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HomeMy WebLinkAbout1625 BRADY CIR; TP; CB012561; Permitc A! City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08-0 1 -200 1 Electrical Permit Permit No:CBOI 2561 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 08/01/2001 Reference #: Plan Approved: 08/01/2001 Issued: 08/01/2001 Project Title: PACIFIC SCENE -TEMP POWER POLE Inspect Area: 1625 BRADY CR CBAD Entered By: JM Applicant: TEMP POWER SYSTEMS Ownsr: 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1 999 6285 08/01/01 0002 01 02 CGP 3.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 $1 0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1 0.00 $0.00 90.00 $0.00 $20.00 FINAL APPROVAL Inspector: Date: 9 4-w 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 Ci Manager for processing in accordance with Carlsbad Muniapal 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar applicatbn processing or service fees in connection with this project NOR DOES IT APPLY to any feedexactions of which you have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. PLAN CHECK NO. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 -_ Plan Ck. Deposit Validated B Date I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms I of Bathrooms ONTACT PERSON (if different from applicant) Name Address City StatelZip Telephone # Fax I ONTRACTOR - 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 Sectton 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged iolation of Sect' 7031.5 by any applicant for a p rmit subect the applicant to a civil penalty of not more than five hundred dollars 1$5001). city Statelzip ' telephone # qz0e.c 76a. lf39 .rcqc f 6- P3d b€utv€Jlsl# qzLt#v*- eusm Address tion. Name State License &3&3 Designer Name Address city Statelzip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. License Class C ID City Business License t 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 dve 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 Insurance Company Policy No. Expiration Date fo 91 -01 inssMcrjier and policy number are: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISlOOl OR LESS) 0 WARNING: F 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 compensation coverage is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred to the cost of compensation, damages as provided for In Section 3706 I, as owner of t erty 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 fessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does such work himself or 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 o tion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 1, 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and matenals for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. 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 I address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-UESDEIUZAAL BUlLDlNQ PERMITS ON 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 0 YES 0 NO 0 YES 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS PPUCANT CERTlFlCATlON 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 Cit). 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 EXPIRATION: Every permi authorized by such permit is at any time after the work is APPLICANT'S SIGNATURE DATE er 5'0' deep and demolition or construction of structures over 3 stories in height. cia1 under the provisions of this Code shall expire by days from the date of such permit or if the building or 180 days (Section 106.4.4 Uniform Building Code). City of Carlsbad Bldg Inspection Request For: 08/3 1 /200 1 Permit## CBOl2561 Inspector Assignment: RB Title: PACIFIC SCENE -TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1625 BRADY CR Suite: Lot 0 Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: Phone: 7607998703 Inspector: Total Time: Requested By: GARY CD Description ; ]3omments Entered By: CHRISTINE 32 Const. ServicelAgricultural 39 Final Electrical f Associated PCRs InsDection History Date Description Act lnsp Comments 08/14/2001 39 Final Electrical CA RB BYGARY