspector:-'~---'~---- FINAL Afy10VAL Date: ~ 7, 'J 1 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 pennit was issued to protest impos1lion 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. FaUure 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 lo protest the specified fees/exactions DOES NOT APPLY to wate!" a'ld sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any f X i ns f Whi h h V i I Tl E "mil r h" whi • .lli!>LJ:!!.l<.!J~liJ..lltll!.l!Wl!.!2lii..-l.w..---J PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 'Jf'i'.\, 'pF(o~etiNFO:RMAtiON'' .. • •••• FOR OFFICE USE ONL V PLAN CHECK NO. C)3O~l '.J 34 EST. VAL~--------- Plan Ck. Deposit ________ _ Validated By \.-lvv:J:'): Date I O.l 1 !"IO ( *2513 Town Gaxden R.d. TP Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel# Existing Use *Te~ Power Pole Description of SQ. FT. #of Stories Name Address City :~;;,• ''APi>JiicANt' ':il]i!toriti'iic;tq(; LE};~~ntifc# Conua~qr,i, □ QwnerS: D Agent'forOl.iner '.· *Gacy Seymour 2458 S Santa Fe Ave \[jsta, CA 92084 Name Address City Proposed Use • # of Bedrooms State/Zip State/Zip 4/ ,::pjpp~fiJ:Yi<JWr,iEit,, , ........ ,.,.,,,,, .. ,.,.,, .. , .. ,,.,.,,, , .· ....... . . . .. *Pacific Building Groun 9752 Aspen Creek Rd I 50 San Diego 92126 Name Address ' City State/Zip Ji.:" ,,,,:¢.ONTRAtroa:~'COMe'ANY1N'Ari,ti;t';'j' II of Bathrooms Telephone II Fax # 760-597-2904 Telephone II 858-552-0600 Telephone# (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 Codel or that he is exempt therefrom, and the basis for the alleged exemp~on. Any vio~ion of .SectiQn 703J .5 by an;x. 'iPPWSni,tor a p~rmit su.lljects tt!J applicant.to a ~ii pe~Jr,: o7f ')et more than five1h4und2re~ ljplla_Ls J$05.Q.OJI. Power .t'abncatmg inc. 6L:, ~. t<ee Ana ~t. t' acentla, LA ~:l8 u 7 -:lJ-:,t> u Name Address City State/Zip Telephone# State License #*696713 License Class Cl Q City Business License# 1221182 Designer Name Address City State/Zip Telephone State License # _________ _ !~:~=-s~~~::;•~!~~:~~~!!!~~;l • I her~lly • affi~~ ·under ~e~~~Y of perjury one ~f the foll~~i~g 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. 0 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 CompaffD)d Republic Genera) Policy r-A.1CW49500802 Expiration DatJ 0/01/09 (THIS SECTION NEED NOT BE COMPLETED If THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) D EXEMPTION: I certify that in the pe,formance of the work for which this permit is issued, I shall not employ eny p«son in any manner so as mpensation Laws of California. to become subjec WARNING: Failu thousand dollars I • compe~ion coverage b unlawful. and shall aubject en employer to criminal peneltie& end civil fines up to one hundred to the cost of compensation, damages es provided for in Section 3706 of the Labor code, interest end attorney's fen. SIGNATURE DA • :-, ,; , : '<>WNl!H'fB(iit, ••• =· =· __ ,_~-:= =-· '·.-: =;=x-:~T ij~·;:,,_! i: : .. := =· I hereby affirm that I am e 0 I, as owner of the pro rty or my employees with wages as their sole compensation, will do the work and the structure is not intended 01 ottered for sale (Sec. 7044, Business 11nd Professions Code: The Contractor's License Law does not apply to an owner of propertv 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 J, 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(sl licensed pursuant to the Contractor's License Lawl. 0 I 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 tor the proposed work. 3. I have contracted with the following parson lfirmJ to provide the proposed construction !include name / address / phone number / contractors license number): 4. I plan to providil portions of the work, but I have hired the follow'1ng person to coordinate, supervise and provide the major work !include name / address / phone number/ contractors license number!:. _____________________________________________ _ 5. 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); _______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ 'COIYIPtfiiTEt:tttis'$EctioNr'i'O~iJ011fi1Uit:$iii/A1;•eu1ti;,1Ni3:pERMiTS'l,lililY''::',, 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D 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 THI" REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR pOLLUTION CONTROL DISTRICT. :iJ; :: J::O'NSTltUCTIQJfLElllDIN(.l,fUi'~NC\' , • I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued !Sac. 3097111 Civil Code). LENDER'S NAME _____________ _ it;1,:/,Atiit1¢ANT'CERirlftCATlON;'c:::;;;i:;· I cenify that I have read the application and state that the above information is correct and that the information on th11 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.i'LL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THl!iJ'ERMIT, OSHA: An OSHA permit is r11quired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. ·' EXPIRATION: Every permit iss th uilding 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 om within 180 days from the date ol such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co r period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -+----.&'"'""'.._--==------------------DATE ____________ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/06/2009 Permit# CB081934 Title BRESSI MEDICAL: 200AMP TEMP PW Description Type ELEC Sub Type: Job Address: 2513 TOWN GARDEN RD Suite Location TP Lot: APPLICANT POWER FABRICATING INC Owner Remarks Total Time 0 CD Description Act Comments Inspector Assignment: TP Phone: 7142235608 Inspector: :/2.-- Requested By WAYNE Entered By KA THY 39 Final Electrical L-------~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 10128/2008 32 Const. Service/Agricultural PA PY PUT ADDRESS ON CAN